Treatment of Blood Cholesterol

2013 ACC/AHA Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in Adults
Circulation. November 12, 2013


New Cholesterol Guidelines Could Put More Americans On Statins 
November 13, 2013

Dr. Sidney Smith, at the University of North Carolina, was one of the guideline writers.
The American College of Cardiology and the American Heart Association have been sifting the evidence for four years to come up with the most up-to-date advice.

a high dose of statins, drugs such as Lipitor, Zocor or Crestor, or their generic equivalents.
They cost from $4 to $150 a month.

If you’re an adult under 75 and don’t have any of these risks, your doctor should check your odds of suffering a heart attack or stroke in the next 10 years, using a new risk calculator. If your 10-year risk is seven and a half percent or higher, the guidelines say you should be on a moderate dose of statin.

Dr. Sidney Smith says the new guidelines should actually make life simpler for doctors and patients because most don’t have to worry about starting a statin if their cholesterol reaches a certain point or about getting it down, through drugs, to a specific number target. But others think the new guidelines are more complicated.

DR. STEVEN ATLAS: Much more complex.
That’s Dr. Steven Atlas, a primary care doctor in Boston, who actually thinks new cholesterol guidelines are overdue.


US Doctors Urge Wider Use Of Cholesterol Drugs
by The Associated Press. November 12, 2013
Roughly half the cholesterol panel members have financial ties to makers of heart drugs, but panel leaders said no one with industry connections could vote on the recommendations.

“It is practically impossible to find a large group of outside experts in the field who have no relationships to industry,” said Dr. George Mensah of the heart institute.


Shift In Cholesterol Advice Could Double Statin Use
November 12, 2013

Association of Dietary, Circulating, and Supplement Fatty Acids With Coronary Risk: A Systematic Review and Meta-analysis

Preparing for Your Test