Carol Kirkpatrick, PhD, MPH, RDN, CLS, FNLA (@carolkirkpat3) 's Twitter Profile
Carol Kirkpatrick, PhD, MPH, RDN, CLS, FNLA

@carolkirkpat3

Clinical Scientist, Midwest Biomedical Research; Adjunct Faculty, Kasiska Division of Health Sciences, Idaho State University

ID: 4273129752

calendar_today18-11-2015 00:33:45

964 Tweet

555 Followers

306 Following

Foundation of the NLA (@foundationofnla) 's Twitter Profile Photo

We are happy to support National Lipid Association for National #CholesterolEducationMonth with this week's Tuesday Tweetorial featuring key info you should know about your lipids & lipid testing - the what, who, when, where, & why. Read it now! Thanks National Lipid Association! #LipidXcellence

We are happy to support <a href="/nationallipid/">National Lipid Association</a> for National #CholesterolEducationMonth with this week's Tuesday Tweetorial featuring key info you should know about your lipids &amp; lipid testing - the what, who, when, where, &amp; why.  Read it now!

Thanks <a href="/nationallipid/">National Lipid Association</a>! #LipidXcellence
Dan Soffer (@dan_soffer) 's Twitter Profile Photo

Role of apolipoprotein B in the clinical management of cardiovascular risk in adults: An Expert Clinical Consensus from the National Lipid Association - Journal of Clinical Lipidology lipidjournal.com/article/S1933-…

Dr. James Underberg (@lipiddoc) 's Twitter Profile Photo

Role of apolipoprotein B in the clinical management of cardiovascular risk in adults: An Expert Clinical Consensus from the National Lipid Association Journal of Clinical Lipidology Dan Soffer Christie Ballantyne Jessica Peña Seth Martin - 👏 lipidjournal.com/article/S1933-… Highlights 👉 ➡️ApoB

Anandita Agarwala Kulkarni, MD FACC (@aagarwalamd) 's Twitter Profile Photo

Exercise enhances the effect of weight loss on lipoprotein lipids. The amount of exercise needed for weight loss and maintenance is greater than what is needed for general health (>200 min/week). Carol Kirkpatrick, PhD, MPH, RDN, CLS, FNLA #NLA2024 National Lipid Association Beth Jackson

Exercise enhances the effect of weight loss on lipoprotein lipids. 

The amount of exercise needed for weight loss and maintenance is greater than what is needed for general health (&gt;200 min/week). <a href="/carolkirkpat3/">Carol Kirkpatrick, PhD, MPH, RDN, CLS, FNLA</a> #NLA2024 <a href="/nationallipid/">National Lipid Association</a> <a href="/LipidCNS/">Beth Jackson</a>
Taher Modarressi, M.D. (@tmodarressi) 's Twitter Profile Photo

This is a phenomenal document and I would recommend those in the CV prevention space take a look. “Make sure you’re treating the right people, even though you might be treating the same total number of people” Dan Soffer presenting at National Lipid Association #NLAFallCLU

This is a phenomenal document and I would recommend those in the CV prevention space take a look. “Make sure you’re treating the right people, even though you might be treating the same total number of people” <a href="/dan_soffer/">Dan Soffer</a> presenting at <a href="/nationallipid/">National Lipid Association</a> #NLAFallCLU
Dinesh Kalra, MD (@dineshkalra) 's Twitter Profile Photo

Excellent National Lipid Association sessions today on importance of measuring ApoB, U/S for carotid plaque, CACS, CCTA for coronary plaque assessment in primary prevention #ARTCAP, polygenic risk scores, and lipid lowering in older pts (>75 yrs). Not to be missed! vijay nambi Michael Wilkinson

Excellent <a href="/nationallipid/">National Lipid Association</a> sessions today on importance of measuring ApoB, U/S for carotid plaque, CACS, CCTA for coronary plaque assessment in primary prevention #ARTCAP, polygenic risk scores, and lipid lowering in older pts (&gt;75 yrs). Not to be missed! <a href="/vijay_nambi/">vijay nambi</a> <a href="/MWilkinsonMD/">Michael Wilkinson</a>
National Lipid Association (@nationallipid) 's Twitter Profile Photo

Dear Twitter/X, thank you for noticing our apoB paper. In an effort to release it coincident with our Fall CLU, the infographic draft was inadvertently released. Please keep an eye out for the final product and apologies for the miscommunication. Thanks for the feedback!

Nicholas Marston (@marstonmd) 's Twitter Profile Photo

Honored to be a part of the @NationalLipid Association's Expert Clinical Consensus on the Role of ApoB in the Clinical Management of Cardiovascular Risk in Adults. When should we be checking apoB? How low should we go? See link and thread below... lipidjournal.com/article/S1933-…

Nicholas Marston (@marstonmd) 's Twitter Profile Photo

->ApoB is the main structural protein found on all atherogenic lipoproteins ->There is a single apoB molecule found on each atherogenic lipoprotein: LDL, VLDL, Lp(a), etc ->Thus, apoB is a direct measure of the circulating burden of atherogenic lipoprotein particles

-&gt;ApoB is the main structural protein found on all atherogenic lipoproteins 

-&gt;There is a single apoB molecule found on each atherogenic lipoprotein: LDL, VLDL, Lp(a), etc

-&gt;Thus, apoB is a direct measure of the circulating burden of atherogenic lipoprotein particles
Nicholas Marston (@marstonmd) 's Twitter Profile Photo

->LDL-C only measures the cholesterol on LDL particles ->Non-HDL-C measures the cholesterol on all atherogenic particles ->ApoB measures the # of all atherogenic particles ->These are highly correlated measures, but apoB can vary by 30-40 mg/dl at a given level of LDL-C...

-&gt;LDL-C only measures the cholesterol on LDL particles

-&gt;Non-HDL-C measures the cholesterol on all atherogenic particles

-&gt;ApoB measures the # of all atherogenic particles

-&gt;These are highly correlated measures, but apoB can vary by 30-40 mg/dl at a given level of LDL-C...
Nicholas Marston (@marstonmd) 's Twitter Profile Photo

->As a result, discordance between apoB and LDL-C (or non-HDL-C) is common ->When discordance is present, apoB is the strongest predictor of ASCVD risk, followed by non-HDL-C, with LDL-C being the least predictive of the 3 measure ->Discordance w/ low apoB > w/ high apoB...

-&gt;As a result, discordance between apoB and LDL-C (or non-HDL-C) is common

-&gt;When discordance is present, apoB is the strongest predictor of ASCVD risk, followed by non-HDL-C, with LDL-C being the least predictive of the 3 measure

-&gt;Discordance w/ low apoB &gt; w/ high apoB...
Nicholas Marston (@marstonmd) 's Twitter Profile Photo

->What about patients with discordantly high apoB? ->These patients are at greater risk than appreciated by LDL-C alone & warrant intensification of lipid lowering therapy ->In current practice, most of these patients are being missed, as LDL-C is "at goal" & apoB isn't checked

-&gt;What about patients with discordantly high apoB?

-&gt;These patients are at greater risk than appreciated by LDL-C alone &amp; warrant intensification of lipid lowering therapy

-&gt;In current practice, most of these patients are being missed, as LDL-C is "at goal" &amp; apoB isn't checked
Nicholas Marston (@marstonmd) 's Twitter Profile Photo

->Regarding goals, we used evidence from untreated populations and from RCTs of individuals treated with LLTs to provide the following apoB thresholds at varying levels of risk: ->If apoB remains >70 for high risk or >60 for very high risk, intensification of Rx is recommended

-&gt;Regarding goals, we used evidence from untreated populations and from RCTs of individuals treated with LLTs to provide the following apoB thresholds at varying levels of risk:

-&gt;If apoB remains &gt;70 for high risk or &gt;60 for very high risk, intensification of Rx is recommended
Nicholas Marston (@marstonmd) 's Twitter Profile Photo

To summarize, apoB is a precise, accurate, and well-validated measure that provides information not available on standard lipid panels Incorporation of apoB into clinical practice identifies patients at higher CV risk than appreciated who may warrant intensification of therapy