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At least things have improved in the last few years: I remember a case when I was an SR, where it was only after the 2nd revision of a CABG in a 45 year old that the cardiothoracic surgeons tested cholesterol and found it to be 17mmol/L. TIM ********************************************** Prof. Tim Reynolds, Clinical Chemistry Department, Queens Hospital, Belvedere Rd., Burton-on-Trent, STAFFORDSHIRE, DE13 0RB, UK. tel: 01283 511511 ext. 4035 fax: 01283 593064 email: tim.reynolds@queens,burtonh-tr.wmids.nhs.uk alternative email for the all too frequent occasions when the NHS email connection doesn't work: [log in to unmask] -----Original Message----- From: p=NHS NATIONAL INT;a=NHS;c=GB;dda:RFC-822=ACB-CLIN-CHEM-GEN(a)JISCMAIL.AC.UK; Sent: 31 January 2002 15:56 To: p=NHS NATIONAL INT;a=NHS;c=GB;dda:RFC-822=ACB-CLIN-CHEM-GEN(a)JISCMAIL.AC.UK; 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]