The Editorial Executive Committee welcomes letters, which should be less than 250 words. Before a decision to publish is made, letters which refer to a published article may be sent to the author for a response. Any letter may be sent to an expert for comment. When letters are published, they are usually accompanied in the same issue by their responses or comments. The Committee screens out discourteous, inaccurate or libellous statements. The letters are sub-edited before publication. Authors are required to declare any conflicts of interest. The Committee's decision on publication is final.
Letter to the Editor
Editor, – Thank you for the article by Jane Smith ‘Appropriate primary prevention of cardiovascular disease: does this mean more or less statin use?’ (Aust Prescr 2011;34:169-72). In the very high risk category, when patients should be treated at any lipid level, there is no mention of family history.
The Pharmaceutical Benefits Scheme (PBS) and Therapeutic Guidelines recommendations are for patients with a family history of premature coronary heart disease (one or more first-degree relatives symptomatic before the age of 45 years, or two or more first-degree relatives symptomatic before the age of 55 years).
Is there any evidence for this and what would be the recommended dose?
General practice registrar
- Hippisley-Cox J, Coupland C, Robson J, Brindle P. Derivation, validation, and evaluation of a new QRISK model to estimate lifetime risk of cardiovascular disease: cohort study using QResearch database. BMJ 2010;341:c6624.
- Sesso HD, Lee IM, Gaziano JM, Rexrode KM, Glynn RJ, Buring JE. Maternal and paternal history of myocardial infarction and risk of cardiovascular disease in men and women. Circulation 2001;104:393-8.