CHANGE: Panel Unveils Shake-up in Strategy to Cut Heart Risk.
The current strategy of reducing a person’s heart-attack risk by lowering cholesterol to specific targets is being jettisoned under new clinical guidelines unveiled Tuesday that mark the biggest shift in cardiovascular-disease prevention in nearly three decades.
The change could more than double the number of Americans who qualify for treatment with the cholesterol-cutting drugs known as statins. The guidelines recommend abandoning the familiar and easy-to-understand guidance to keep LDL, or bad cholesterol, below 100 or below 70 for people at high risk—a mainstay of current prevention policy. Instead, doctors are being urged to assess a patient’s risk more broadly and prescribe statins to those falling into one of four risk categories.
The aim is to more effectively direct statin treatment to patients with the most to gain, and move away from relatively arbitrary treatment targets that are less reliable in predicting risk of attack than is widely believed.
Hmm.