cardiovascular disease

2013 ACC/AHA Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines.

Stone, Neil J; Robinson, Jennifer; Lichtenstein, Alice H; Bairey Merz, C Noel; Lloyd-Jones, Donald M; Blum, Conrad B; McBride, Patrick; Eckel, Robert H; Schwartz, J Sanford; Goldberg, Anne C; Shero, Susan T; Gordon, David; Smith, Sidney C; Levy, Daniel; W
Journal of the American College of Cardiology; 2013 Nov 7 PMID: 24239923
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Aspirin for primary prevention of cardiovascular events in people with diabetes: a position statement of the American Diabetes Association, a scientific statement of the American Heart Association, and an expert consensus document of the American College

Pignone, Michael; Alberts, Mark J; Colwell, John A; Cushman, Mary; Inzucchi, Silvio E; Mukherjee, Debabrata; Rosenson, Robert S; Williams, Craig D; Wilson, Peter W; Kirkman, M Sue
Circulation; 2010 Jun 22;121(24):2694-701. PMID: 20508178
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Aspirin for primary prevention of cardiovascular events in people with diabetes: a position statement of the American Diabetes Association, a scientific statement of the American Heart Association, and an expert consensus document of the American College

Pignone, Michael; Alberts, Mark J; Colwell, John A; Cushman, Mary; Inzucchi, Silvio E; Mukherjee, Debabrata; Rosenson, Robert S; Williams, Craig D; Wilson, Peter W; Kirkman, M Sue
Diabetes care; 2010 Jun;33(6):1395-402. PMID: 20508233
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European Guidelines on cardiovascular disease prevention in clinical practice (version 2012). The Fifth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by re

Perk, Joep; De Backer, Guy; Gohlke, Helmut; Graham, Ian; Reiner, Zeljko; Verschuren, Monique; Albus, Christian; Benlian, Pascale; Boysen, Gudrun; Cifkova, Renata; Deaton, Christi; Ebrahim, Shah; Fisher, Miles; Germano, Giuseppe; Hobbs, Richard; Hoes, Arno
European heart journal; 2012 Jul;33(13):1635-701. PMID: 22555213
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Aspirin to Prevent Cardiovascular Disease in Diabetes

Last week I had a 47-year-old patient with diabetes ask whether he should take aspirin in order to prevent heart disease. He has had good glycemic control and an A1C around 6.5% since his diagnosis 5 years ago, which occurred shortly after he stopped smoking.

Due to conflicting guidelines, answering this question about aspirin therapy used to be easier than it is now. 

2013 ACC/AHA Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines.

Stone, Neil J; Robinson, Jennifer; Lichtenstein, Alice H; Bairey Merz, C Noel; Lloyd-Jones, Donald M; Blum, Conrad B; McBride, Patrick; Eckel, Robert H; Schwartz, J Sanford; Goldberg, Anne C; Shero, Susan T; Gordon, David; Smith, Sidney C; Levy, Daniel; W
Journal of the American College of Cardiology; 2013 Nov 7 PMID: 24239923
Category: 

Cholesterol Guidelines: Challenges & Opportunities for Primary Care

How should primary care physicians who treat diabetes patients address the challenges posed by new cholesterol guidelines from the ACC and AHA? This blog post intends to raise awareness about the guidelines and inject a discussion point around the issues of the “baseline LDL,” repeatedly checking LDL levels, and monitoring adherence.