Putting the Guidelines into Practice: Building a State-of-the-Art Lipid and Cardiometabolic Clinic-Nuts and Bolts of a Lipid and Cardio-Kidney-Metabolic Clinic

Nuts and Bolts of a Lipid and Cardio-Kidney-Metabolic Clinic

Video Transcription

Video Summary

The speaker argues lipid clinics are needed because many high-risk dyslipidemia patients are undertreated or lost to follow-up (e.g., FH, severe hypertriglyceridemia, high Lp(a), post-MI statin intolerance). Real-world data show large gaps in therapy and goal attainment, and expanded prevention tools will increase the number needing treatment. A lipid clinic is a coordinated, team-based service to identify, triage, and manage complex cases using advanced labs, imaging, and genetic testing, with clear referral criteria and co-management. Key infrastructure includes certified clinicians, scheduling, dietitian/genetics support, and strong prior-authorization workflows. Clinics enable timely escalation (statins, ezetimibe, PCSK9/siRNA, apheresis), research access, and proactive outcomes tracking.

Keywords

lipid clinics

high-risk dyslipidemia management

familial hypercholesterolemia (FH)

advanced lipid-lowering therapies (PCSK9/siRNA, apheresis)

care coordination and prior authorization workflows