New cholesterol guidelines mark philosophical shift
Dr. Archelle Georgiou discusses new recommendations released by the American Heart Association and the American College of Cardiology that could double the number of people who are supposed to take medication to lower their cholesterol.
The guidelines reflect a huge philosophical shift for how we assess heart disease and cholesterol numbers:
-We should be treating patients based on their risk, not their LDL number
-The new guidelines have lowered the threshold for who's considered "high risk" for heart disease
-Experts have stepped away from touting a low-fat diet
The new guidelines outline 4 categories of people:
1. Had heart attack or stroke 2. Have LDL >190
If you're in one of those categories, you should be on high-dose statins.
3. If you have diabetes 4. If you're between 40-79 and have greater than 7.5 percent risk of having heart disease over the next 10 years
Then, you should be on a moderate dose of statins, recommendations say.