Crouse Health Online: Wellness is just a click away.
Share Share
  |  Connect with Us: 
large
med
small
Text Size
 

Health News



Statins Could Prevent More Strokes, Heart Attacks: Analysis

Statins Could Prevent More Strokes, Heart Attacks: Analysis

09/27/10

MONDAY, Sept. 27 (HealthDay News) -- Broader use of cholesterol-lowering statins may be a cost-effective way to prevent heart attack and stroke, U.S. researchers suggest.

In the study, published online Sept. 27 in the journal Circulation, the researchers also found that screening for high sensitivity C-reactive protein (CRP) to identify patients who may benefit from statin therapy is only cost-effective in certain cases. Elevated levels of CRP indicate inflammation and suggest an increased risk for heart attack and stroke.

Currently, statin therapy is recommended for high-risk patients -- those with a 20 percent or greater risk of some type of cardiovascular event within the next 10 years. But statins may also benefit people with a lower risk, according to Dr. Mark Hlatky, professor of health research and policy and of cardiovascular medicine at Stanford University School of Medicine in Stanford, Calif., and colleagues.

Hlatky's team set out to determine the cost-effectiveness of three statin therapy approaches in patients with normal cholesterol levels and no evidence of heart disease or diabetes: following current guidelines; conducting CRP screening in patients who don't meet current statin treatment guidelines and offering statins to those with elevated CRP levels; and providing statin therapy based on a patient's cardiovascular risk alone, with no CRP testing.

The researchers analyzed which of the three approaches met the generally accepted cost-effectiveness threshold of no more than $50,000 per quality-adjusted life-year. They found that statin therapy based on cardiovascular risk alone, without CRP testing, was the most cost-effective strategy.

Initiating statin treatment at lower risk levels -- without CRP testing -- "would further improve clinical outcomes at acceptable cost, making it the optimally cost-effective strategy in our analysis," the researchers wrote in a university news release.

"Ideally, a marker would tell us who will benefit from drug treatment and who will not," Hlatky pointed out in the release. "If a test could give us that information, it would be very cost-effective. But there's not good evidence yet that CRP, or any other test, works that well."

More information

The American Heart Association outlines lifestyle changes that can reduce the risk of heart attack and stroke.

Copyright © 2010 HealthDay. All rights reserved.

Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.

OF INTEREST:
 

Latest News

Crouse Employee Lois Wille Walks the Simply Well Lifestyle Talk
more >

MedEx Bedside Prescription Delivery Service

Free service offers convenience, patient education at discharge.
more >

CrouseSports Express After-Hours Ortho Care

Immediate care of orthopedic injuries in kids and adults.
more >

Weight Loss Surgery

Is it right for you? Attend a free information seminar held twice monthly.
more >

Quality at Crouse

See how Crouse Hospital strives to provide the best in patient care.
more >

Cheer Up That Special Someone

Say get well or welcome a new arrival with a gift purchased right at Crouse.

more >

Make an Online Donation Now

Your donation of any amount helps support Crouse services & programs in a meaningful way.
more >

Shop Online Now

Say get well, thinking of you or welcome new baby with a unique gift from the Crouse Gift Shop.

more >