Calcium Score Determines Who to Treat With Statin Drug

Decision to Start Statin Based on Calcium Score by Jeffrey Dach MD Have you ever wondered why statin drugs seem to be effective for secondary prevention, (people with known heart disease), and not effective for primary prevention (people  without heart … Continue reading

Diabetes, Arterial Calcification and Statin Drugs

Coronary_Calcium_Score_CAT_Scan

Diabetes, Arterial Calcification and Statin Drugs George is a 54 year old diabetic on statin drug for coronary artery disease. Five years ago, George had an episode of chest pain, which prompted a cardiac cath, during which a stent was … Continue reading

Evolocumab Are You Joking Me?

PCSK9-inhibitor-evolocumab-Are-You-Joking

Evolocumab, Are You Joking Me? by Jeffrey Dach MD Ralph is a 48 year old divorce lawyer who arrives in my office with a history of familial hypercholesterolemia.  Every lab panel since he was a kid showed a cholesterol of … Continue reading

Is Your Drug From the Medical Museum?

Is Your Drug Brain in Jar Medical Museum

Is Your Drug From the Medical Museum? If you are a curious tourist, visit the Medical Museum where you will be shocked with the sight of glass specimen jars filled with tissue samples.  There you will find relics of past … Continue reading

Statin Denialism Internet Cult with Deadly Consequences

steven nissen md cardiology cleveland clinic new york times

Statin Denialism: an Internet Cult with Deadly Consequences An editorial by Cleveland Clinic cardiologist Steven Nissen (above image) appeared in the Annals of Internal Medicine this week lamenting the problem of  “Statin Denialism” on the Internet.(1-2) Dr Steve Nissen’s editorial … Continue reading

Statin Drugs and Botanicals Anti-Inflammatory Effects

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Statin Drugs Anti-Inflammatory Effects Reduce Mortality after Cardiac Surgery. Would Botanicals Be Better? For those of us with heart disease requiring cardiac bypass surgery (CABG), The New York Times advises we all take statins drugs, since studies show 50% reduction … Continue reading