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SPORTS MEDICINE :
MEDICAL: GUIDELINES: CHOLESTEROL :
MEDICAL: PHARMACY PHARMACEUTICAL PHARMACOLOGY: DRUG: STATINS:
Experts Reshape Treatment Guide for Cholesterol
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Experts Reshape Treatment Guide for Cholesterol
By GINA KOLATA
Published: November 12, 2013
New York Times
http://www.nytimes.com/2013/11/13/health/
new-guidelines-redefine-use-of-statins.html
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A shorter URL for the above link:
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http://tinyurl.com/mvghfbk
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The nation's leading heart organizations released new guidelines on
Tuesday that will fundamentally reshape the use of cholesterol-lowering
statin medicines, which are now prescribed for a quarter of Americans over
40. Patients on statins will no longer need to lower their cholesterol
levels to specific numerical targets monitored by regular blood tests, as
has been recommended for decades. Simply taking the right dose of a statin
will be sufficient, the guidelines say.
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The new approach divides people needing treatment into two broad risk
categories. Those at high risk because, for example, they have diabetes or
have had a heart attack should take a statin except in rare cases. People
with extremely high levels of the harmful cholesterol known as LDL - 190
or higher - should also be prescribed statins. In the past, people in
these categories would also have been told to get their LDL down to 70,
something no longer required.
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Everyone else should be considered for a statin if his or her risk of a
heart attack or stroke in the next 10 years is at least 7.5 percent.
Doctors are advised to use a new risk calculator that factors in blood
pressure, age and total cholesterol levels, among other things.
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"Now one in four Americans over 40 will be saying, 'Should I be taking
this anymore?' " said Dr. Harlan M. Krumholz, a cardiologist and professor
of medicine at Yale who was not on the guidelines committee.
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The new guidelines, formulated by the American Heart Association and the
American College of Cardiology and based on a four-year review of the
evidence, simplify the current complex, five-step process for evaluating
who needs to take statins. In a significant departure, the new method also
counts strokes as well as heart attacks in its risk calculations, a step
that will probably make some additional people candidates for the drugs.
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The complete article may be read at the URL above.
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ACC/AHA Prevention Guideline
ACC/AHA Prevention Guideline 2013 ACC/AHA Guideline on the Treatment of
Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in Adults:
A Report of the American College of Cardiology/American Heart Association
Task Force on Practice Guidelines
Neil J. Stone,
Jennifer Robinson,
Alice H. Lichtenstein,
C. Noel Bairey Merz,
Conrad B. Blum,
Robert H. Eckel,
Anne C. Goldberg,
David Gordon,
Daniel Levy,
Donald M. Lloyd-Jones,
Patrick McBride,
J. Sanford Schwartz,
Susan T. Shero,
Sidney C. Smith, Jr,
Karol Watson,
and Peter W.F. Wilson
Circulation. 2013;01.cir.0000437738.63853.7apublished online before print
November 12 2013, doi:10.1161/01.cir.0000437738.63853.7a
PDF
Free
Blood Cholesterol Full Panel Report
http://circ.ahajournals.org/content/early/
2013/11/11/01.cir.0000437738.63853.7a.citation
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A shorter URL for the above link:
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http://tinyurl.com/ovrlw4p
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2013 Prevention Guideline Tools
American Heart Association
http://my.americanheart.org/professional/StatementsGuidelines/
PreventionGuidelines/
Prevention-Guidelines_UCM_457698_SubHomePage.jsp
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A shorter URL for the above link:
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http://tinyurl.com/mjfnrn3
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This downloadable spreadsheet is a companion tool to the 2013 ACC/AHA
Guideline on the Assessment of Cardiovascular Risk. The spreadsheet
enables health care providers and patients to estimate 10-year and
lifetime risks for atherosclerotic cardiovascular disease (ASCVD), defined
as coronary death or nonfatal myocardial infarction, or fatal or nonfatal
stroke, based on the Pooled Cohort Equations and the work of Lloyd-Jones,
et al., respectively. The information required to estimate ASCVD risk
includes age, sex, race, total cholesterol, HDL cholesterol, systolic
blood pressure, blood pressure lowering medication use, diabetes status,
and smoking status.
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Estimates of 10-year risk for ASCVD are based on data from multiple
community-based populations and are applicable to African-American and
non-Hispanic white men and women 40 through 79 years of age. For other
ethnic groups, we recommend use of the equations for non-Hispanic whites,
though these estimates may underestimate the risk for persons from some
race/ethnic groups, especially American Indians, some Asian Americans
(e.g., of south Asian ancestry), and some Hispanics (e.g., Puerto Ricans),
and may overestimate the risk for others, including some Asian Americans
(e.g., of east Asian ancestry) and some Hispanics (e.g., Mexican
Americans).
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Estimates of lifetime risk for ASCVD are provided for adults 20 through 59
years of age and are shown as the lifetime risk for ASCVD for a 50-year
old without ASCVD who has the risk factor values entered into the
spreadsheet.
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snip
Full Text of the Risk Calculator
http://my.americanheart.org/idc/groups/
ahamahpublic/@wcm/@private/@sop/documents/image/
~extract/UCM_458283~1~staticrendition/large.gif
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A shorter URL for the above link:
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http://tinyurl.com/m3m4f7r
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Eckel RH, Jakicic JM, Ard JD, et al. 2013 AHA/ACC Guideline on Lifestyle
Management to Reduce Cardiovascular Risk: A Report of the American College
of Cardiology/American Heart Association Task Force on Practice
Guidelines. J Am Coll Cardiol. 2013;():. doi:10.1016/j.jacc.2013.11.003.
Journal of the American College of Cardiology
http://content.onlinejacc.org/article.aspx?articleid=1770218
Full Text
http://content.onlinejacc.org/data/Journals/JAC/0/11003.pdf
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Also of Possible Interest
.
The Science of Searching Databases:
Boolean Algebra as a Tool to Effectively Find Medical, Legal and Other
Information
(on pages 93-99)
.
Users of search tools on
the internet have different
ways, methods and styles of
searching. Alas, some methods
used by search tool users do not
effectively mine the topic for
which they are digging.
.
AANLCP Journal of Nurse Life Care Planning
ISSN 1942-4469
Fall 2013
Vol. XIII No. 3
Pages 93-99
Peer-reviewed excellence in life care planning since 2006.
http://www.aanlcp.org/resources/images/2013-Fall-Journal.pdf
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Sincerely,
David Dillard
Temple University
(215) 204 - 4584
[log in to unmask]
http://workface.com/e/daviddillard
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The Russell Conwell Learning Center Research Guide:
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Bushell, R. & Sheldon, P. (eds),
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Wellness Tourism: Bibliographic and Webliographic Essay
David P. Dillard
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