The goal was to reach an LDL of less than or less than 70 for some. Find the new calculator at my. With the new guidelines, a large number of people who are not taking statins may now be advised to do so. However, some experts fear that the increased usage of statins may distract some patients from the importance of diet and lifestyle.
To Statin or Not to Statin? Johns Hopkins report offers physicians tips to help patients make the right call Release Date: March 30, Cholesterol-lowering statins have transformed the treatment of heart disease. But while the decision to use the drugs in patients with a history of heart attacks and strokes is mostly clear-cut, that choice can be a far trickier proposition for the tens of millions of Americans with high cholesterol but no Cholesterol a patient conversation disease.
Now a report from preventive cardiologists at Johns Hopkins and elsewhere offers a set of useful tips for physicians to help their patients make the right call.
Statins work by lowering the amount of circulating cholesterol in the blood and halting or slowing the formation of dangerous fatty plaque. Rarely, however, statins can precipitate the onset of other serious conditions, including muscle damage and diabetes.
The risk of such infrequent side effects pales in comparison with the very real risk of heart attack or stroke among those with established heart disease or history of stroke. However, the risk-benefit balance is much trickier to gauge among those who have no actual disease but whose high cholesterol and other risk factors render them likely yet not definite candidates for heart attacks and strokes.
Instead, it should be a conversation starter, particularly in light of recent findings that calculators used to determine the score tend to overestimate risk.
Patients with borderline scores may benefit from additional testing, including coronary calcium CT scanswhich can clarify their risk further.
The Johns Hopkins team urges clinicians to ask patients to use the risk-score calculator prior to their visit and come armed with questions. Giving patients a choice and ensuring they have the final say in treatment decisions is laudable, but research shows that patients often want their physicians to take the lead on problem-solving, Martin advises.
In addition, clinicians should take care to emphasize that risk scores are based on average outcomes among patients with similar risk factors but that they are not perfect predictors of individual risk. Address each one individually. Use simple arithmetic to convey the difference between expected therapeutic value versus possible harm as a net benefit.
Statin use has been linked to a higher risk of developing diabetes because the medication can fuel mild glucose elevations in predisposed individuals — an effect that can often be countervailed by exercise and losing as little as a few pounds.
Explain to patients that cholesterol-lowering drugs tend to unmask underlying diabetes and hasten its onset in those predisposed to it. People with pre-diabetes should only be treated with statins if they have a markedly elevated risk of heart attack and stroke. Emphasize to patients that even those who develop diabetes after starting statin therapy derive the same or even greater benefits in terms of reducing their cardiovascular risk.
Reassure patients that there is very little evidence — most of it unconvincing — that statins impair memory function. In fact, research suggests that statins may help preserve memory by warding off strokes.
Assure patients that severe muscle damage from statin use is exceedingly rare, but that minor aches and pains are common yet often benign.7 Tips for Optimizing Cholesterol. Optimal cholesterol levels are the #1 topic of conversation when it comes to promoting a healthy heart and circulatory system.
From Hope To Cures outlines the interactions between patients, the health care system, regulators, and the biopharmaceutical industry that form the collaborative ecosystem of .
Ali Kasraeian: So, it seems like from what I gathered, it moves from focusing on really a target cholesterol level more so in terms of focusing and looking at the patient population that need treatment. So then it’s looking at risk factors. a patient conversation on cholesterol Posted on January 26, by Aessaywriters You are a Physician’s Assistant and you are set to meet with a patient to talk about his cholesterol panel.
Patient Centered Care and Cu ltural Transformation, Veterans Health Administration. including updated cholesterol management guidelines. 1 Based on a thorough review of recent randomized controlled trials, the guidelines emphasize patient-centered management that focuses more on an WHOLE HEALTH: CHANGE THE CONVERSATION.
Patient Platform Limited has used all reasonable care in compiling the information but make no warranty as to its accuracy. Consult a doctor or other health care professional for diagnosis and treatment of medical conditions.