New Clinical Decisions: The Guidelines Battle on Starting Statins

Posted by • April 24th, 2014

Stephen, a 52-year-old white jogger with a body-mass index (BMI, the weight in kilograms divided by the square of the height in meters) of 25, wants you to assess his cardiovascular risks. He had scheduled his visit after taking his father to another physician to discuss his father’s blindness, which is related to type 2 diabetes. Both his parents have hypertension that is controlled with medication; neither smokes.

Stephen is here to discuss the results of blood tests that had been performed before the day of the visit. “I’m an accountant, Doc, and I live by the numbers. I don’t want to be my father in 20 years,” he says. He tells you that he has recently increased his running regimen to 3 miles a day and that he smokes a half-pack a day during tax season, when he is under stress.

“So what do the numbers say, and what’s this calculator thing?” he asks…

Experts disagree about when and how statins should be taken and whether laboratory monitoring is needed. In a new Clinical Decisions, read advice from three clinical experts and find out about the numbers behind the statistics. What advice would you give?

We invite you to choose a treatment option and share your comments. Voting and discussion are open through May 7.


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