Fish oil, vitamin D, new drugs and new cholesterol rules – news from a conference of the American Heart Association (AHA) and the American College of Cardiology, combining those who prevent and prevent heart attacks and other problems.
The good news that everyone has added to the conference as announced this week, at least in the United States, is that it doesn't have to starve before the blood test to control cholesterol – most people allow something to eat before taking blood for analysis.
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Food supplements in tablets and capsules – "dietary supplements" often "do not" throw "money" in this fashion – doctors have concluded that they recommend natural nutrients and a balanced diet as a health basis, and if this is not enough, they have added vitamins or mineral tablets. on, individually, only to the patient in need.
First of all,, supplements u, as the name suggests, ”reinforce ad instead of replacing the vitamins and minerals in foods which are the best basis for miner health”, says Penny. State Pennsylvania College.
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For example, for example, physicians have confirmed that in the conference "supplement" as vitamin D instead of vitamin D should be consumed twice as much oil, or at least as good as "supplements" among the heart patients.
According to the agency's (AP) statement, none of these physicians were financially dependent on drug producers.
The two major studies presented at the conference yielded mixed results on fish oil or "omega-3 fatty acids". There are different types of EPA and DHA including.
In a study of 26,000 healthy people, one gram per day of the EPA / DHA combination did not clearly demonstrate the dose and the likelihood of the species in many dietary supplements – "supplements" – to reduce the risk of heart or cancer problems.
However, the fourth study that tested concentrated EPAs found that these reduced heart problems in humans at higher risk due to high triglycerides – a type of fats in the blood – were present.
The first study on the effect of lesser amounts of fish oil on the general population included the effect of vitamin D, one of the most popular "supplements", and found that it did not reduce cancer or heart problems.
From Oxford University Jane Armitage stated that sahip we have to admit that this test is good eri and that the vit supplements iyel of vitamin D do not have the value attributed to it. "We see no benefit from us."
Dr. Boston Women's Hospital. Dipak Bat, iyi Do not throw money into these additives may is not well organized and has different quality.
All these are stated in the American College of Cardiology, approved by the Heart Association and other groups of doctors.
In a multi-day conference on heart disease, one of the leading causes of deaths worldwide, new rules for calculating cholesterol levels lead to arterial damage leading to heart or paralysis.
Five years ago, when the guidelines for the treatment of cholesterol reduction were revised for the last time, it went beyond a single use of cholesterol levels to determine who needed treatment. It began with a formula that takes into account age, hypertension and other factors to expand the risk assessment.
This was confusing for doctors, so the new guidelines created at the conference last week combine both approaches, set goals based on the formula, and take into account the individual circumstances of each patient, such as other personal health states or a history of early illness. heartland.
From Northwestern University Donald Lloyd-Johnson, bu This will never be very simple – a number of cholesterol bir because this does not give a clear picture of the risk.
If treatment is required, a doctor's first choice remains "statin", which is sold as a cheap generic drug. For people at high risk, such as those who have had a heart attack, the guidelines recommend adding another generic drug, and also recommend a cheap "ezetimibe" if "statin" does not sufficiently reduce cholesterol. If only two drugs are not helpful enough, you should take into account the strong but expensive new drugs called güçlü PCSK9 inhibitors Sadece.
Finally, in the guidelines, a calcium test in the coronary artery, a type of X-ray examination with a radiation dose similar to mammography, should be performed, if it is unclear whether a necessary treatment is necessary even after all analyzes, but some participants consider this method. It is very expensive because the cost of review is 100 to 300 dollars.
A conference of the American Heart Association confirmed that a relatively new drug approved this year not only helps people with diabetes to control blood sugar and reduce their weight, but also reduces the risk of hospitalization due to heart failure. Patients are followed up with diabetes.
As people with diabetes develop heart disease, new diabetes medicines should be tested in large trials to show that they are not at risk for the heart.
Generic empagliflozin, a drug like this, surprised the doctors by reducing the risk of heart and stroke a few years ago, but another generic kanagliflozin then had side effects.
In the new study, the third heart, generic daplegiflozin, this week following a conference of the American Heart Association and the American College of Cardiology for more than 17,000 diabetes patients with other cardiac risk factors and lower hospitalization rates due to heart failure. # 39;