@Telegraph For most adults optimal blood pressure at home is less than 120/70. Now many people above that donโt need medication but benefit from a good review of health and cardiovascular risk. And hopefully find some ways they can improve it
@Telegraph Rule of halves. Half undiagnosed. Half of those diagnosed are untreated. Half of those treated are uncontrolled.
Too many people told itโs a bit high or come back and check it again. Until sadly for some a cardiac event makes them wish theyโd taken it more seriously.
@MichaelAlbertMD@DrJenGunter Thanks for sharing great read. As a founder and physician that kind of hyper marketing is always in mind. I think most doctors are probably too cautious with messaging meaning influencers drown us out, but perhaps a good place to be. Does make me glad we donโt have any investors.
The FDA just approved the first oral PCSK9 inhibitor. Enlicitide (Lipfendra) โ once-daily tablet โ 56-60% LDL reduction in CORALreef phase 3. Numerically identical to evolocumab and alirocumab. Thread on what this means in practice.
The adherence question is the most underappreciated issue here. Injectables have near-perfect persistence. A daily tablet โ fasting, 30 min before food โ does not. This will matter.
Researchers just found gum disease bacteria inside calcified aortic valves.
P. gingivalis, a bacteria at the centre of periodontal disease, was found concentrated in valves removed during surgery for aortic valve stenosis.
This is new. And the story goes deeper than the headline.
A direct ask to researchers:
Future studies on periodontal disease and cardiovascular outcomes should measure Lipoprotein(a) levels.
The 1 in 5 who carry elevated levels may be a meaningfully distinct subgroup. Right now we have no data on them in this context.
@bryan_johnson Hope goes well for you. Iโd add oral health and tracking these markers. Many autoimmune conditions are both triggered and amplified in the mouth. Molecular mimicry, T cell activation and cross reactivity, translocation of bacteria. Happy to share more if interested