Fishtown Medicine Library
Heart Health & Risk
Protecting your most important engine.
Nervous About Statins? When Your Family Can't Tolerate Them, and What Else Works
Both parents had bad reactions to statins, and you're worried you will too? Why intolerance rarely runs the way people fear, and the full menu of options when a statin isn't the right fit.
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Borderline Cholesterol: How ApoB, Lp(a), and Blood Pressure Change the Plan
A 47-year-old with "borderline" LDL, a father who had a heart attack at 60, and a blood pressure nobody was tracking. How ApoB, Lp(a), and home BP turned "recheck in a year" into a plan.
The Heart Attack We Caught Seven Years Early
A 39-year-old case: how ApoB, Lp(a), and LDL particle number revealed cardiovascular risk a standard cholesterol panel and a zero calcium score had missed.
Stroke Prevention: What the 2024 Guideline Changes
About 80% of strokes are preventable. What the 2024 AHA/ASA guideline updated, what to ask your doctor, and how we work it into primary care in Philadelphia.
The Cholesterol Test Thats Often Missing from Standard Panels
Why your 'normal' cholesterol might be misleading. Dr. Ash uses ApoB, Lp(a), and Cleerly AI to catch heart disease decades before a heart attack.
The 'Widowmaker' Genetic Risk Factor
You can have normal LDL and still be at high risk for a heart attack. Dr. Ash tests for Lipoprotein(a), the genetic 'heart attack' marker that standard panels miss.
ED: The Vascular Warning Sign
ED is not just a sexual issue. It is the earliest warning sign of cardiovascular risk. Learn how to treat the root cause, not just the symptom.
Lp(a): The Genetic Heart Risk
You can have perfect cholesterol and still be at risk. Learn the science of Lipoprotein(a), the genetic particle that standard blood tests miss.