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Letters Views on lipid lowering

Author’s reply

BMJ 2010; 341 doi: (Published 19 October 2010) Cite this as: BMJ 2010;341:c5837
  1. Rodney A Hayward, professor of medicine and public health1
  1. 1Schools of Public Health and Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA
  1. rhayward{at}

The estimated relative risk reduction (RRR) for total mortality of 9% for primary prevention is quite similar to the 11-12% found for secondary prevention.1 2 3 It is just as accurate to summarise the literature as finding no evidence that statins’ RRR for primary prevention differs much from that for secondary prevention but that their absolute risk reduction …

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