Ask the Doctors August 2016 Issue

Pacemakers for Slow Heart Rate and Statins for Low LDL Cholesterol

Michael Rocco, MD, medical director of Cardiac Rehabilitation and Stress Testing at Cleveland Clinic.

Pacemakers for Slow Heart Rate and Statins for Low LDL Cholesterol

Two leadless pacemakers (Micra and Nanostim) have had several years of testing. Both have been approved in Europe, and the Micra was approved in the U.S. in April 2016. When we prescribe a statin we are not just treating the numbers but targeting cardiovascular (CV) risk, with the primary aim of reducing heart attack and stroke. Whether to start statin therapy is dependent more on whether you fit into a high-risk group for developing CV events rather than the specific cholesterol numbers.

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