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Cholesterol

Fibrate used in combination with statin approved

The FDA has approved Trilipix (fenofibric acid), a delayed-release capsule for use along with diet to treat dyslipidemia. Trilipix is the first fibrate to be approved for use in combination with a statin.

Top 10 health stories of 2008

Blood sugar goals, stem cells, CT scans, health reform–these are some of the issues to make the list of most important stories of the year, as chosen by the Harvard Health Letter.

When to start low HDL treatment

What is the current recommendation for treating isolated low HDL levels? My patient is a 37-year-old white nonsmoker, whose original total cholesterol was…

Pre-cardioversion Anticoagulation

I recently diagnosed atrial fibrillation in a 24-year-old man with new-onset chest pain, irregular palpitations, and heart rate >170 beats per minute. The patient has no history of drug or tobacco abuse but does…

How useful is nonfasting cholesterol testing?

Other than convenience and compliance, is there any benefit to nonfasting cholesterol testing? As I understand it, triglyceride values are very sensitive to fasting, but total cholesterol remains fairly stable. Can you comment on this?—Lynn Smith, FNP, Tampa It depends on what are you screening for. The National Cholesterol Education Program Adult Treatment Panel II…

Cardiac parameters at odds

When evaluating a patient’s risk of vascular disease, primary-care clinicians often use the cholesterol/HDL ratio, while cardiologists use the LDL level. What should one do if the cholesterol/HDL ratio is favorable, but the LDL is high?—Melvin L. Edwards, MD, Ann Arbor, Mich. The usual reason the ratio is favorable is that the HDL is high.…

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