How Much Statins Should be Given to Patients with Heart Disease?

by Dr. Trupti Shirole on April 2, 2015 at 6:58 AM
Font : A-A+

How Much Statins Should be Given to Patients with Heart Disease?

Statins are medicines that help lower the cholesterol levels in the blood. Given that heart disease tops the mortality charts, to use statins or not is one of the most important questions faced by patients and physicians alike. A new report by Johns Hopkins University offers concrete tips for physicians on how to conduct this vital discussion and to reduce patient uncertainty and frustration in making this complicated decision.

The American Heart Association guidelines recommend the use of a complex equation to determine a patient's risk of heart disease. This calculation takes into consideration cholesterol levels and other aspects of the patient's health. The final number gives the doctor a risk number for that patient, which is then used to determine whether statin therapy should be recommended.


Author Neil J. Stone said, "The decision should be informed by the intersection of scientific evidence, clinical judgment and patient preference, but clinicians need to individualize the advice. It's a simple concept- making sure they're not treating the disease but the person with the disease, and, in this case, those at elevated risk for it. Done the right way, this is precision medicine at its best."

The tips for clinicians to help patients make the right call whether to use cholesterol-lowering statins or not, include:

1. Do not get fixated on a number, but ask patients to use the risk-score calculator prior to their visit and come armed with questions.

2. Shared decision-making does not mean split decision-making.

3. When there is no time, make the time.

4. Contextualize the risk of heart disease or stroke. One way to provide meaningful perspective is to compare a patient's likelihood of suffering a heart attack or stroke to someone of the same age, gender and race, who has optimal risk factors.

5. Aim for the highest tolerable dose of statins, unless the patient is predisposed to side effects or taking interacting medications.

6. Pay attention to news about statins and heart disease.

This study is published in the Journal of the American College of Cardiology.

Source: Medindia

News A-Z
News Category
What's New on Medindia
World Alzheimer's Day 2021 - 'Know Dementia, Know Alzheimer's
'Hybrid Immunity' may Help Elude COVID-19 Pandemic
Stroop Effect
View all

Medindia Newsletters Subscribe to our Free Newsletters!
Terms & Conditions and Privacy Policy.

More News on:
Cholesterol Cholesterol - The Enigma Chemical Heart Healthy Heart Statins Mitral Valve Prolapse Aortic Valve Stenosis Pericarditis 

Recommended Reading
Statins are new wonder drugs that are proving to be efficacious, not merely in relieving symptoms .....
High Doses of Statins Better for Regression of Heart Disease
Intensive statin treatment led to coronary artery disease regression with few adverse events.High .....
Do Statins Increase The Risk Of Incident Diabetes?
Statin therapy is associated with a slightly increased risk of development of diabetes. The benefit ...
Statins Taken For Reducing Cholesterol Found To Reduce Death Rate Associated With Heart Attack As Well
For most of history, the human heart has been regarded as a forbidden organ too delicate to tamper ....
Aortic Valve Stenosis
Aortic valve Stenosis is an abnormal narrowing of the c valve. Symptoms include angina, and that of ...
Cholesterol is produced by the body (liver) and is essential for normal body functioning....
Cholesterol - The Enigma Chemical
The word 'Cholesterol' rings danger bells as soon as it is mentioned. This important chemical is im...
Mitral Valve Prolapse
Mitral Valve Prolapse is a relatively common condition and causes leakage of blood through the valve...
Pericarditis occurs when the pericardium gets inflamed. Pericarditis is characterized by severe ches...

Disclaimer - All information and content on this site are for information and educational purposes only. The information should not be used for either diagnosis or treatment or both for any health related problem or disease. Always seek the advice of a qualified physician for medical diagnosis and treatment. Full Disclaimer

© All Rights Reserved 1997 - 2021

This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use