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Is it smart to take Niacin to prevent heart disease?

Is it smart to take Niacin to prevent heart disease, despite not having had a heart attack or extremely abnormal lipids? My lipids are relatively normal with LDL at around 80, HDL around 40, and triglycerides around 60, but I have pattern B LDL and, as such, my doctor has put me on Niacin (1500mg) in order to change the pattern to A and also boost my HDL a bit. Also, my father has had three heart attacks (all before age 50), but is alive thankfully, so I have the genetic disadvantage. Unfortunately I also have borderline hypertension (130-145/60-70) and take BP meds to control it. I am only 22. PLEASE HELP! 

submitted by James from Los Angeles, California on 3/18/2012

George Younis, MDAnswer:

by Texas Heart Institute cardiologist, George Younis, MD  

The data on niacin for primary prevention has been disputed somewhat in recent clinical trials, however, in your situation I think is makes sense and is reasonable.  

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Updated March 2012
Texas Heart Institute Heart Information Center
Through this community outreach program, staff members of the Texas Heart Institute (THI) provide educational information related to the prevention, diagnosis, and treatment of cardiovascular disease. It is not the intention of THI to provide specific medical advice, but rather to provide users with information to better understand their health and their diagnosed disorders. Specific medical advice will not be provided and THI urges you to visit a qualified physician for diagnosis and for answers to your questions.
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