Why 1 in 5 people refuse to take statins despite heart disease risks

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Heart disease is a global issue and the leading cause of death in the United States, claiming a life every 34 seconds, according to the Centers for Disease Control and Prevention (CDC).

To help reduce the risk of heart attacks and strokes, doctors often recommend statins, a type of medication that lowers bad cholesterol levels in the blood.

However, a new study has revealed that a surprising number of people at high risk for heart disease refuse to take statins, even when their doctors recommend them.

A Surprising Statin Study

The study, conducted by researchers at Brigham and Women’s Hospital, part of the Mass General Brigham health care system, found that more than 20% of people say no to statins despite being at high risk for heart disease.

Women, in particular, were more likely to refuse statins. The findings, published in the medical journal JAMA Network Open, showed that women were 20% more likely than men to refuse statins when first recommended, and 50% more likely to never accept the recommendation at all.

Refusing statins puts people at greater risk of heart disease because it leaves them with higher levels of bad cholesterol. This can lead to serious complications like heart attacks and strokes.

Patient Preferences and Concerns

Dr. Alex Turchin, a lead researcher in the study, emphasized the importance of understanding why so many people are saying no to statins.

He believes that doctors need to have more conversations with their patients to understand their concerns and preferences. By doing this, they can provide patient-centered care that addresses individual worries about taking medications like statins.

The study included over 24,000 high-risk patients, many of whom had conditions like diabetes, very high cholesterol, or a history of stroke, which increased their chances of developing heart disease. Doctors recommended statins to all of these patients to lower their risk.

However, about one-third of the patients never started taking statins. Among those who initially refused, it took three times longer to reduce their cholesterol levels compared to patients who started the medication immediately.

Why Do Women Refuse Statins More Often?

One of the most surprising findings of the study was that women were much more likely to refuse statins than men.

The researchers think this could be due to a common misconception that heart disease is primarily a men’s issue, leading some women to believe they are at lower risk than they actually are.

This belief may make them more hesitant to take medication aimed at reducing heart disease risk.

Dr. Turchin and his team are continuing their research to better understand why so many patients, especially women, are saying no to statins.

They are also studying the long-term effects of refusing statin therapy on patients’ health outcomes, including the rates of heart attacks, strokes, and deaths.

In the words of Dr. Turchin, “People often underestimate how much modern medicine has extended life and improved quality of life. Medications like statins play a significant role in this progress.”

The Importance of Heart Health

Heart disease continues to be a major health challenge, and medications like statins can help prevent it. If you’re concerned about heart health, it’s important to discuss your options with a doctor and consider studies on other ways to reduce your risk, such as healthy eating and regular exercise.

Recent studies have shown that certain supplements might help prevent heart disease and stroke, while a year of dedicated exercise during middle age has been shown to reverse some forms of heart failure.

As heart disease remains the top cause of death in the U.S., ensuring that patients understand the benefits of preventive treatments like statins is crucial in reducing the overall burden of the disease.

The study was 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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