Cholesterol surveillance
There certainly has been heightened focus on the prevention
of cardiovascular disease by reducing the risk associated with an elevated
cholesterol, and in particular, an elevated low density lipoprotein
cholesterol (LDL-C). The facts are that we don't know for sure who will
definitely benefit. The scientists who make these recommendations do
meticulous studies to prove the drugs are beneficial by doing a statistical
analysis. That means that there will be a societal benefit when
the recommendations are applied to large groups but there is no certainty
that an individual will benefit. This can be confusing but helps us
to know who is the most likely to benefit, which is different
from who will definitely benefit. These facts give us a lot of
latitude in making recommendations and considering your personal preferences
toward the use of medicines. Study this site for the United States Preventive
Service Task Force guidelines: http://www.ahrq.gov/clinic/uspstf/uspschol.htm
Here is a link to a wonderful source of information form
the American Heart Association that you will want to visit if your desire
is to avoid medicine and employ lifestyle changes to reduce your risk
of cardiovascular disease and stroke: http://www.americanheart.org/presenter.jhtml?identifier=3017030
And if you want the very detailed and latest recommendations
on whom to treat and to what targets we want to reach, check out this
site: http://www.nhlbi.nih.gov/guidelines/cholesterol/upd-info_prof.htm
. This is required reading if you or someone you love has heart
disease or stokes and you want to participate in their care.