New cholesterol rules offer a more personalized approach to risk assessments, a focused focus on LDL target levels, and new drug options for those at the highest risk of cardiovascular disease. The guides were announced on Saturday during the American Heart Association's annual scientific conference.
The recommendations of the American Heart Association and the American College of Cardiology discussed the value of using coronary artery calcium scores for some patients and extended the age range for treatment.
President of the American College of Cardiology In a press release, Michael Valentine said: kişisel High cholesterol treatment does not fit into a single body, and this guide strongly emphasizes the importance of personalized care.
”In the last five years, we've learned more about new treatment options, and we can take advantage of patients, r he said. In We provide a treatment roadmap for clinicians, providing patients with tools to help them understand and manage their own risks and live longer and healthier. “
Critique of previous guidelines
The new recommendations address many of the concerns raised when the guidelines were last updated five years ago.
The 2013 guidelines have suffered for a number of reasons, including the head of cardiovascular medicine at the Cleveland Clinic. Steven Nissen: Previous guidelines used a risk calculator that leaves important components such as family history; They did not address the issue of people under 75 or under 40; Many patients face the risks they face reducing the threshold required to secure statin drug therapy; and with the use of LDL (bad) cholesterol target levels, which helped patients to identify meaningful goals.
According to a statement made by medical institutions on new guidelines, people with LDL levels of 100 or less support the ına lower better aya philosophy sahip they tend to have lower heart disease and stroke rates Yeni.
According to Johns Hopkins Medicine, which sets new rules, a level above 160 is considered to be # very high Yeni. For high-risk patients, the recommendation is to reduce in bad 39 cholesterol to levels below 70 Yüksek.
If statin therapy does not lower LDL levels sufficiently, in patients who have had a heart attack or stroke, the new guidelines recommend the addition of the drug, ezetimibe, a drug specific to the drug. If this combination does not work sufficiently for patients at very high risk, a PCSK9 inhibitor may be added.
The new approach increases cooperation between doctors and their patients. Physicians are encouraged to discuss a range of factors that may increase risks as well as other conditions such as family history, ethnic origin, metabolic syndrome, early menopause and chronic kidney disease.
The effect of high cholesterol on all age groups
Doctors also take care of patients' lifespan and how high cholesterol is charged. Children born to high-risk families can be tested in children up to 2 years of age. For most children, this recommendation is to have an initial test between 9 and 11 years of age and then a follow-up test between the ages. 17 and 21.
According to the new recommendations, cholesterol levels in younger people should not be ignored, the same applies to those over 75 years of age.
. They now recognize that it may be appropriate to treat elderly people, ediy Nissan said, and is extremely critical of the latest guidelines. . Today I can live at 75 years long. “
Nissen suggested that all these developments were a good sign. , It took me five years to fix the problems with the final instruction set, but I'm glad they were handled. “
Nissen presented only one criticism of the new recommendations: recommendation Coronary artery calcium scores should be used to help determine the need for cholesterol-lowering treatments in patients who do not need them. This score indicates plaque accumulation in the arteries and is determined by CT scan, which is a cost between 800 and 1000 dollars.
Ina You are spreading someone to decide whether to use a drug that costs $ 3 a month, and you're spending a lot of money doing it, ıp he said. “I just don't think it's prudent.“
But other than that, Nissen is satisfied. ”The big picture, this is a set of reasonable rules,“ he said.
According to US Centers for Disease Control and Prevention, heart disease is the leading cause of death in the United States. According to the American Heart Association and the American Stroke Association, cardiovascular disease, which includes conditions that cause heart attack and paralysis, results in more than 836,000 deaths per year.
President of the American Heart Association Ester Having an increased cholesterol level at any age is significantly increasing the risk, Iv said Ivor Benjamin. ”That's why it's very important for people to follow a heart-healthy lifestyle and understand and maintain healthy cholesterol levels even at a young age.“