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Venk Murthy: 2018 vs 2026 ACC/AHA Lipid Guidelines – A Shift From RCTs to Expert Opinion?
Sep 6, 2026, 16:16

Venk Murthy: 2018 vs 2026 ACC/AHA Lipid Guidelines – A Shift From RCTs to Expert Opinion?

Venk Murthy, Full Professor with Tenure at University of Michigan Medical School, shared Anish Koka’s post on X:

“New ACC/AHA lipid guidelines race ahead with loads more class I recommendations than 2018, mostly based on expert opinion

This is a step backwards!”

Anish Koka, Cardiologist at Koka Cardiology PC, shared a post on X:

“2018 vs 2026 Lipid guidelines compared.

The visually striking thing is the number of recommendations made in 2026 vs. 2018: more than 4x as many recommendations, and observational-evidence recommendations replaced RCTs as the foundation.

The COI story is interesting.”

Venk Murthy

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