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| Daily Telegraph'ista: statiiniton loma? http://karppi.ninja/forum/viewtopic.php?f=4&t=27929 |
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| Julkaisija: | els [ 2007-06-05 09:54:33 ] |
| Viestin otsikko: | Daily Telegraph'ista: statiiniton loma? |
Ja ohessa tekstiä lehdestä; joku saattaisi kaivaa tähän ketjuun tuon maaliskuun alkajaisartikkelinkin, jossa kaveri ihmiskokeella testasi, miltä olo tuntuu kun unohtaa staiinit kotiin... "They're all going on a statin holiday* By Dr James Le Fanu, Sunday Telegraph Last Updated: 12:39am BST 03/06/2007 Second Opinion Back in March, regular readers may recall, I described the case of Roger Andrews, saved from decrepitude by a three-week holiday for his son's wedding in Hawaii. He needed a wheelchair at the transfer stops on the way out but was able to skip (almost) through passport control on the way back - a transformation he attributed to having forgotten to pack his cholesterol-lowering statin drugs. His story struck a most resonant chord, with several hundred readers (and friends to whom they passed my column) recounting their own variations on the same theme. Statins have been around for 20 years and no doubt have reduced the risk of heart trouble in many with markedly raised cholesterol levels. But prescribing them indiscriminately, with all its serious consequences, is a relatively new phenomenon whose origins can be pinpointed to July 6, 2002, and the publication in The Lancet of the Heart Protection Study. This investigation of the value of statins in a large group "at risk" of heart disease revealed substantial benefits to all, irrespective of their cholesterol levels. "This stunning result," commented the organiser, Prof Rory Collins, of Oxford University, "has massive implications" - with the potential to save 1,000 lives a week. These extravagant claims, based on statistical extrapolation, are always suspect, concealing here a trivial absolute benefit of a mere 1.7 per cent increase in the chances of survival over a five-year period. But the message was clear enough. Doctors no longer need use their clinical judgment on whether statins are appropriate - they should be prescribed routinely. Over the past 10 weeks, many readers at the receiving end of this policy have taken up my suggestion of giving their statins a rest, with results illustrated by the experience of Mary Anderson from Kent. Her cardiologist prescribed statins after a small heart attack at 68, since when she's been troubled by insomnia, chronic tiredness, thinning hair, muscle weakness, unhealing itchy rashes, memory loss and loss of her skill in creative writing - all of which she (reasonably) attributed to "getting on". Since the start of her statin holiday a month ago, she sleeps well, with greatly increased energy, her rashes have cleared, her hair has regained its lift, her memory has improved and her writing skills returned. Her family doctor, she says, is "amazed". Those interested should read Dr Malcolm Kendrick's witty The Great Cholesterol Con (ISBN 978-1-84454-360-1). |
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| Julkaisija: | meow [ 2007-06-05 10:02:12 ] |
| Viestin otsikko: | |
Vähän populistisesti kirjoitettu, mutta toivottavasti herättää oikeita kysymyksiä lukijoissa. |
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