BMJ  2003;326 (28 June), doi:10.1136/bmj.326.7404.0-a

Measure cholesterol in everyone over 50

Current UK guidelines on who should have a cholesterol measurement fail to identify 20% of people who may benefit from treatment to reduce their risk of heart disease or stroke. Wilson and colleagues (p 1436) compared four different methods of selecting people for cholesterol measurement: the national service framework criteria, Sheffield tables, age threshold of 50 years, and fixed cholesterol values. They found that targeting everyone over 50 for cholesterol measurement and coronary risk assessment is a simple and efficient way of identifying people in the general population at increased risk of heart disease.

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Comparison of methods to identify individuals at increased risk of coronary disease from the general population

S Wilson, A Johnston, J Robson, N Poulter, D Collier, G Feder, and M J Caulfield
BMJ 2003 326: 1436. [Abstract] [Full Text] [PDF]