Dispatch: More Stats for Statins

By ACSH Staff — Jun 15, 2010
The Wall Street Journal reports that doctors are developing guidelines for administering statins based on an elevated cardiac risk profile. This new approach, which considers risk factors such as diabetes, hypertension, and family health history, in addition to the commonly-used lipid levels, would ultimately provide a more patient-specific treatment regimen:

The Wall Street Journal reports that doctors are developing guidelines for administering statins based on an elevated cardiac risk profile. This new approach, which considers risk factors such as diabetes, hypertension, and family health history, in addition to the commonly-used lipid levels, would ultimately provide a more patient-specific treatment regimen:

The upshot, according to an analysis by the group [of doctors proposing the cardiac risk profile] that appeared in the Annals of Internal Medicine in January, might be that more people would take statins under the tailored-treatment approach. However, there would be some significant differences in the people treated, including some who would be newly counseled to take statins, and others who would get the opposite advice.

ACSH's Dr. Gilbert Ross remembers when “we would only look at total cholesterol to assess who to medicate. Then when HDL and LDL ratios were available, we added those parameters to the treatment decision. More recently, research has implicated the importance of C reactive protein. Now doctors are considering a global cardiac risk that bridges all of it.”

ACSH's Jeff Stier agrees that the medicine “is moving in the right direction as our knowledge base expands.”

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