Risk factors inform screening

doi:10.1136/bmj.39339.446285.3A

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Tom P Marshall, senior lecturer in public health

University of Birmingham, Birmingham B15 2TT

T.P.Marshall{at}bham.ac.uk

First degree relatives of patients with coronary heart disease are at higher risk than the general population.1 Screening first degree relatives would be an improvement on unselected screening. However, family history is only one of several risk factors for cardiovascular disease. Selecting patients for screening on the basis of multiple risk factors is better than selecting patients on the basis of one …