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Strategies for assessing cardiovascular risk in asymptomatic populations
  1. Roger Boyle
  1. Department of Health, London, UK
  1. Correspondence to Professor Roger Boyle, National Director for Heart Disease and Stroke, Department of Health, Wellington House (Level 4), 133-155 Waterloo Road, London SE1 8UG, UK; roger.boyle{at}

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Recent articles in Heart by Lawson et al and an editorial by Zaman and Jones have ignited a debate as to the best method of identifying people with high cardiovascular risk in the population.1 2

Zaman and Jones confuse this debate by referring back to the Rose dilemma—that is, whether to concentrate on whole populations or merely those at high risk and also by inferring that the only intervention available is prescription of a statin.3 …

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