All well adults over 45 years of age need assessment of absolute risk of cardiovascular disease before statins are prescribed, unless there are other indications to do so.
- All well adults over 45 years of age need assessment of absolute risk of cardiovascular disease (CVD) before statins are prescribed.
- People at low risk of CVD will require advice only on lifestyle, diet and physical activity.
- A single threshold level of high risk of CVD over five years defined at 15% may not be appropriate in younger patients or in the elderly.
- Patients who manifest premature CVD in the absence of classic risk factors need assessment of novel risk factors, such as lipoprotein(a).