Steven Nissen, Cleveland Clinic, American College Of Cardiology discussed on Smart Oil and Gas
Don't. There are just too many groups issuing recommendations met has made things. More confusing says doctor Steven Nissen of the Cleveland Clinic. They'll blood pressure and cholesterol levels are important. Other factors play a role to including your age gender race. And whether you smoke or have diabetes assessing your overall risk of having a heart attack, or stroke is an important. First step experts recommend using the calculator from the American college of cardiology. It's online at tools dot ACC dot org slash A. S C, V D dash risk dash estimator. The ideal is a ten year risk that's less than seven point five percent. If your ten year risk is greater than ten percent. Or if your LDL your bad cholesterol level is over one ninety you should start a Staten. But if you risk is between seven point five and ten it can be worth trying lifestyle changes. I that means stopping smoking losing excess weight being active consuming a heart healthy diet, drinking alcohol in moderation only, and getting blood sugar levels under control. If that doesn't lower your risk enough after three to six months, then consider a stead, even if your LDL cholesterol, isn't elevated the same basic strategy. Applies to blood pressure, if it's moderately elevated one fifty to one sixty people sixty and older one forty to one fifty four others considered drugs, only if several months of diet and lifestyle changes weren't enough doctors used several different kinds of drugs to lower blood pressure. And for people with levels above one, fifty it can take a combination to control. The problem still it usually makes sense to start with the oldest safest and least. Expensive drug, a diary or water pill. If that doesn't work, you may need to switch to or add an ace inhibitor calcium channel blocker or other kinds.