Intended for healthcare professionals


Ageism occurs in prevention of heart disease too

BMJ 2000; 320 doi: (Published 15 April 2000) Cite this as: BMJ 2000;320:1077
  1. Tom Marshall, lecturer in public health medicine (
  1. University of Birmingham, Birmingham B15 2TT

    EDITOR—Bowling's article on ageism in cardiology focused exclusively on the treatment of ischaemic heart disease.1 She might also have looked at prevention.

    I have constructed a model of prevention of cardiovascular disease. Broadly speaking, lowering blood pressure by 10 mm Hg systolic (or cholesterol concentration by 20%) reduces the risk of an ischaemic heart disease event by about 30%. This is roughly the effect of an antihypertensive drug or a statin. As the reduction in risk depends on the initial level of …

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