Prostate cancer consultations are common in primary care and there is no one approach to testing and treatment that fits all patients. Urologist Simon van Rij discusses the key considerations and options for personalised care, appropriate investigation and treatment
Statins for older people: Life prolonging or a ‘waste of time’?
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In print
Heartbeat
Statins for older people: Life prolonging or a ‘waste of time’?
Wednesday 25 October 2023, 12:20 AM
ECG supplied
Knowing when to stop preventive medication can be a challenge. Consultant cardiologist Chris Ellis explains why older patients shouldn’t be too quick to drop their statin
Key points, For each 1mmol/L that LDL cholesterol is lowered, there is about a 20 per cent relative risk reduction in major vascular events.
Lipid-lowering medi, Pract Green w Pale Yellow
References
1. Gencer B, Marston NA, Im K, et al. Efficacy and safety of lowering LDL cholesterol in older patients: a systematic review and meta-analysis of randomised controlled trials. Lancet 2020;396(10263):1637–43.
2. Andersson NW, Corn G, Dohlmann TL, et al. LDL-C reduction with lipid-lowering therapy for primary prevention of major vascular events among older individuals. J Am Coll Cardiol 2023;82(14):1381–91.