Ageism occurs in prevention of heart disease tooBMJ 2000; 320 doi: https://doi.org/10.1136/bmj.320.7241.1077 (Published 15 April 2000) Cite this as: BMJ 2000;320:1077
- Tom Marshall, lecturer in public health medicine (marshaTP@HSRC1.bham.ac.uk)
- 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 …