Cardiovascular Risk

Cardiovascular Risk

Articles tagged with "Cardiovascular Risk".

Heart Risk Calculator Often Overestimates Danger, Study Finds

Tags: Cardiovascular Risk, Statins, ASCVD

March 26, 2025

Dr. Kumar’s Take:

Doctors often use a tool called the ASCVD (Atherosclerotic Cardiovascular Disease) Risk Calculator to estimate a person’s chance of having a heart attack or stroke. But this study shows that the calculator may be overestimating that risk—sometimes by a lot—especially for people without diabetes. That means many people may be prescribed statins when they might not need them.

If you’re told to start a statin just based on your risk score, it’s worth discussing the numbers with your doctor and considering other factors like lifestyle, family history, and current health.

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What 50 Years of Fibrate Research Tells Us About Heart Risk

Tags: Fibrates, Cholesterol, Cardiovascular Risk

March 21, 2025

Dr. Kumar’s Take:

This large review study looked at over 53,000 patients to see if fibrates—older cholesterol medications—still offer heart protection. The results were mixed. Fibrates have historically been used for lowering high triglycerides. In this review, they reduced heart attacks and related events, but only in studies where they also lowered LDL cholesterol. Lowering triglycerides alone didn’t seem to reduce heart risk.

In today’s world where many people are already on statins, fibrates may offer little extra benefit unless they’re clearly improving LDL levels. This doesn’t mean fibrates are useless—but they might be most helpful in specific cases where LDL is still high, statins aren’t tolerated, and patient’s are at high risk for heart disease.

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