Many high-risk patients refuse statins, increasing heart disease risk

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Heart disease is a major global issue and the leading cause of death in the United States, causing a death every 34 seconds.

This alarming statistic comes from the Centers for Disease Control and Prevention (CDC), which monitors health data across the country.

The Role of Statins in Heart Disease Prevention

Doctors often prescribe statins to people at high risk of heart disease. These medications can lower bad cholesterol levels in the blood, helping to prevent heart attacks and strokes.

However, a recent study reveals a surprising trend: more than 20% of high-risk patients refuse to take statins. The study also found that women are more likely than men to decline statins.

Specifically, women are 20% more likely to refuse statins when first recommended and 50% more likely to never accept the medication at all.

The refusal of statins leads to higher levels of bad cholesterol, likely increasing the risk of heart disease. This study, conducted by researchers at Brigham and Women’s Hospital, part of the Mass General Brigham healthcare system, was published in JAMA Network Open, a reputable medical journal.

Understanding Patient Preferences

Dr. Alex Turchin, one of the researchers involved in the study, emphasized the importance of understanding why patients refuse statins.

He suggests that doctors need to engage more with their patients to understand their concerns and preferences better. This patient-centered approach could improve care and outcomes.

The study analyzed data from over 24,000 high-risk patients, including those with conditions like diabetes, very high cholesterol, or a history of stroke. Despite their high risk, a significant number of these patients refused statins.

About one-third of the patients never tried the medication, and those who initially refused took three times longer to lower their bad cholesterol levels to a safe range compared to those who started statins immediately.

Why Do Women Refuse Statins More Often Than Men?

The most surprising finding was that women are significantly more likely to refuse statins than men. Researchers speculate that this may be due to a misconception that heart disease is primarily a male problem. Further investigation is planned to explore this issue.

Dr. Turchin noted the need to understand patient preferences better. He is currently studying the effects of refusing statin therapy on outcomes such as heart attacks, strokes, and death.

“People often underestimate the impact of modern medicine on extending life and improving its quality, and medications like statins play a crucial role,” he said.

Additional Insights on Heart Health

For those interested in heart health, there are other studies worth exploring. Research indicates that eating eggs can help reduce heart disease risk, while some herbal supplements might harm heart rhythm.

Other studies suggest that certain supplements could help prevent heart disease and stroke, and that a year of committed exercise in middle age can reverse troubling signs of heart failure.

This study underscores the importance of understanding and addressing patient concerns about statins to improve heart health outcomes. The findings were published in JAMA Network Open.

If you care about heart health, please read studies about how vitamin D influences cholesterol levels, and what we know about egg intake and heart disease.

For more health information, please see recent studies about best supplements for heart disease prevention, and wild blueberries can benefit your heart and brain.

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