Statins – Friend or Foe?

Last year I wrote a couple of articles about statin therapy, so maybe you think I should give it a rest. However, I think it is such a hugely important issue, and I have this strong feeling that the truth really has not emerged yet. Firstly, two recent scientific papers touching on the effects of … Read more

LDL-Cholesterol – The “Bad” Cholesterol Explained

LDL-CLow density lipoprotein cholesterol (LDL-C) is an important factor when assessing the risk for developing heart disease. LDL -particles, in particular those who are small and dense, are atherogenic and increase the risk of cardiovascular disease (CVD). There is a strong and graded correlation between LDL-C and the risk of CVD, both in women and men, although this has been debated by some investigators. The evidence that reducing plasma LDL cholesterol reduces CVD risk is unequivocal. According to the European Society of Cardiology, the results of epidemiological studies as well as trials with angiographic or clinical endpoints confirm that the reduction of LDL cholesterol must be

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A Woman With High Cholesterol

Sandra is a 53 years old high school teacher. She is married and has three children. She has enjoyed good health all her life. There is no history of any serious illness. She was admitted to hospital once, when she was 13 years old and had to have an appendectomy. She smoked cigarettes for a few years, … Read more

Should I Take a Cholesterol Lowering Drug?

“Doctor, should I take a cholesterol lowering drug?” Although it sounds simple, it is one of the most difficult questions I face in my office.  “What are the risks?” “What are the side effects?” Will I have to take it for the rest of my life? Patients are often anxious to know the right answers. … Read more