Heart Experts Call For Action Against Missed Opportunities To Prevent Heart Diseas...( l particularly the LDL or bad choleste...),Health

l, particularly the LDL or bad cholesterol, and reduce risk of cardiac events such as a heart attack," explains Mosca, adding that research has not yet shown conclusively that HRT lowers the risk of heart disease. "The typical woman who takes HRT has a healthy lifestyle, which may confound the clinical trial results and make them uncertain."

The panel also noted that current national recommendations might not be aggressive enough in treating elevated blood cholesterol in women. It suggests that clinicians consider a lower target level of blood triglycerides (150 milligram per deciliter or less) and a higher optimum level of HDL cholesterol (at least 45 mg/dL). Triglycerides are blood fats associated with heart disease risk.

"There is a substantial gap between what we know and what we do to prevent heart disease in women," Mosca says. "Because these consensus recommendations are both scientifically based and practical, they are an important step towards closing that gap."

Coauthors of the consensus panel statement are Scott M. Grundy, M.D., Ph.D.; Debra Judelson, M.D.; Kathleen King, Ph.D., R.N.; Marian Limacher, M.D.; Suzanne Oparil, M.D.; Richard Pasternak, M.D.; Thomas A. Pearson, M.D., Ph.D.; Rita F. Redberg, M.D.; Sidney C. Smith Jr, M.D.; Mary Winston, Ed.D., R.D.; Stanley Zinberg, M.D.

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Contact: Cathy Yarbrough
cathyy@heart.org
214-706-1340
American Heart Association
30-Apr-1999

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