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Statins may cut heart attack and stroke risk for healthy over 70s

A new clinical trial suggests statins can reduce the risk of heart attacks or strokes in healthy individuals over 70, with a low risk of serious side effects.

  • The decade-long trial found statins decreased the risk of a first major cardiovascular event by 30% for those aged over 70.
  • One major cardiac event could be prevented for every 37 older adults treated with daily statins over almost six years.
  • The study found no statistically significant difference in dementia rates between statin and placebo groups.

A world-first clinical trial, led by Australian researchers, has found that a common cholesterol-lowering medication can reduce the risk of a heart attack or stroke for people aged over 70. The study also indicated a low risk of serious side effects.

Statins are currently prescribed to individuals under 75 who meet specific risk criteria, such as having diabetes and high cholesterol, to prevent major heart events. They are also given to patients who have already experienced a major heart event, regardless of age.

The trial, which involved nearly 10,000 participants over 70, aimed to determine if statins could safely prevent cardiac events in otherwise healthy older adults who had not previously had a heart attack, stroke, or heart surgery. The research found that the medication decreased the risk of a first major cardiovascular event by 30% for this age group.

While the study showed a reduction in major heart events, it also noted that disability-free survival was the same for both statin and placebo groups, meaning the medication did not extend life or its quality. Researchers hope the strong evidence will lead to updated treatment guidelines.

Why this matters: Increasing age is the biggest risk factor for major heart-related events, and society is ageing, making it important to improve disease prevention in this group.

What this means for you: Older patients should discuss with their GP whether statins are appropriate for them to help maintain health.

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