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Assessed on risk of coronary disease. Done total cholesterol. On crestor. Critical, improve cholesterol?

I'm 75 male. Based on my 10 year coronary disease risk assessment , my GP gave me15 risk points of which 14 points for age and 1 point for total cholesterol level of 5.2 mmol/L. Now he prescribed me 5mg Crestor. My question is: is it critical? Can I improve cholesterol level through diet and exercise? If necessary can I reduce the dosage to 2.5mg? I do not smoke, non dibetic, systotic blood pressure 130 mm Hg
Your response is much appreciated.
Asked On : Fri, 12 Apr 2013
Answers:  1 Views:  53
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Cardiologist 's  Response
Dear Sir
Thanks for writing to us.
Drug therapy in lipid management is now a days not based on total cholesterol levels but on Target LDL cholesterol , for which following information is required 1. If you have a blood relation who has had heart attack or anginal heart disease? And, if yes, then at what age it started? 2. What is your HDL cholesterol level.3. If you have /had stroke (paralysis), kidney disease, carotid blockage, anginal heart disease, claudication of limbs (pain in legs on walking). All these have a bearing on the target cholesterol level and management.
Once we calculate the target cholesterol and patient has LDL higher than target (>30 mg% than target) we start with a statin (drugs to reduce cholesterol like crestor)and life style modifications but if actual LDL is less than 30+target, we only try life style modifications for 6-12 weeks. However presence of existing cardiovascular disease is an indication for statins irrespective of LDL levels.
Lifestyle modifications include weight optimization (Body Mass Index~23), daily exercise (as prescribed by your physician), Avoid smoking & STEP II diet of American heart association.
I hope you understand that how we approach and what information we require.
sukhvinder singh
Answered: Fri, 3 May 2013
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