Editorial
Methods for the prediction of coronary heart disease risk
| The first 150 words of the full text of this article appear below. |
It is indisputable that patients with coronary heart disease (CHD) should generally receive statin treatment, certainly if their serum cholesterol exceeds 5 mmol/l.1 Patients with peripheral arterial disease or stroke are at a similar level of risk of a subsequent CHD event as are the survivors of myocardial infarction and are also increasingly recommended to receive statin treatment.2
Coronary risk in primary preventionHow to use statins in the primary prevention of CHD, however,
remains controversial. The difficulty is not a lack of evidence of the
clinical effectiveness of statins in primary prevention; this was
established in the West of Scotland coronary prevention study3 and the Air Force/Texas coronary atherosclerosis
prevention study.4 Rather it is that there are so many
people who could benefit from statin treatment, particularly in
Britain, which internationally has one of the worst records for CHD
deaths. The cost of treating all those who can benefit would
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[Abstract]
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