Letters Cardiovascular prevention

Risk factors inform screening

BMJ 2007; 335 doi: https://doi.org/10.1136/bmj.39339.446285.3A (Published 20 September 2007) Cite this as: BMJ 2007;335:577
  1. Tom P Marshall, senior lecturer in public health
  1. University of Birmingham, Birmingham B15 2TT
  1. 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 …

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