Are LMHR at a Higher Risk of Heart Disease? – David Diamond -

Dr. David Diamond, a neuroscience professor, presents a compelling talk on cholesterol, cardiovascular health, and the metabolic impacts of diet, particularly low-carb diets. He challenges the conventional views on LDL cholesterol's role in heart disease, citing various studies that reveal a complex relationship between LDL levels, metabolic health, and cardiovascular risks. Diamond emphasizes the importance of metabolic health over LDL levels, highlighting how factors like triglycerides, HDL levels, and blood sugar play critical roles. He argues that LDL alone is not a reliable predictor of heart disease, especially for those on low-carb diets, and advocates for a more nuanced understanding of cardiovascular risk factors.

Chapter List
0:00 - Introduction and Welcome
0:18 - Goals of the Talk
0:32 - Addressing LDL Concerns
0:49 - Personal Story and Background
1:14 - Diagnosis and Early Blood Tests
1:52 - Discovering High Triglycerides and Solutions
2:36 - LDL Skyrockets on Low Carb Diet
3:07 - Comparing LMHRs and FH Patients
4:00 - Mortality Rates in FH Patients
5:02 - Declining Death Rates Post-40 in FH Patients
5:47 - Cause-Specific Mortality in FH Patients
6:14 - High Cholesterol and Longevity
6:38 - LDL's Role in Immune System
8:04 - Sepsis and LDL Levels
9:12 - High LDL and Heart Disease in FH
10:00 - Coronary Artery Calcium and Blood Sugar
10:37 - Insulin Resistance in FH Patients
11:34 - Polymorphisms and Heart Disease Risk
13:12 - Clotting Factors and Heart Disease
14:04 - Small Dense LDL and Metabolic Health
15:37 - Small Dense vs. Large Buoyant LDL
16:30 - LDL-C as a Hybrid Measure
17:12 - Contamination of LDL-C by LP(a)
18:07 - Observational Studies on LMHRs
19:59 - Intervention Studies and Statins
21:58 - Statins and Metabolic Health
23:04 - Elderly Studies on LDL and HDL
24:08 - Pleotropic Effects of Statins
25:50 - Summarizing Cardiovascular Risk Factors
27:10 - Endothelial Glycocalyx and Heart Disease
29:31 - Damage to Glycocalyx Precedes Heart Disease
30:11 - Review of Low Carb Diet Benefits
31:00 - Conclusion and Recommendations