Views & Reviews From the Frontline

Bad medicine: non-ST elevation myocardial infarction

BMJ 2013; 347 doi: https://doi.org/10.1136/bmj.f5967 (Published 09 October 2013) Cite this as: BMJ 2013;347:f5967
  1. Des Spence, general practitioner, Glasgow
  1. destwo{at}yahoo.co.uk

No one ever got sued for doing too much. Accordingly, 60% of the UK patients prescribed statins are considered at low risk—that is, they do not need treatment.1 2 But doctors are treating cholesterol concentrations. No one is interested in the abstract concept of risk. It’s easier to do something than nothing. However, while a diagnosis may last only a moment on the doctor’s lips it can hang for a lifetime around patients’ necks. It can destroy wellbeing and relationships forever. Accurate diagnosis is fundamental, but we are engaged in a pandemic of overdiagnosis and overtreatment.

The accurate …

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