GREATER KAILASH, India -- Patients with heart artery blockages or those at risk of heart blockages who can tolerate anti cholesterol drug statin should be started on a moderate dose of a statin drug independent of the baseline bad LDL cholesterol levels, said Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President-Elect IMA.
This is true even for patients with baseline bad cholesterol levels below goal or close to goal. Knowing very well that starting statins in these patients will reduce the bad LDL cholesterol levels well below the recommended goals a moderate statin dose should be started in these patients.
The patients at risk are:
1. Type 2 Diabetic men older than 40 years or diabetic women older than 45 years with one more heart blockage risk factor.
2. Type 2 Diabetic men older than 50 or diabetic women older than 55 years.
3. Men or women of any age with over 20 year duration diabetes (type 1 or type 2) with one more heart block risk factor.
4. Men or women of any age with over 25 year duration diabetes (type 1 or type 2)
5. Patients with symptomatic blockage in the neck carotid artery supplying blood to the brain
6. Patients with blockages in the leg arteries
7. Patients with aneurysm (abnormal enlargement) of the abdominal aorta.
8. Patients with multiple heart blockages risk factors and ten years heart attack risk of over 20%
9. Patients with chronic kidney disease with kidney functioning (eGFR) of less than 60
About HCFI: The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National commemorative stamps and one cancellation stamp, and who has conducted one to one training on” Hands only CPR” of 54572 people since 1st November 2012.
The CPR 10 Mantra is – “within 10 minutes of death, earlier the better; at least for the next 10 minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10x10 i.e. 100 per minute.”
