@drjohnm We don’t know the relative risk reduction of statins when taken for decades. I tell my young patients (30s and 40s) that it’s a gray area, but lowering LDL earlier in life likely lowers lifetime risk more than waiting until your 50’s or 60’s to lower it.
@drjohnm It’s also concerning that early TAVR (on patients in their 70s) will increase the chances that the patient will need a second aortic valve procedure in their lifetime.
@MKIttlesonMD Call the cardiology/HF fellow, have them review they data, they can decide to see the patient and family overnight or the following morning.
@nickmmark TTE, even in the hands of an experienced technologist, has limitations in the evaluation of valvular pathology (eccentric MR, AS when not in aligned). To think that CV physical exam is obsolete because of POCUS (which is inferior to echo in a technologist’s hands) is misguided.