I am reblogging this analysis I wrote two years ago. At the time I thought it was good useful information for the general public. Now, It seems my doctor says that it applies to me.
I have just had my annual flu shot and pneumonia booster. In the course of my annual check up, I also had my blood work done.
As regular readers know I am 75 years old and in the best health of my entire life. I weigh around 155 pounds and have a resting heart rate below 50 beats per minute.
Here are my Cholesterol numbers:
Optimal (not to be construed as a target for drug therapy): <170 mg/dL
Optimal (not to be construed as a target for drug therapy): <100 mg/dL
Highly Abnormal (please review with your medical team further): >499 mg/dL
HDL CHOLESTEROL 77
Optimal (not to be construed as a target for drug therapy): >50 mg/dL
LDL CHOL (CALC) 97
Optimal (not to be construed as a target for drug therapy): < 100 mg/dL
Highly Abnormal (please review with your medical team further): >189 mg/dL
Non-HDL Cholesterol 105
Optimal (not to be construed as a target for drug therapy): <120 mg/dL
Highly Abnormal (please review with your medical team further): >219 mg/dL
Despite my excellent physical condition and these good test results, my doctor recommended that I go on a statin drug, atorvastatin, to reduce my risk of heart attack or stroke.
POSTED OCT 9, 2015 To clarify:
My Doctor sent me the following:
… although your cholesterol numbers are quite good your overall risk for stroke and heart attacks is still quite high. I calculated your risk of having a stroke or heart attack in the next 10 years and it is 21.6%. I did this with the new American Heart Association Guidelines (AHA) and it is based on your age,sex, race, blood pressure, smoking status and hypertension as well as diabetes. We recommend starting cholesterol medications if the risk is above 7.5%. Even though you are doing everything right your overall risk is still high, as is the risk for most 75 year old males. Many physicians would recommend that your begin a cholesterol medication so I would have your consider taking atorvastatin.
For the record, I declined the recommendation saying that I felt more comfortable relying on my positive lifestyle.
Here is what I wrote back: Thanks very much for your prompt turnaround of my blood work. I also appreciate your considered recommendation regarding taking a statin prescription. At this time I am not comfortable with that. I understand the statistics, but I think those statistics include a lot of men who are not as healthy or health-conscious as I am. I think I would like to continue on with my current lifestyle of daily exercise and healthy eating and avoid the drugs. If I find a deterioration in my condition in the future, I will revisit this decision.
“Millions more Americans could end up taking cholesterol-lowering statin drugs under new recommendations released Tuesday that advocate a dramatic shift in the way doctors assess and treat cardiovascular risk,” according to the Washington Post.
“Roughly a quarter of Americans age 45 and older already take statins, which include familiar brands such as Lipitor and Zocor, to treat high cholesterol. But that number could grow sharply under far-reaching guidelines detailed by the American Heart Association and the American College of Cardiology.”
The leading cause of death for Americans is heart disease. About one in every four deaths in the United States, or about 600,000 annually, are attributed to heart disease, according to the Centers for Disease Control and Prevention.
Cholesterol helps your body build new cells, insulate nerves, and produce hormones. Normally, the liver makes all the cholesterol the body needs. But cholesterol also enters your body from food. Too…
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