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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Low LDL Levels With Abdominal Ectasia

I have taken medication for abnormal cholesterol for a numbe of years. I am now 81 and was diagnosed by CT scan with a small abdominal aectasia and extensive plaque along most of the aorta. I have been taking Crestor 5 mg for a few months. It was increased to 10 mg. Tests yesterday show that LDL had decreased from 70 to 17. What is the treatment?
Tue, 8 Nov 2016
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Cardiologist 's  Response
Hello ,
Small abdominal ectasia can be because of atherosclerosis and both are due to age related wear and tear .
As such there is No lower limit for Ldl. Studies have found Ldl even lower than 50 had no side effects and decreased atherosclrotic progression .
The guidelines recommend that Ldl should be kept below 70 .
I would recommend that you may decrease the dose of Crestor to 5 mg . That should suffice and would give you optimum benefit . More than by all means is not required .
Regards Dr . Mody
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Suggest Treatment For Low LDL Levels With Abdominal Ectasia

Hello , Small abdominal ectasia can be because of atherosclerosis and both are due to age related wear and tear . As such there is No lower limit for Ldl. Studies have found Ldl even lower than 50 had no side effects and decreased atherosclrotic progression . The guidelines recommend that Ldl should be kept below 70 . I would recommend that you may decrease the dose of Crestor to 5 mg . That should suffice and would give you optimum benefit . More than by all means is not required . Regards Dr . Mody