Paradox:Re: Statins for primary prevention of cardiovascular disease
There seems to be a sort of selective blindness with respect to the comparison of demographically similar groups in France and in Britain.
The figures cited below come from the British Heart Foundation and the BMJ as well as several individual commentaries
CLASSICAL RISK FACTORS vs. HEART DISEASE
(UK & FRANCE MEN AGED 45 - 64)
Average total cholesterol level
Average HDL ‘good cholesterol’
Average systolic blood pressure
Average body mass index (BMI)
Rate of smoking
Consumption of saturated fat % of calories
Rate of type II diabetes (amalgamation of a number of studies)
Death rate from CHD ICD 414 classification
How does one explain the fact that two groups with near identical risk factors have such a disparity in CVD? Perhaps cholesterol, “good” or “bad” makes no difference except in familial hypercholesterolemia, the genetic condition for which statins were first created.
(Reference: .( Heart. 2004 Jan; 90(1): 107–111.
The French paradox: lessons for other countries
Competing interests: No competing interests