Published on February 17, 2014
TIME TO THINK AFTER THE RELEASE OF NEW CHOLESTEROL GUIDELINES 2013 BY AHA/ACC WHICH ASSERTED THAT HEALTH CARE PROVIDERS SHOULD PRESCRIBE STATINS TO EVEN HEALTHY PERSON IF THEIR 10-YEAR CARDIOVASCULAR RISK IS FOUND TO BE 7.5% OR GREATER THEN WHAT INDIA SUBCONTINENT(120 CORES) SHOULD DO NOW?
CHOLESTEROL GUIDELINES INDIA No guidelines REST OF WORLD American Heart Association (AHA) and the American College of Cardiology (ACC) NICE British guidelines New Zealand heart foundation guidelines
SHOULD INDIA FOLLOW THE AMERICAN GUIDELINES ? ANSW:NO INDIAN FOOD:MORE SUGARS JUNK FOODS ENOUGH ABDOMINAL OBESITY RAPIDLY IMPROVEMENT IN ECONOMY ADDS SEDENTARY AND tasty foods SMALL LDL RISK LOW HDL HIGH TRIGLYCERIDE MORE DIABETEICS TENDENCY MORE BODY FAT AMERICAN FOOD RICH IN MEAT LESS BODY FAT BUT MORE MUSCLE REST ALL DIFFERS
INTERIM RELIEF British EXPLANATION Consider multiple risk factors Consider HDL CONSIDER TRIGLYCERIDE LEVEL New Zealand heart foundation
INGREDIENTS IN INDIAN CHOLESTEROL GUIDELINES • STRICT VERDICTS FOR LIFE STYLE MEDICATION[NO JUNK FOOD:TOBACCO,ALCOHOL,CIGGAR,COLD DRINK AND ALL JUNK STUFFS • EXERCISE OR EQUIVALENT MUST • ABDOMINAL OBESITY MUST BE MONITORED IN “BELLY CURVE” • KEEP STATIN DOSE LOW FOR DIABETOGENIC INDIAN • „SMALL DENSE LDL IS BIGGEST RISK FOR INDIAN :MEASURE IT AND TACKLE IT
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