– The American Heart Association (AHA) and the American College of Cardiology are discussing a study that combines what prevents heart attack and other problems, and what does not.
As announced this week, the good news from the conference, to everyone, is that at least in the United States it does not have to starve before the blood test to check cholesterol – it's okay that most people give something to eat before taking blood for surgery.
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Dietary supplements and capsules – "nutritional supplements" are often missed, "Do not throw money into this situation" – doctors concluded that as a basis for health they recommend natural foods and a balanced diet, and only if that is not enough, adding vitamins or mineral tablets, The hands, but only on the recommendation of the doctor, separately, only to the patient to whom he needs.
After all, they explained, "supplements" are, as its name is called, "supplement" instead of replacing vitamins and minerals with food that is the best basis for health, "said Dr. Kerry Kris-Arton MD, Ph.D.
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For example, doctors at the conference reaffirmed that instead of vitamin D as "supplements", it is necessary to eat twice as much fat as fish, or at least take fish oil that was better shown in the study among heart patients than "supplements".
These and other conclusions at the conference were attended by authors – doctors, none of whom are financially connected to pharmaceutical manufacturers, according to AP.
Two large studies presented at the conference gave mixed results on fish oil or "omega-3 fatty acids". There are also different types, including EPA and DHA.
In a study of 26,000 healthy people, one gram per day of EPA / DHA combination, dosage and what many types of dietary supplements – dietary supplements – did not show a clear option to reduce the risk of heart problems or cancer.
But another study, which measured four grams a day of EPA concentration, found that reduced heart problems of people at higher risk due to high triglycerides – a type of lipid.
The first study on the effect of a smaller amount of fish oil on the general population included the effect of vitamin D, one of the most popular "supplements", and found that it did not reduce the risk of cancer or heart problems.
"We must get this test that was good," and that vitamin D as "supplements" does not have the value attributed to it, said Dr. Jane Armitage of the University of Oxford, UK. "We do not see any benefit from it."
"Do not throw money on these supplements" because they are not well regulated and have a different quality, said Dr. Deepak Bat from the Women's Hospital in Boston.
All this was stated in the instructions of the Heart Association and the American College of Cardiology, approved by other groups of doctors.
At a multi-year conference on heart disease, the leading cause of death in the world, new guidelines for calculating cholesterol levels lead to arterial damage leading to the heart or stroke.
Five years ago, when the guidelines for determining cholesterol-lowering therapy were last updated, it was beyond the use of a single number of cholesterol levels to determine who needed treatment. It started with a formula, in order to expand the risk assessment, taking into account age, high blood pressure and other factors.
This was confusing for doctors, so the new guidelines established at the last conference of the week bring together the two approaches, setting goals based on the formula and taking into account the "individual" personal circumstances of each patient, such as other health conditions or family history of early heart disease.
"It will never be quite simple – counting cholesterol," since it does not give a clear picture of the risk, said Dr. Donald Lloyd Johnson of Northwestern University.
If treatment is required, the doctor's first choice remains a "statin" which is sold as cheap generic medicine. For high-risk people, such as those who have already had a heart attack, the guidelines add another generic drug, even "cheap ezetimibe" if "statins" does not reduce enough cholesterol levels. Only if both drugs do not help enough should take into account new, but expensive drugs, called "PCSK9 inhibitors."
Finally, the guidelines state that even after all operations it is not clear whether necessary treatment is necessary, a coronary artery calcium test, a type of x-ray examination with radiation dose similar to mammography, should be performed. -1300 dollars.
The American Heart Association conference confirmed that a relatively new drug, approved this year, not only helped people suffering from diabetes affect blood sugar and weight loss, but also reduced the risk of hospitalization due to heart failure in the following cases of diabetes.
As people with diabetes get heart disease, new drugs for diabetes must be tested in large studies to show that they are not dangerous to the heart.
One such drug, generic empagliflozin, surprised doctors a few years ago by reducing the risk of stroke and stroke, but more, generic cannagalyphalazine, later had side effects.
The new study looked at the third generic drug, daplegiflozine, for more than 17,000 diabetics with other risk factors for health and lower rates of hospitalization for heart failure, according to the American Heart Association and the American College of Cardiology.