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Thus, we might postulate that lipid lowering is the more effective therapy for both prevention of acute myocardial infarction and long-term survival.
The results of this survey highlight the sub-optimal lipid control achieved in many South African patients taking lipid-lowering therapy.
More effective lipid management is needed to help these patients lower their cholesterol to goal levels or even lower.
The cost effectiveness of lipid therapy varies widely and can be maximized by selecting specific drugs for specific lipid abnormalities.
If the cost of atorvastatin reduces in line with that observed for simvastatin, atorvastatin 80 mg/day is estimated to be the most cost-effective alternative.
Lipid control is most cost effective between the ages of 45–85 years, while the cost effectiveness of intensified glycemic control declines with age.
To more efficiently reduce the risk of coronary heart disease with lipid lowering therapy, cost effectiveness analysis offers an important tool to best determine how to allocate inherently limited resources to improve the health of both individuals and society.
To achieve better lipid lowering results, higher dosages and combination with diets low in saturated fat and cholesterol are recommended.
APPLICATIONS Nonpharmacologic dietary interventions like the Step I diet are feasible in a community setting and can produce rapid and significant lipid-lowering benefits.
These findings suggest that the cardiologists' pharmacologic recommendations for lowering lipids are correlated with published cost-effectiveness analyses.
Journal ArticleDOI
David Playford, Gerald F. Watts 
01 Jun 1997-Drugs & Aging
19 Citations
Extrapolation from clinical trials suggests that lipid lowering treatment in well selected elderly patients is effective in preventing cardiovascular events and is an efficient use of healthcare resources.
The use of lipid-lowering agents is inadequate, depriving many patients of an effective protection against cardiovascular diseases.
This study demonstrates that aggressive lipid lowering is practical and worthwhile in at-risk patients.

Related Questions

What Lipid-lowering Therapy Is Best for Huge Low?4 answersThe most effective lipid-lowering therapy for individuals with high cholesterol levels involves a combination of different agents to achieve optimal results. Statins, such as atorvastatin and rosuvastatin, are commonly used as first-line therapy to lower LDL-C levels. Additionally, ezetimibe, a cholesterol absorption inhibitor, and PCSK9 inhibitors have shown promising results in further reducing LDL-C values and cardiovascular risk. Novel agents like inclisiran and bempedoic acid are emerging as effective options, with bempedoic acid inhibiting ATP citrate lyase to lower LDL-C significantly, especially when combined with ezetimibe. These newer therapies offer additional options for patients who may not achieve their LDL goals with statins alone, providing a comprehensive approach to managing dyslipidemia and reducing the risk of cardiovascular events.
What are the most effective nutraceutical for reducing LDL-cholesterol?5 answersBergamot, red yeast rice (RYR), and berberine are identified as the most effective nutraceuticals for reducing LDL-cholesterol levels. Studies have shown that these nutraceuticals significantly lower LDL-C levels compared to placebo or no intervention. Bergamot, in particular, has been highlighted as highly effective in reducing LDL-C, with consistent results across various studies. Additionally, the combination of berberine, RYR, and plant sterols has shown promising results in lowering LDL-C levels, providing an alternative for patients intolerant to statins. Overall, these nutraceuticals offer a valuable option for individuals seeking to manage their hypercholesterolemia through natural means, especially in cases where statin therapy is not suitable or well-tolerated.
How to lower cholesterol levels?5 answersTo lower cholesterol levels, there are several approaches available. The first line of treatment is the use of statins, which are HMG-CoA reductase inhibitors that can lower LDL-C levels by up to 60%. Another option is the use of ezetimibe, which inhibits cholesterol absorption in the intestines, leading to decreased cholesterol delivery to the liver. Bile acid sequestrants can also be used to lower LDL-C levels by decreasing bile acid absorption in the intestine. For patients who do not respond well to statins or have statin intolerance, PCSK9 inhibitors can be effective in reducing LDL-C levels. Additionally, bempedoic acid can be used as an alternative therapy for patients who do not reach their LDL-C goals on statin therapy. Traditional medicine, such as noni fruit, has also shown potential in reducing cholesterol levels. Finally, there are compounds such as 1-alkyl, 2-acyl-glyceraldehyde-3-phosphate (G3P) and 1-alkyl, 2-acyl glycerol that have been identified as potential cholesterol-lowering agents.
What is the best life style modifications to lower cholesterol?5 answersThe best lifestyle modifications to lower cholesterol include replacing saturated fat with monounsaturated fatty acids (MUFA) or n-6 polyunsaturated fatty acids (PUFA), consuming fiber-rich, low glycemic index (GI) foods, and incorporating functional foods such as psyllium, beta-glucans, and phytosterols. Additionally, weight reduction, physical activity, and alcohol intake are important factors in lowering cholesterol levels. The traditional Mediterranean way of life, which includes a balanced diet rich in MUFA, fruits, vegetables, whole grains, and moderate alcohol consumption, can serve as a useful model for cholesterol management. It is also worth noting that drug therapy, such as the use of statins, may be necessary for selected lipid disorders.
What are the best ways to reduce obesity?5 answersThe best ways to reduce obesity include implementing taxes on sugary drinks and high caloric density foods to decrease consumption. Involving all sectors of society, such as the food industry and organizations promoting physical inactivity, is crucial in addressing obesity. Regulatory measures at the national, state, and local levels can also have a significant impact by mandating action and allocating funds for health-promoting strategies. Additionally, meal properties such as timing, size, frequency, and sequence play a role in minimizing obesity risks. Multilevel interventions that address the complex causes of obesity have shown promise in preventing and reducing obesity at the population level.
Does reducing the consumption of dairy products decrease blood cholesterol levels?3 answersReducing the consumption of dairy products may not necessarily decrease blood cholesterol levels. Recent studies challenge the long-held belief that low-fat dairy products are better for health, as they demonstrate that high-fat dairy does not contribute to cardiovascular disease or obesity. Overall evidence from prospective cohort studies does not confirm a detrimental association between dairy product consumption and cardiovascular disease risk. However, certain dairy products, particularly those high in saturated fatty acids (SFAs), can increase total plasma cholesterol, especially LDL cholesterol. On the other hand, replacing saturated fat from high-fat dairy products with low-fat dairy products can lower LDL/HDL cholesterol and total/HDL cholesterol ratios. Therefore, the impact of dairy product consumption on blood cholesterol levels may depend on the type and fat content of the dairy product consumed.

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