Who Needs Prevention

Disease Management Above the Standard

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Who are the candidates for aggressive heart attack and stroke prevention? 

Not just anyone, only those who are likely to suffer a heart attack, stroke or sudden cardiac death in the next 5 to 10 years, the so called high risk individuals.

ACC AHA cholestesrol Guidelines

These high risk individuals are the following: 

1. Those who are known to have established atherosclerosis. These are those with previous heart attack, stroke, PAD, stent, angioplasty or heart bypass. 

2. Those who have silent atherosclerosis in their coronary arteries – in the earlier asymptomatic stage. Unlike a stress test that becomes positive only when an artery is blocked by 60% or more (advanced stages), an ultrafast Cardiac CT without IV contrast (coronary calcium scoring), can detect cholesterol plaque build-up in the coronary arteries many years earlier before a stress test becomes abnormal. This gives sufficient time to implement an effective medical therapy that can stop the normal progressive course of the coronary artery disease. Depending upon the intensity and duration of preventive therapy, the benefit starts with slowing to stopping progression to inducing disease regression or reversal over a period of 3 to 5 years.

3. Those who are not yet symptomatic but has two or more cardiovascular risk factors: strong family history of premature heart disease, high LDL cholesterol, low HDL cholesterol, high blood pressure and smoking. 

4. Those with chronic diabetes, especially those over 40 years old. The risk becomes even higher if other risk factors are also present. 

5. Those with chronic cardiometabolic syndrome, a constellation of three or more risk factors. 

6. The 2013 ACC AHA prevention guidelines expanded statin therapy to those with a Ten Year ASCVD Risk of 7.5% and higher.

The most recent data estimates that about 60 million Americans are eligible for LDL-cholesterol lowering therapy.

N. J. Preventive Cardiology & Cholesterol Clinic, PC  © 2005     Eliminating most heart attacks and strokes in our community  is for the common good.     Disclaimer