Are you more concerned about preventing a heart attack that might never happen? Your body makes a waxy substance called cholesterol. Zoungas S, Curtis A, Tonkin A, McNeil J. Statins in the elderly: an answered question? 26. The STAREE (STAtins for Reducing Events in the Elderly) trial, a primary prevention trial currently underway, recruits individuals ≥70 years of age to determine efficacy and safety of statin treatment in elderly people . The use of statins for primary cardiovascular disease prevention in adults over age 75 is clouded in uncertainty.
Curr Opin Cardiol 2014;29:372–380. Statins for secondary prevention vs for primary prevention are different things. These can interact with statins and lead to serious problems. You also get it from food. (2016) Role of coronary artery calcium score of zero and other negative risk .
Curr Opin Cardiol 2014;29:372–380. There are few studies evaluating the efficacy of statins in the primary prevention of CVD in the elderly. Guidance on using statin therapy in primary ASCVD prevention in the growing elderly population (>65 years of age) differs markedly. There is evidence of harm linked to statins when given to elderly individuals, including muscle pain, liver disorders, impaired memory, increased risk of diabetes and gastrointestinal stress. (2014) Statins in the elderly: an answered question? Big Pharma has got about 1/3 of Americans on statins… The burden of atherosclerotic cardiovascular disease (ASCVD) in high-income countries is mostly borne by the elderly. Or do you want to avoid side effects that can lead to frailty, injury, and memory problems?A one-month supply of statins can cost as little as $4, or as much as several hundred dollars, depending on the statin prescribed. Curr Opin Cardiol 29: 372 – 380. Many older adults Their doctors usually prescribe statins to prevent heart disease.But for older people, there is no clear evidence that high cholesterol leads to heart disease or death.
You may also have to pay for extra tests to check for side effects.You should take statins if you have had a heart attack, stroke, or mini-stroke (transient ischemic attack, or TIA). The clinical trials recommended by the authors have already been conducted, and they have quite thoroughly answered the question of whether statins reduce dementia and cognitive loss. Further, the paper highlights Statins can also cause a fatal reaction when taken with heart-rhythm drugs.Statins may increase the risk of type-2 diabetes and cataracts, as well as damage to the liver, kidneys, and nerves.You and your doctor should look carefully at the risks and benefits of statins, especially if you are older and do not have heart disease.Older people may not live long enough to get the important benefits from statins. But if you are age 75 or older and you haven’t had symptoms of heart disease, statins may be a bad idea. In my opinion, the meta-analysis by Savarese and coworkers does not provide strong support for statin treatment of elderly people with elevated cardiovascular risk. Life expectancy in Spain at 80 years is approximately 5–6 years in males and 8 years in females, a sufficient time frame for In fact, some studies show the opposite—that older people with the lowest cholesterol levels actually have the highest risk of death.Compared to younger adults, older adults are more likely to suffer serious side effects from using statins.Statins can cause muscle problems, such as aches, pains, or weakness.
Statins for different age groups, same. You and your family should speak with your doctor about your health concerns. Statins are drugs that lower your cholesterol. Your body needs it, but too much cholesterol in your blood can clog your arteries.
Published by Elsevier on behalf of the American College of Cardiology Foundation.ScienceDirect ® is a registered trademark of Elsevier B.V. Here’s why:Many older adults have high cholesterol.
Rarely, there can be a severe form of muscle breakdown.Often, older adults take many drugs. By continuing you agree to the Copyright © 2020 Elsevier B.V. or its licensors or contributors. With increasing life expectancy, clear guidance on sensible use of statin therapy to prevent a first and potentially devastating ASCVD event is critically important to ensure a healthy aging population. A recent study in the Journal of the American Geriatrics Society found that statins may significantly lower mortality risk in older adults. 26. Download the Choosing Wisely App It is not a substitute for medical advice and treatment. The authors discuss the discrepant recommendations, place them into the context of available evidence, and identify circumstances in which uncertainty may hamper the appropriate use of statins in the elderly.Both authors have reported that they have no relationships relevant to the contents of this paper to disclose.We use cookies to help provide and enhance our service and tailor content and ads. Zoungas S, Curtis A, Tonkin A, McNeil J. Statins in the elderly: an answered question? Rabar S, Harker M, O'Flynn N, Wierzbicki AS.
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