Re: Re: Cholesterol Question

[Guest guest]

actually, i thought the overall evidence for statins in primary prevention is a 20-30% risk reduction in CV events. so  absolute risk reduction and number needed to treat depend on baseline risk.if you start off with baseline risk of 2-3%, then you end up with absolute risk reduction of 1%. but of course some people have higher baseline risk.

i agree that statins are generally overprescribed. -- Kernisan, MD MPHGeriatrics

Cholesterol levels are just numbers.

Absolute reduction in primary events with the use of statins is 1%.

So for every 100 patients you put on statins, only 1 will benefit.

Statins are almost worthless and using lipid panels to determine if they are effective even more so.

My suggestion.

Get a heartscan - calcium score and further stratify her risk.

Get a VAP or NMR lipid test.

Get an omega-3 index test

Switch her to a Paleo diet.

Steve

stown, NJ

>

> 56 year old woman with:

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> Tchol 330

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> LDL 244

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> HDL 76

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> TAG 50

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> POS FH  CAD

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> Stable for years in this range.

>

> Failed Red Yeast Rice (won't take statins)

> Did try Lipitor once with little change in #s

>

> Umm . . . ideas?

>

>

>

> Pamela

>

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[Guest guest]

Actually a paleo template that is low carb based would be very beneficial, this is a very effective way to keep inflammation low, but as i said before, from the profile presented, my guess the patient is already eating this way. Rakesh C. Patel, M.D.Twitter: @drrcpatelwww.facebook.com/azsunfmwww.medleyhealth.com/rakeshpatelwww.azprevention.comArizona Sun Family Medicine, P.C. and Nexlev Health and FitnessSpecializing in Diabetes, Heart Attack and Stroke Prevention633 E. Ray Road #101Gilbert, AZ 85296www.azsunfm.com and www.nexlev.com From: l_spikol

To: Sent: Thursday, August 30, 2012 2:11 PM Subject: Re: Cholesterol Question

Pretty much agree with Steve re: Lipids...disagree with all the other suggestions...Paleo diet ...oh brother....maybe running after the food like our ancestors would help.

> >

> > 56 year old woman with:

> >

> > Tchol 330

> >

> > LDL 244

> >

> > HDL 76

> >

> > TAG 50

> >

> > POS FH CAD

> >

> > Stable for years in this range.

> >

> > Failed Red Yeast Rice (won't take statins)

> > Did try Lipitor once with little change in #s

> >

> > Umm . . . ideas?

> >

> >

> >

> > Pamela

> >

>