Cardiovascular disease prevention: Matching evidence-based algorithms with individualized care

R. Madanieh, R. K. Hasan, O. F. Anusionwu, R. S. Blumenthal, M. J. Blaha

Research output: Contribution to journalArticlepeer-review

Abstract

The appropriate use of statins in primary prevention remains a matter of debate. Although statins reduce cardiovascular events at all levels of baseline risk, they are associated with rare but important side effects including incident diabetes. Herein, we review strategies for statin allocation ranging from strict "evidence-based" adherence to randomized controlled clinical trial (RCT) entry criteria to more "personalized" risk assessment using high-sensitivity C-reactive protein (hsCRP), coronary artery calcification (CAC), or genetic testing. Current guidelines advocate an unusual middle ground between an evidence-based approach and a personalized approach.

Original languageEnglish (US)
Pages (from-to)321-323
Number of pages3
JournalClinical pharmacology and therapeutics
Volume93
Issue number4
DOIs
StatePublished - Apr 1 2013

ASJC Scopus subject areas

  • Pharmacology
  • Pharmacology (medical)

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