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The New Guidelines For Taking Cholesterol-lowering Statins | Who Should Now Take Statins
5 years ago
~2.1 mins read
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The debate is still raging over last November’s guidelines that changed who should take statins, the drugs that help lower cholesterol. For seemingly healthy adults, the guidelines take the focus off LDL or “bad” cholesterol as a marker for statin use, and place the focus on a person’s risk factors for developing heart disease or stroke — such as older age, high blood pressure, diabetes, smoking, other family members with heart disease, tests that show calcium in the heart’s arteries, or blood levels of C-reactive protein (CRP). “That’s a huge change,” says cardiologist Dr. Christopher Cannon, a Harvard Medical School professor.
How it works
The new guidelines came from the American Heart Association and the American College of Cardiology. They were prompted by research, much of it from Harvard Medical School, that has reported additional heart benefits from statins besides lowering LDL cholesterol levels in the blood.
For healthy adults ages 40 to 75, doctors are now asked to determine risk using an equation that takes into account the person’s age, gender, race, total cholesterol, blood pressure, diabetes, and smoking history.
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Who gets a statin?
Some doctors worry that the threshold for statin use is too low.
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Dr. Cannon stresses that the new risk calculator applies only to seemingly healthy adults. Statins are still recommended and prescribed routinely for all people with known heart disease, for people with very high LDL cholesterol (190 mg/dL or higher), and for middle-aged adults with type 2 diabetes.
What you should do
At your next doctor visit, ask if the new guidelines apply to you and if statins would have a meaningful impact on your risk for heart disease and stroke. You should also ask what you need to do to reduce your risk. A good start: eat a diet low in salt and saturated fat and high in fruits, vegetables, and whole grains, and get 150 minutes each week of moderate-intensity exercise, such as brisk walking or swimming..
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