Steven Nissen, American College Of Cardiology, Ace Inhibitor discussed on Smart Oil and Gas


Don't there are just too many groups issuing recommendations and met has made things more confusing says doctor Steven Nissen of the Cleveland Clinic, 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. 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 your 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 statin, 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 for 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 diabetic 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.

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