![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by Phillipa on December 7, 2013, at 9:51:44
Quite frankly don't know what to make of this are they saying that simply looking at LDL is the reaon? Not total cholesterol? Phillipa
Posted by ed_uk2010 on December 8, 2013, at 3:03:30
In reply to 3 Reasons To Abandon LDL Levels For Statin Tx, posted by Phillipa on December 7, 2013, at 9:51:44
> Quite frankly don't know what to make of this are they saying that simply looking at LDL is the reaon? Not total cholesterol? Phillipa
>
> http://circoutcomes.ahajournals.org/content/5/1/2.fullBasically, the conclusion is that statins (especially atorvastatin) are useful for preventing cardiac events and that obsessing about getting cholesterol down to a very low target level may not be appropriate.
Statins are useful for patients at high risk of heart disease, and pts who already have heart disease. In pts at very high risk, and pts with established coronary heart disease, statins are used even when cholesterol levels are 'normal'. If cholesterol levels were abnormally low, they would not be rxed, but this situation is unusual in this population!
Atorvastatin (Lipitor) probably has the greatest evidence base of any lipid modulating drug in terms of proof that it reduces heart attacks etc. 10-40mg is common for general use. 80mg is standard for patients who've had a heart attack (MI) or severe prolonged angina episodes (acute coronary syndromes).
Posted by Phillipa on December 8, 2013, at 19:54:19
In reply to Re: 3 Reasons To Abandon LDL Levels For Statin Tx, posted by ed_uk2010 on December 8, 2013, at 3:03:30
Ed that's what I thought. Seems so much is changing in medicine quickly. Here it's all about being cost effective!!!
Posted by ed_uk2010 on December 10, 2013, at 14:40:54
In reply to Re: 3 Reasons To Abandon LDL Levels For Statin Tx » ed_uk2010, posted by Phillipa on December 8, 2013, at 19:54:19
> Ed that's what I thought. Seems so much is changing in medicine quickly. Here it's all about being cost effective!!
Cost-effective is good ie. something that works well (effective) without wasting loads of money (cost)! We still need a range of meds though because not everyone can take the same ones.
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.