NADIR ALI 5’ | STATIN benefit for Female CAC=0; none Male 99.9%; none
presents episode 1125 | Dr Nadir Ali
Low Carb Denver podcastPrimary prevention:
Primary prevention of heart disease…
Collecting all of the data yields: Primary Prevention
-does not help women in mortality reduction whatsoever
Define: primary prevention is someone with no cardiac event
-if have CAC above 0, but no event,
still primary prevention patient
If CAC score is 0, studies show
-up to a decade with statins: no benefit
“In right clinical setting, don’t need statin”
If you fall outside this category…say: middle-aged man taking
statins for primary prevention. Take 100 of these, the benefit
of statins in mortality reduction? 0.1%
[99.9% for that year: no benefit] Physicians are told: relative risk reduction
is how to measure statin benefit
Dr Malcolm Kendrick would say:
It is like saying, if winning lotto is 1/15m
“I will increase your odds by 100%”
[increases odds from 1 to 2 in 15mil] In actual trials: presented as 30% better
-when actually: just 0.1% in this group
Dear doctor: Question: On this relative risk basis, you are
going to give this drug to patient to take for 30 years!!?
-comfortable making that decision alone?
-want to empower patient to decide?
-want to discuss side effects?
“This is where our medical profession
IS LACKING in CRITICAL THINKING
-rely too much on opinion-leaders
Original Youtube: https://youtu.be/6YLrW-390wI?si=j7Fg7lTKxJ3Fsn5n
This site will never use corruptible, epidemiological survey research as causal science.
For each short/sharable video, the original Youtube links are provided
None of this content is intended to be individual, personalized medical advice.
We hope you find value for yourself in these short videos &
find them easy to share with loved ones!
The DoctorsToTrust videos are for general informational purposes only
and do not constitute the practice of medicine, nursing or other
professional health care services, including the giving of medical advice,
and no doctor/patient relationship is formed. The use of information on this podcast
or materials linked from this podcast is at the user’s own risk.
The content of this podcast is not intended to be a substitute for
professional medical advice, diagnosis, or treatment. Users should not disregard or
delay in obtaining medical advice for any medical condition they may have and
should seek the assistance of their health care professionals for any such conditions.