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Finding the best heart treatment. (Health Alert).

Consumer Reports

| May 01, 2003 | COPYRIGHT 2003 Consumers Union of the United States, Inc. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

Two new blood tests can benefit people at risk for heart disease or those who may have already suffered a heart attack.

RISK ASSESSMENT

People at moderate risk for heart disease face a choice of treatments: to adopt a more healthful lifestyle or to take various medications to lower cholesterol or blood pressure in addition to making lifestyle changes. A new, inexpensive test can help these people and their doctors gauge the risk and choose the best course of treatment. The test measures high-sensitivity C-reactive protein (CRP), a marker for inflammation of blood-vessel walls.

Several studies have shown CRP levels to be a good predictor of heart disease. A recent Harvard Medical School study of nearly 28,000 women ages 45 and older nationwide found that those with elevated CRP were twice as likely to suffer a heart attack or stroke, regardless of their level of LDL, or "bad" cholesterol, the now-familiar measure of heart-disease risk. The study was published in The New England Journal of Medicine.

In a statement released in January, the American Heart Association and the Centers for Disease Control and Prevention recommended that CRP testing be an option for people at moderate risk for heart disease. To estimate your risk, use the Health Tools at the heart association's Web site, www.americanheart.org. The CRP test costs about $25 to $50 and may be reimbursable by insurance. An elevated reading (3 ...

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