{"id":36949,"date":"2013-06-03T08:00:01","date_gmt":"2013-06-03T12:00:01","guid":{"rendered":"http:\/\/blogs.nejm.org\/cardioexchange\/?post_type=voices&#038;p=36949"},"modified":"2013-06-02T17:55:25","modified_gmt":"2013-06-02T21:55:25","slug":"waiting-for-atp-iv-in-las-vegas","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/cardioexchange\/2013\/06\/03\/waiting-for-atp-iv-in-las-vegas\/","title":{"rendered":"Waiting For ATP IV In Las Vegas"},"content":{"rendered":"<p>May 31&#8211; Today was the first full day of the National Lipid Association meeting in Las Vegas, Nevada. As a first time attendee, I notice many differences compared to the larger meetings. Firstly, there are ~ 700 people in attendance; this dwarfs in comparison to the AHA and ACC which count attendees in the thousands. As a fellow I appreciate the more intimate and collegial atmosphere; it allows for more opportunities to meet and connect with others who share similar interests and with leaders in the field. I also realized the true collaborative nature of the fields of lipidology and prevention, with its diverse roster of attendees from cardiology, internal medicine, endocrinology, pharmacy, and more.<\/p>\n<p>The most crowded session of the day featured Neil Stone, from Northwestern University. As the chair of the ATP IV panel he gave a talk titled &#8220;Preparing for guidelines in 2013.&#8221; The room was packed full of people, likely looking for some small glimpse into the upcoming guidelines that have met with years of delay.<\/p>\n<p>The main focus of the talk was on the importance of using strong evidence to make recommendations&#8211; mostly high-quality randomized clinical trials and meta-analyses of RCT&#8217;s, and why this is important. He briefly reviewed the evidence behind statins. He said that the guidelines will address statin side effects, but did not specify a position. Unfortunately, he was unable to provide a timeline for the release of these highly anticipated recommendations.<\/p>\n<p>During the Q&amp;A session, one attendee inquired about treating to LDL targets &lt;70; interestingly, Dr. Stone responded that the data behind &#8220;lower is better&#8221; is actually debatable. Those who had lower LDL&#8217;s in the trials actually started at a lower LDL and may have had lower risk to begin with. Stone did not take a position either way on whether he supported &#8220;lower is better.&#8221;<\/p>\n<p>So there were only a few slight hints of what to expect&#8230;unfortunately we will still have to wait (a little?) longer.<\/p>\n<p><strong>What are your thoughts on what to expect in ATP IV? Why do you think it is taking so long to be released?<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>May 31&#8211; Today was the first full day of the National Lipid Association meeting in Las Vegas, Nevada. As a first time attendee, I notice many differences compared to the larger meetings. Firstly, there are ~ 700 people in attendance; this dwarfs in comparison to the AHA and ACC which count attendees in the thousands. [&hellip;]<\/p>\n","protected":false},"author":325,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1,7],"tags":[1836,1397,1015,584],"class_list":["post-36949","post","type-post","status-publish","format-standard","hentry","category-general","category-prevention","tag-atp-iv","tag-lipids","tag-nla","tag-statins"],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/36949","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/users\/325"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/comments?post=36949"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/36949\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/media?parent=36949"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/categories?post=36949"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/tags?post=36949"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}