PCSK9 Inhibitors, A Historic Change in Cardiovascular Care

by Seth J. Baum, MD, FACC, FACPM, FAHA, FNLA Every generation or so, each medical discipline hopes to experience a revolution of monumental proportions. Statins, released in the 1980s, were the last cholesterol modifying medications that dramatically altered our ability to decrease heart attacks and strokes. Now we have the PCSK9 inhibitors. With them we…

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A Pragmatic Cure for The Guidelines

by Seth J. Baum, MD Our Guidelines have been hijacked by the “Evidenced Based Medicine” (EBM) initiative. Somehow, the “evidence” in EBM has been distorted to be tantamount to that which is derived solely from randomized controlled trial (RCT) data. Such a proposition is patently preposterous. Evidence comes in many forms – from basic scientific…

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