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Baltimore Lipid Center / Gregory Pokrywka MD FACP FNLA NCMP

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Complex Cholesterol Management and Prevention of Heart Disease and Diabetes.  Advanced Lipoprotein Testing and Arterial Imaging from a recognized National Thought Leader.
 
see blog below for updates !
 
Learn more about my exciting new partnership with ModernMed here ! Why ModernMed ? Innovative preventive and concierge medical solutions. Ultimate facilitator of healthcare services. Uncompromising service experience. Are you ready ? ModernMed is a forward-thinking health care service firm designed to create a better health care experience for patients, physicians and businesses. We establish and maintain modern primary care practice environments across the country that are unlike any traditional practice. As a company focused on exceeding the expectations of its physician, patient and business customers, we maintain primary care environments that have people looking at health care in a whole new light.
 
FirstLine Therapy (FLT)®—therapeutic lifestyle change (TLC) program to manage, prevent, or reverse chronic diseases (such as prediabetes, diabetes, cholesterol disorders, obeisty.) Call the office to schedule your own 12 week FLT lifestyle intervention program.  This program will augment or even replace existing medications, and should be covered by patient insurance (as I am involved in every visit, along with a Board Certified Dietitian.)  In the meantime you can begin ordering MetaGenics nutritional products to reduce your risk for diabetes and cardiovascular disease (or click on  www.baltimorelipidcenter.meta-ehealth.com )
 
The Baltimore Lipid Center also does CardioMetabolic Risk (diabetes/ coronary artery disease etc. ) consults, and we can work WITH and report back TO, your regular doctor. This is the ONLY suburban Baltimore Lipid Clinic (specializing in cholesterol disorders and prevention of heart disease and diabetes) , and we draw advanced cholesterol/ lipoprotein testing , as well as offering screening for early plaque/ atherosclerosis with in-house Carotid Ultrasound.
 
Find out why Health Diagnostics Laboratories (www.myhdl.com) offers the most advanced testing for cardiovscualr disease and diabetes (covered/ accepted by ALL insurances.)

Welcome to our new practice website !
 
Gregory Pokrywka MD FACP FNLA NCMP
 
Director, Baltimore Lipid Center
ABCL certified Clinical Lipidologist
Aggressive diagnosis and treatment of lipid (cholesterol and triglyceride) disorders-prevention of heart attack, stroke, and diabetes.
North American Menopause Society Certified Menopausal Clinician. (Only a handful of US physicians are "double-boarded" in Menopause and Clinical Lipidology)
Assistant Professor, Johns Hopkins University School of Medicine
General Internal Medicine
 
 
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Care Philosophy
 
Prevention is the Key !
 
I practice quality not quantity medicine.

Practice Goals 2012 :
  • Establish Preventive Medicine practice and continue consultation services.
  • State of the art, efficient, caring, Internal Medicine, Lipidology and Menopausal Medicine.
  • Prevention of cardiovascular disease (heart attack and stroke).
  • Nationwide educational lecturer, author and thought leader in Clinical and Menopausal Lipidology.

Choosing a healthcare provider is one of the most important decisions you can make. You want someone who is caring, knowledgeable, and accessible. Someone willing to take the time to go over all of your options and treat you as a person, not just a patient.

At my practice, we pride ourselves on our patient service. We offer a knowledgeable staff, safe and proven procedures, and the latest in medical technology. Dr. Pokrywka has extensive experience in advanced cholesterol / lipoprotein testing, and in  on-site Carotid IMT ultrasound imaging for atherosclerosis screening, and utilizing clinical nutrition consultation. I've created this web site for both new and current patients. It includes specific information on the practice and the staff along with general wellness information.

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Monday, March 15, 2010

ACCORD trial validates the use of fenofibrate (Tricor, Trilipix, Lipofen, Antara) for Residual Risk reduction
 
ACCORD Lipid Study brings new hope to people with type 2 diabetes and atherogenic dyslipidemia
Prof. JC Fruchart, Prof. F Sacks, Prof. M Hermans
Board of the R3i trustees
 
From the 59th Scientific Sessions of the American College of Cardiology
Atlanta, GA
14th March 2010

For the last two years the Residual Risk Reduction Initiative (R3i) has supported the hypothesis of residual vascular risk and its clinical importance. This is encapsulated in the position papers published by the Foundation during this time.

Now, we are delighted that the long-anticipated announcement of the results from the Action to Control Cardiovascular Risk in Diabetes (ACCORD) trial confirms that, targeting non-LDL lipids in a sub-group of statin-treated diabetic patients with well-controlled low-density lipoprotein cholesterol (LDL-C), reduces cardiovascular events and is consistent with the position taken by the R3i.1

ACCORD Lipid also shows that in this sub-group analysis, pre-specified in the study protocol, this high residual risk can be substantially reduced with the addition of fenofibrate. A reduction of 31 percent in cardiovascular risk in patients with type 2 diabetes and atherogenic dyslipidemia who had reached
LDL-C goals was achieved when compared to patients taking simvastatin alone. This reduction is comparable in magnitude to those seen in landmark statin trials.

The benefit of fenofibrate was only seen in the group of patients with atherogenic dyslipidemia, and none of the primary or secondary endpoints were statistically significant in the total study population which included many patients with LDL-C at goal and without combined atherogenic dyslipidemia. There is a risk that the positive and clinically important results seen in ACCORD Lipid will be lost in the context of ACCORD being seen as a ‘negative’ study.

This puts the R3i in a unique and very important position. We have to ensure that the clinical implications of this very important study are not misinterpreted and that the millions of diabetic patients with atherogenic dyslipidemia can benefit from a further reduction in CVD morbidity and mortality. Given the magnitude of the global epidemic of type 2 diabetes – especially in developing regions – a lipid-modifying strategy that combines fenofibrate with a statin could play an important role in reducing the global burden of residual vascular risk in type 2 diabetic patients with atherogenic dyslipidemia, who represent a huge population on a global scale.

This unique evidence from ACCORD will support our existing research activities. Indeed, the REALIST study, being conducted at Harvard Medical School and over 20 well-known academic centers worldwide, becomes even more important. The REALIST will form the platform for the R3i’s activities at the European Society of Cardiology.

ACCORD-Lipid shows that residual vascular risk can be safely and effectively addressed in patients with type 2 diabetes and atherogenic dyslipidemia. It is up to all of us to ensure that this message is communicated as effectively as possible to fellow physicians across the world as soon as possible.



References

1. The ACCORD Study Group. Effects of combination lipid therapy in type 2 diabetes mellitus. N Eng JMed 2010. DOI:10.1056/NEJMoa1001282

7:04 am est


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Baltimore Lipid Center

Gregory Pokrywka MD

7801 York Road #300
Towson, Maryland 21204-7449


Tel: 410-337-0720
Fax: 410-337-0714

 

for NON-URGENT matters, please contact us via email at :

kkeefer-hart@modernmed.com

Office Hours:

Monday       11:30 am - 8 pm
Tuesday      11:30 am - 6 pm
Wed-Friday   7:30 am - 3:30 pm

(hours may occ. vary due to Dr. Pokrywka's national lecturing schedule.)

If you need more information, please don't hesitate to contact us by phone or e-mail.

Gregory Pokrywka MD FACP FNLA NCMP
Prevention of Cardiovascular Disease and Women’s Menopausal Health