Using the New Lipid Guidelines in Primary Care

Learning Objectives: 

1. Understand how to incorporate the new 2026 dyslipidemia guidelines in how you treat cardiac primary prevention in the primary care clinic. 

2. Understand how to incorporate the new 2026 dyslipidemia guidelines in how you treat cardiac secondary prevention in the primary care clinic. 

3. Understand how to use coronary artery calcium scores to guide lipid management. 

Borrowing Time: Resuscitation Beyond Conventional ACLS

Learning Objectives: 

1. Define extracorporeal cardiopulmonary resuscitation (ECPR) and explain its physiologic rationale as a rescue strategy for refractory cardiac arrest when conventional ACLS fails to achieve return of spontaneous circulation. 

2. Compare and contrast the key findings of the three landmark ECPR randomized controlled trials (ARREST, Prague OHCA and INCEPTION), Including how differences in patient selection, timing and center experience influenced outcomes. 

3. Identify the clinical criteria and system-level requirements that determine which patients with refractory cardiac arrest are appropriate ECPR candidates, enabling timely activation of an ECPR-capable team. 

Coronary Artery Calcium Scoring - The Right Test for the Right Patient and When to Stop There

Learning Objectives: 

1. Identify appropriate candidates for CAC scoring using ACC/AHA and SCCT criteria, including why the test should not be ordered in patients already on statin therapy.

2. Interpret CAC results using the graded score framework to guide statin initiation, deferral or intensification. 

3. Avoid low-value downstream testing by recognizing that a high CAC score in an asymptomatic patient does not indicate obstructive CAD or warrant ischemia workup.