Connect with us

Health

Controlled cholesterol, BP can ward off heart disease in older people

Gorkha Post

Published

on

WASHINGTON — A new study has suggested that controlling cholesterol and blood pressure in older patients may lessen the risk of heart disease.

The study by the clinical specialists of the best available evidences, which is reported for in the Canadian Journal of Cardiology, concluded that cholesterol-lowering and blood pressure-controlling therapy are the most effective treatments for reducing cardiovascular events in older adults, but that treatment needs to be individualized.

“Primary prevention trials in younger populations demonstrate small absolute risk reductions over many years, which is difficult to extrapolate to older patients,” explained senior author Michelle M. Graham from the University of Alberta Faculty of Medicine and Dentistry.

Graham added, “Some assume elderly individuals may not have the life expectancy to derive benefit from preventive cardiovascular therapy; however, their baseline level of risk, and subsequent relative risk reduction with appropriate therapy, may actually be higher than in younger patients.”

The review provided substantial evidence that Statin therapy reduces the risk of both myocardial infarction and stroke, although close monitoring of adverse events is needed. Evidence does not support an association between cholesterol-lowering statin therapy and either cognitive impairment or cancer. Adverse effects, like muscle problems and diabetes, do not appear to be elevated in elderly patients.

It showed that potential drug-drug interactions are an important consideration when prescribing statin therapy in older patients because they have a high burden of concurrent medical conditions and are often taking multiple medications. Patients should also be made aware of over-the-counter supplements that may interact with statin therapy.

ALSO READ :  Taller people more prone to cancer: Study

Blood pressure control is paramount to prevent cardiovascular events and mortality in elderly patients, although the target should be individualized to the patient. Current evidence supports a moderate blood pressure target (systolic blood pressure of 120-150 mmHg) as safe and effective in elderly patients; however, this target should be individualized based on frailty and comorbidities.

Antiplatelet therapy should not be recommended due to a lack of net clinical benefit.

Other interventions shown to reduce the risk of CVD in elderly patients include smoking cessation, physical activity, and maintaining a normal body weight.

“Primary prevention of CVD can improve health and reduce future healthcare costs. Prevention of a first cardiovascular event in elderly patients should be individualized based on consideration of the current evidence, as well as goals of therapy, functionality and/or frailty, comorbidities, and concomitant medications,” stated Dr. Graham.

Continue Reading

Health

HOTC sees remarkable success rate on kidney transplant

RSS

Published

on

By

HOTC sees remarkable success rate on kidney transplant

BHAKTAPUR — Shahid Dharmabhakta National Human Organ Transplant Centre (HOTC), Bhaktapur has successfully undertaken transplant of over 400 kidneys.

Hospital’s Executive Director Dr Pukar Chandra Shrestha, at a press conference organised here on Friday, informed that the Centre has so far successfully transplanted kidneys on 404 patients.

The Centre had initiated the kidney transplant service on January 19, 2013.

ALSO READ :  Death toll in mysterious disease reaches five

The inflow of patients has alarmingly increased at the facility with the start of additional medical services such as urology, gastro surgery, cardio therapy, stone removal surgery along with other surgeries, besides kidney transplant, said Prof Dr Rakesh Verma.

However, the patients are compelled to wait for the transplant for long due to limited building space and availability of beds.

Right now, around 400 patients are waiting their turns for kidney transplant and more than this number are waiting to avail of dialysis service.

Continue Reading
Advertisement Cheap Air fare and package tours!

LATEST TWEET

Classifieds

Posted 2 months ago

We have latest collections of designer sarees. Contact for wholesale or retails prices. We also deliver all types of fashion collections for men and women.

 Fashion & Clothings /  Kathmandu / 85 views

NPR 2,999.00

Posted 2 months ago

Remember us for all travel related services : Hotel booking ( Globally) Vehicle reservation Flight Ticket( Domestic/International) Tour packages Train ticket reservation Hiking and Trekking

 Travel & Tours /  Kathmandu / 79 views

NPR 2,000.00

Search Listings

TOP PICKS