Isn't the message of the Heart Protection Study
(http://www.ctsu.ox.ac.uk/~hps/) that once any risk has been established
measurement of cholesterol etc is superfluous?
Trevor Tickner,
Norwich
> -----Original Message-----
> From: William Marshall [SMTP:[log in to unmask]]
> Sent: 31 January 2002 11:54
> To: [log in to unmask]
> Subject: Re: advice/ NEQAS Case 111
>
> You'd be surprised. I frequently see patients whose revascularisation
> predated the clear demonstration of the risk between hypercholesterolaemia
> and FH - and even more worryingly, those whose didn't, but have
> nevertheless not had a full risk factor analysis.
> William M
> At 09:37 31/01/2002 +0000, Grimes, Helen, UCHG wrote:
> >What surprised me about this case was surely an 80 year old with a
> history
> >of CABG would have been worked up at the time of this CABG, and would
> have
> >been followed up, and if relatively recent would be on a statin. Even if
> he
> >had been lost to follow up, surely the most important thing would have
> been
> >to establish who had performed the CABG and when, what follow up there
> was,
> >as the cholesterol would have to be interpreted in view of the history
> >rather than been taken as an isolated event.Maybe he got so depressed on
> >statins that he gave them up! Also how could you say his relatives were
> at
> >risk, an 80 year old living relative is considered a "good risk" by
> >insurance companies.
> >
> >Dr Helen Grimes
> >Department of Clinical Biochemistry
> >University College Hospital
> >Galway
> >Ireland
> >
>
> From: Dr William J Marshall
> Reader and Hon Consultant in Clinical Biochemistry
> GKT School of Medicine
> London SE5 9PJ
> UK
>
> telephone: 020 7346 3275
> facsimile: 020 7737 7434
> email: [log in to unmask]
>
>
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