4013F Statin therapy prescribed or currently being taken (CAD)

Name of the Procedure:

Statin Therapy

## Common Name(s): Statin treatment, lipid-lowering therapy

## Medical Term: HMG-CoA reductase inhibitors therapy

Summary

Statin therapy involves taking medications known as statins to lower cholesterol levels in the blood. These medications help reduce the risk of heart disease and stroke, particularly in individuals with coronary artery disease (CAD).

Purpose

Problem Addressed:

Coronary Artery Disease (CAD), high cholesterol levels, prevention of heart attacks and strokes.

Goals/Outcomes:

• Reduce LDL (bad cholesterol) levels
• Increase HDL (good cholesterol) levels
• Prevent the buildup of plaques in the arteries
• Decrease the risk of heart-related events and complications

Indications

• High cholesterol levels (hypercholesterolemia)
• Diagnosis of CAD or high risk of CAD
• Previous heart attack, stroke, or other cardiovascular events
• Diabetes with high cholesterol

Preparation

Pre-procedure Instructions:

• Discuss current medications with your healthcare provider
• Follow specific dietary guidelines if provided

Diagnostics:

• Blood tests to check cholesterol levels
• Assessment of liver function

Procedure Description

Taking statins is straightforward:

1. Prescription: The healthcare provider prescribes the appropriate statin based on individual risk factors and cholesterol levels.
2. Medication Intake: The patient takes the statin medication orally, typically once daily.
3. Monitoring: Regular follow-up blood tests to monitor cholesterol levels and liver function.
4. Adjustments: Dosage may be adjusted based on effectiveness and any side effects.

Tools/Equipment:

• None (oral medication)

Anesthesia or Sedation:

• Not required

Duration

How Long:

• Ongoing therapy; duration depends on individual patient needs and response.

Setting

Where:

• At home as part of a daily routine.

Personnel

Healthcare Professionals Involved:

• Primary care physician or cardiologist
• Pharmacist

Risks and Complications

Common Risks:

• Muscle pain or weakness
• Mild gastrointestinal symptoms

Rare Risks:

• Liver damage
• Rhabdomyolysis (a severe muscle condition)
• Increased blood sugar levels (potential risk of diabetes)

Management:

• Regular monitoring
• Adjusting medication or dosage if necessary

Benefits

Expected Benefits:

• Lower cholesterol levels within a few weeks to months.
• Reduced risk of heart disease and stroke.

Recovery

Post-procedure Care:

• Ongoing monitoring of cholesterol levels and liver function.
• Regular visits to the healthcare provider.

Recovery Time:

• Not applicable (chronic management)

Restrictions/Follow-up:

• Continued adherence to medication and lifestyle recommendations.

Alternatives

Other Treatments:

• Dietary changes and exercise
• Other cholesterol-lowering medications (e.g., fibrates, niacin)
• PCSK9 inhibitors

Pros and Cons:

• Dietary changes and exercise are low-risk but may be less effective alone.
• Other medications can be effective but may have different side effect profiles or costs.

Patient Experience

Experience During:

• Taking a pill daily with water.

Pain Management/Comfort:

• Minimal discomfort; side effects can be managed with the help of a healthcare provider.

After:

• Importance of adherence to medication and lifestyle modifications to achieve and maintain heart health benefits.