Alzheimer’s Disease

Alzheimer’s Disease get help at

Alzheimer’s Disease

2. Patient is a 73-year-old female in good health with normal cholesterol levels and no chronic diseases. She comes to the clinic because she is starting to notice that she is forgetting things more often and having problems balancing her checkbook and playing brain teaser games with her grandchildren. Her husband says he hasn’t notice anything different about her. But she’s fearful that she might be “getting Alzheimer’s Disease”. She said her neighbor told her that Lipitor is supposed to help with the symptoms or maybe even prevent Alzheimer’s disease. She wants your advice. Would this help? You recall a few patients complaining about memory problems while on statins but don’t know the data on reducing the risk of AD or associated cognitive symptoms. You tell her you’ll get back to her. You ask her about any other medications she might be on and she tells you that she is taking Sporanox for a toe nail infection. Alzheimer’s Disease

3. The patient is a 68-year-old African American male who has well-controlled hypertension, hyperlipidemia (on a statin) and GERD. He has a h/o MI 2 years ago with a reduced ejection fraction (EF) of 30% (i.e. left ventricular dysfunction). His functional status is NYHA Class III CHF. He is on aspirin, Atenolol, and an ACE-Inhibitor at the time of admission. He expresses concern that, given the state of his heart, he will not survive to see his grandson graduate from law school in 3 years. Alzheimer’s Disease However, he also states that the quality of his life is important to him, specifically he does not wish to spend time in the hospital or live his life if he cannot be active and interact with his family. The cardiologist tells you that the implantation of a cardiac defibrillator can decrease all causes of mortality in these kinds of patients. However, the cardiologist says that ICD have significant costs and risk associated with them. They both turn to you and ask you to gather the current evidence so they can help the patient make a good decision. Alzheimer’s Disease