How to protect against stroke and heart attack – new advice from cardiologists

American cardiologists have presented updated cholesterol management guidelines, replacing the 2018 rules. The new standards call for earlier initiation of medication, screening children from ages 9-11 (or from age 2 for hereditary conditions), and using the PREVENT risk calculator for adults aged 30-79. Target levels for 'bad' cholesterol are set: below 100 mg/dL for borderline risk, below 70 mg/dL for high risk, and below 55 mg/dL for very high risk. Statins remain the cornerstone of therapy, with other drugs added as needed.

American cardiologists have presented radically updated cholesterol management guidelines, replacing the 2018 rules. The main goal is to shift focus to early detection of lipid disorders to prevent heart attacks and strokes before symptoms appear. Cardiologist Roger Blumenthal from Johns Hopkins University explained that most cardiovascular catastrophes can be prevented, and excess 'bad' cholesterol is the main provocateur. The traditional approach with lifestyle modification remains the first step, but now medications can be started earlier. The age ranges for screening have changed: children aged 9-11 are recommended to have their lipid profile checked, and for hereditary conditions, from age 2. For adults aged 30-79, the PREVENT risk calculator has been introduced, assessing the likelihood of disease over 10 and 30 years. New target levels for 'bad' cholesterol are set: below 100 mg/dL for borderline risk, below 70 mg/dL for high risk, and below 55 mg/dL for very high risk. Statins remain the cornerstone of therapy, with ezetimibe, bempedoic acid, PCSK9 inhibitors, and inclisiran added as needed. Cardiologist Pamela B. Morris emphasized that radical cholesterol reduction provides maximum protection for vulnerable patients.