Reader Remarks on:

Discussion on CardioExchange: Are We Ready to Stop Treating Cholesterol Levels and Start Treating Risk?

treat also to likely benefit
Are we ready to stop treating Cholesterol levels and treat the risk factor

treat also to likely benefit

Neal Devitt, La Familia Medical Center, 25 Jan 2012 10:52 PM EST

Competing interests: None declared

Specialty: Family Medicine

An 89 year old patient of mine with type II diabetes saw a cardiologist for pre-operative clearance for a minor eye procedure. My patient never had a cardiovascular "event." I was chastised for not having him on a statin and told I should treat him to a target LDL of 70. I thought this was patently ridiculous and thought it was obvious that he did not have the life expectancy to benefit from a statin. The cardiologist treated me like a cretin. The AHA should address this issue in its guidelines.

Are we ready to stop treating Cholesterol levels and treat the risk factor

Cristian S. Oana, Bucuresti, Romania, 26 Jan 2012 8:11 AM EST

Competing interests: None declared

Specialty: Family Medicine

We cannot always attack the risk factor so we have to content with the false endpoint which is cholesterol.

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