A total of 1,511 patients were not receiving statin therapy despite meeting eligibility … Results: Statins appear to be significantly more effective in preventing heart attacks in patients who have already had coronary artery disease, including heart attacks or angina (secondary prevention). In 1 out of 10,000 cases, a patient on a statin will develop serious pain and muscle damage. heart attack. Use the American Heart Association’s heart disease risk calculator to start a conversation with your doctor about your personal risk. We know these changes can be difficult to make, but statin therapy is not an alternative to healthy eating and exercise. People believe in science when they get in their car, board an airplane, or use their smartphone. Other side effects can include increased risk for diabetes and liver damage, but these are also quite rare. | (It should be noted that doctors in Europe prescribe statins based on different parameters than doctors in the United States.) New Patient Appointment National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Keywords: Find a Location, Appointment Methods: Are stroke sufferers silent victims of COVID-19? This is so rare that I’ve never seen it in a patient. Appointment In September 2016, an article and editorial in The Lancet questioned the BMJ’s claims and accused the journal of causing “measurable harm to public health.” The BMJ responded by asking England’s chief medical officer to create an independent review of the evidence for statins. Search Conditions & Treatments Dallas, TX 75390, © 2020 The University of Texas Southwestern Medical Center, A study published in the March 2019 Journal of the American Heart Association, "10 truths about statins and high cholesterol. Despite these prolonged and often misguided debates, we know the benefits of taking a statin are enormous and largely invisible for people at high risk for heart disease. BMC Health Serv Res. Instead, it’s an added preventive measure. Unfortunately, too many people focus on the exaggerated, small risks associated with these life-saving drugs. So what’s the debate? All patients on statins were recruited consecutively from consultations over a period of 1 month (from March 2013) by five physicians in three centres. There are four general categories recommended to determine who is at high risk for a cardiovascular event, such as a heart attack or stroke. or Call214-645-8300, Appointment We are constantly evaluating current methods for preventing and treating medical conditions. or 214-645-8300 Nearly three years later, controversy continues to swirl around this often misunderstood but highly effective class of medication. BACKGROUND: The effect of statins on the prevention of cardiovascular events is well-established. A majority of those people cited the primary reason as their physicians never offered it. Epub 2015 Nov 10. 2015 Nov;8(6):560-6. doi: 10.1161/CIRCOUTCOMES.115.001723. All rights reserved. We know that for patients at high risk, statins can do this — and potentially save lives. Two British medical journals had accused each other of putting the public’s health in danger. 2014 Jul 29;9(7):e102146. New Patient Appointment The effect of statins on the prevention of cardiovascular events is well-established. or 214-645-8300, Appointment COVID-19 Update: Information and resources can be found here. Estimating the future burden of cardiovascular disease and the value of lipid and blood pressure control therapies in China. For drug therapy, statins remain the first-line of defense for patients who are at high risk for a cardiovascular event. USA.gov. The risk for heart disease increases as we age and almost everyone’s risk for ASCVD is greater than 7.5 percent by age 65. Value Health. Skip to Page Content. Individualized Risk Communication and Outreach for Primary Cardiovascular Disease Prevention in Community Health Centers: Randomized Trial. They are the ones who derive significant benefit. Statin medicines have been available in the UK for the last 14 years. Ferrajolo C, Arcoraci V, Sullo MG, Rafaniello C, Sportiello L, Ferrara R, Cannata A, Pagliaro C, Tari MG, Caputi AP, Rossi F, Trifirò G, Capuano A. PLoS One. New Patient Appointment, Appointment This past Sunday (February 15, 2015) the Sunday Express in the UK published a headline story stating that Oxford professor Dr. Rory Collins, whose research had been used to support putting millions of patients on statin drugs, was reassessing the data behind those studies for possible drug side effects they might have missed previously. I don’t think anyone doubts statins save lives. Heart, A total of 142 patients were included: 37 in primary prevention (mean age, 68.0±13.1 years; 41% women); 105 in secondary prevention (mean age, 67.6±12.1 years; 20% women). The risk assessment calculator used in the 2013 guidelines is still recommended in the 2018 cholesterol guidelines, but they also recommend that clinicians talk to patients about factors that can increase their chances of heart disease and stroke, including smoking, weight, high blood sugar, and hypertension, as well as family history. Stevens W, Peneva D, Li JZ, Liu LZ, Liu G, Gao R, Lakdawalla DN. A long-simmering medical debate over a class of drugs used to lower cholesterol burst into the media spotlight across the pond in September 2016. We usually can find one a patient can tolerate well without side effects. New Patient Appointment But I hope the debates playing out in the media and in online forums will not keep doctors from prescribing statins, or keep patients who truly need statins from taking them. In France, if the percentages of medication discontinuations following the controversy were actually similar to those we found in our survey, 4992 major cardiovascular events, including 1159 deaths, would be induced in 1 year. Impact of statin related media coverage on use of statins: interrupted time series analysis with UK primary care data. 2016 May 10;16:175. doi: 10.1186/s12913-016-1420-8. Before conflicting studies and internet myths scare you away, let’s take a look at how we prescribe statins and their potential side effects. New Patient Appointment NIH The most common is muscle ache or pain. Refine your search: Impact of Statin Adherence on Cardiovascular Morbidity and All-Cause Mortality in the Primary Prevention of Cardiovascular Disease: A Population-Based Cohort Study in Finland. Let’s stay in touch! These guidelines focused on treating the patient based on his or her risk of developing heart disease, not a target number. To evaluate the impact of this controversy on patient adherence to statin therapy and its potential clinical impact. Statins are intended to be used by people at high risk of heart disease. Persell SD, Brown T, Lee JY, Shah S, Henley E, Long T, Luther S, Lloyd-Jones DM, Jean-Jacques M, Kandula NR, Sanchez T, Baker DW. The controversy in the United Kingdom started in 2013 when the British Medical Journal (BMJ) claimed statins were being overprescribed to people with low risk of heart disease, and that the drugs’ side effects were worse than previously thought. He or she can explain why you may benefit from the drug or help you find a different statin if you experience side effects. Adherence; Adhérence; BMI; Body Mass Index; CABG; Coronary Artery Bypass Graft; Cost-effectiveness; Coût efficacité; LDL; Low-Density Lipoprotein; MI; Myocardial Infarction; PCI; Percutaneous Coronary Intervention; Prevention; Prévention; Statines; Statins.