Tag: cardiovascular disease

New Blood Pressure Guidelines: Why Are Previously Normal BPs Now Classified as High Blood Pressure?

Under the new blood pressure guidelines, more people are classified as having high blood pressure; but the treatment emphasis is on lifestyle changes, not medications.

/ December 19, 2017

The Movie “Cholesterol: The Great Bluff” Is an Exercise in Denialism

The movie "Cholesterol: The Great Bluff" claims that we have been lied to: cholesterol doesn't cause heart disease and statins are harmful. It is biased and misleading. The people interviewed in the movie are denialists who don't accept the clear evidence for the role of blood cholesterol levels and the benefits of statins.

/ September 12, 2017

“New vaccine replaces statins?” Not So Fast!

News reports suggest new drugs may replace statins. PSCK9 inhibitors are useful, but only along with statins in high risk patients not controlled on statins alone, or for patients who can't tolerate statins. They're not about to replace statins.

/ September 5, 2017

Most Patients Get No Benefit from Most Drugs

Some people are reluctant to take statins because they don't benefit the majority of patients who take them. Actually, most drugs don't benefit most of the patients who take them. Since we have no way of identifying those who will benefit, we are stuck treating the many to benefit the few.

/ July 18, 2017

Anti-inflammatory drugs and heart attacks: How real are the risks?

A new study provides more evidence that anti-inflammatory drugs like naproxen and ibuprofen cause small but real increases in the risk of heart attacks.

/ May 18, 2017

Dietary Associations with Cardiovascular and Diabetic Mortality: “Bacon, soda, and too few nuts”?

A recent study attempted to quantify the association of ten dietary factors with deaths from cardiovascular disease and diabetes. Headlines about the study were misleading.

/ March 21, 2017

Son of (the unethical and unscientific) Trial To Assess Chelation Therapy rears its ugly head to the tune of $37 million

First, the NCCIH and NHLBI spend $30 million on a clinical trial of quackery for cardiovascular disease that produces predictably negative to at best equivocal results. Then that result, apparently, is enough to justify wasting another $37 million on a followup study—while dozens of other deserving studies go unfunded. Meanwhile STAT News lionizes the principal investigator of both trials as a brave...

/ December 28, 2016

Hormone Replacement Therapy for Menopausal Symptoms: Setting the Record Straight

Whether you call them hot flashes or “power surges,” the symptoms of menopause can be very distressing. They were routinely treated with hormone replacement therapy (HRT) until the Women’s Health Initiative study in 2002 persuaded many patients and doctors to abandon that treatment. The results of that study were misunderstood by some and questioned by others, and there continues to be confusion...

/ May 17, 2016

An aspirin a day to prevent heart attacks, strokes, and cancer?

Taking an aspirin a day has always been controversial when it comes to preventing disease before it occurs. Now a task force is recommending daily use under some circumstances. Do the benefits really outweigh the risks?

/ September 24, 2015

Update on Cholesterol and Statins

The consensus of mainstream medicine is that a high blood level of LDL cholesterol is a major risk factor for cardiovascular disease and that lowering high levels can help with prevention and treatment. Statins have been proven effective for lowering cholesterol levels and for decreasing cardiovascular and all-cause mortality. I recently wrote about the new guidelines for statin therapy. Currently half of...

/ July 7, 2015