re: 72yr. old patient
headache
cholesterol came back as 9.6 and has not improved on dietary
treatment.
She has no history and one sister had an MI at age 65+
I would measure HDL, Trigs., and LDL and discuss her risk factors with
her. The headache may be related to cerebrovascular atherosclerosis.
If she is a vigorous 72 year old I would treat her with drugs if she was
interested in pursuing it, after offering her the options. Treatment at
this late age should be patient-led, and reflect your reaction to treating
her very significant hypercholesterolaemia, if it was your mother or you,
at her age.
Mark Joyce
Calgary
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