Geno J. Merli, MD; Howard H. Weitz, MD
Disclosures: Geno J. Merli, MD, reports the following: Research grants/contracts: Bristol-Myers Squibb. Howard H. Weitz, MD, reports that he has no financial relationships or interests to disclose.
Editors' Disclosures: Christine Laine, MD, MPH, Editor in Chief, reports that her spouse has stock options/holdings with Targeted Diagnostics and Therapeutics. Darren B. Taichman, MD, PhD, Executive Editor, reports that he has no financial relationships or interests to disclose. Cynthia D. Mulrow, MD, MSc, Senior Deputy Editor, reports that she has no relationships or interests to disclose. Jaya K. Rao, MD, MHS, Deputy Editor, reports that she has stock holdings/options in Eli Lilly and Pfizer. Catharine B. Stack, PhD, MS, Deputy Editor, Statistics, reports that she has stock holdings in Pfizer, Johnson & Johnson, and Colgate-Palmolive. Christina C. Wee, MD, MPH, Deputy Editor, reports employment with Beth Israel Deaconess Medical Center. Sankey V. Williams, MD, Deputy Editor, reports that he has no financial relationships or interests to disclose. Yu-Xiao Yang, MD, MSCE, Deputy Editor, reports that he has no financial relationships or interest to disclose.
No institutional affiliation
September 17, 2019
What about sleep apnea?
There was no mention in this presentation about considering his symptoms as possible consequences of sleep apnea. His hypertension, dyslipidemia, and prediabetes all indicate that sleep apnea should be considered. If sleep apnea is present and the patient is prescribed and adheres to therapy to overcome it, his risk for developing further cardiovascular problems will be greatly reduced, and his hypertension may even be reversed.
B P Rajesh, MD
B P Rajesh, MD PLLC
October 20, 2019
Super super strict diet to lower LDL
Not sure if he is following very strict diet to lower LDL. I would pursue strict plant based diet before bringing up more meds.
Merli GJ, Weitz HH. Annals Consult Guys - Peripheral Artery Disease Management. Ann Intern Med. 2019;171:CG1. doi: https://doi.org/10.7326/W18-0048
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Published: Ann Intern Med. 2019;171(6):CG1.
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