When should I switch to high intensity statins?
When should I switch to high intensity statins?
In persons 40 to 75 years of age without clinical ASCVD or diabetes and with an estimated 10-year ASCVD risk of 7.5% or greater, moderate- to high-intensity statin therapy should be used. If the 10-year risk of ASCVD is 5% to less than 7.5%, treatment with a moderate-intensity statin is reasonable.
Who should be on statin therapy?
The U.S. Preventive Services Task Force recommends low- to moderate-dose statins in adults ages 40 to 75 who have one or more risk factors for heart and blood vessel disease and at least a 1 in 10 chance of having a cardiosvascular disease event in the next 10 years.
Who benefits from high intensity statin?
High-intensity statins are recommended for 2 categories of patients: those with ASCVD (secondary prevention) and high-risk patients without clinical ASCVD. Most patients with ASCVD are candidates for high-intensity statins, with a goal for low-density lipoprotein cholesterol reduction of 50% or greater.
What is the difference between low intensity and high intensity statins?
Statins can be placed into three different categories based on how much they can lower LDL: Low intensity statins: these can lower LDL by no more than 30%. Moderate intensity statins: these can lower LDL between 30% and 49%. High intensity statins: these can lower LDL by 50% or more.
What cholesterol level requires statins?
Providers prescribe statins for people who: Have high cholesterol (LDL above 190 mg/dL) that exercise and diet changes couldn’t reduce. Had a stroke, heart attack or peripheral artery disease. Have diabetes and an LDL of at least 70 mg/dL and are 40 to 75 years old.
What are the indications for statins?
Indications of statin in clinical practice. Statins are indicated as an adjunct to diet to reduce elevated total cholesterol, LDL cholesterol, apolipoprotein B and triglycerides; and to increase HDL cholesterol in patients with: Primary hypercholesterolaemia. Mixed dyslipidemia.
Who benefits from taking a statin and when?
Statins are effective at lowering cholesterol and protecting against a heart attack and stroke, although they may lead to side effects for some people. Doctors often prescribe statins for people with high cholesterol to lower their total cholesterol and reduce their risk of a heart attack or stroke.
When should you start statin primary prevention?
The USPSTF recommends that clinicians prescribe a statin for the primary prevention of CVD for adults who are ages 40 to 75 years, have one or more of the following CVD risk factors (dyslipidemia, diabetes, hypertension, or smoking), and have an estimated 10-year risk of a cardiovascular event of 10% or greater.
Which of the following is considered to be high-intensity statin therapy?
Atorvastatin 40 or 80 mg and rosuvastatin 20 mg were defined as high‐intensity statins, and the other statins were classified as non‐high‐intensity statins.
What is meant by high-intensity statins?
In short, statin intensity refers to how powerful a statin is. Every statin has different doses available. Generally, the higher their doses, the more they lower your low-density lipoprotein (LDL) cholesterol. LDL is sometimes called “bad” cholesterol because high levels of LDL can raise your risk for heart disease.
Do I really need a statin?
Many people are at low risk for heart attack or stroke and do not need to take a statin. Statins are intended to be used by people at high risk of heart disease. They are the ones who derive significant benefit.
What cholesterol level requires medication?
Your health care provider may prescribe medicine if: You have already had a heart attack or stroke, or you have peripheral arterial disease. Your LDL cholesterol level is 190 mg/dL or higher.
Are statins the best choice for me?
You should think carefully about taking a statin at the same time as starting those lifestyle changes. Statins are generally recommended for people who have CVD (such as people with angina or who have had a heart attack). But ultimately, the choice is yours.
What does high intensity statin mean?
Definitions: *High Intensity Statin Therapy–defined as dose expected to reduce LDL- C by greater than or equal to 50% and includes the following: (1,2) Atorvastatin 40-80mg everyday. Rosuvastatin 20-40mg everyday.
Which of the following is considered to be high intensity statin therapy?
What is high intensity statin treatment?
High-intensity statin was defined as atorvastatin administered at 40–80 mg, rosuvastatin at 20–40 mg, or simvastatin at 80 mg, i.e., medication amounts higher than the standard doses described in recent guidelines [8, 9].
What level cholesterol requires medication?
Your health care provider may prescribe medicine if: You have already had a heart attack or stroke, or you have peripheral arterial disease. Your LDL cholesterol level is 190 mg/dL or higher. You are 40–75 years old with diabetes and an LDL cholesterol level of 70 mg/dL or higher.
How high should cholesterol be before statins?