Views & Reviews From the Frontline

Statins for all

BMJ 2014; 348 doi: https://doi.org/10.1136/bmj.g1899 (Published 03 March 2014) Cite this as: BMJ 2014;348:g1899
  1. Des Spence, general practitioner, Glasgow
  1. destwo{at}yahoo.co.uk

The UK National Institute for Health and Care Excellence has issued new guidelines on lipid lowering. The headlines are: lower the treatment threshold for primary prevention to people with a 10 year risk of 10%, use atorvastatin preferentially, and use the Qrisk assessment tool.1 This guidance, authored by a small group of important cholesterol specialists, is surely a scientific and thought through analysis of the research data. Shouldn’t we embrace such authoritative advice?

The guidelines rely on a simplistic model of the cause of ischaemic heart disease, assuming that its decline is merely the result of a reduction …

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