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Letters |15 December 1996

American College of Physicians Guidelines on Cholesterol Screening

Holly L. Thacker, MD

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  • Cleveland Clinic Foundation, Cleveland, OH 44195.
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TO THE EDITOR:
The recently published “Guidelines for Using Serum Cholesterol, High-Density Lipoprotein Cholesterol, and Triglyceride Levels as Screening Tests for Preventing Coronary Heart Disease in Adults” [1] should have been titled “Guidelines for Using Serum Cholesterol, High-Density Lipoprotein Cholesterol, and Triglyceride Levels as Screening Tests for Preventing Coronary Heart Disease in Men.” Premature menopause without the benefit of estrogen replacement therapy is an established risk factor for atherosclerosis and should have been included in the list of risk factors. Under the new American College of Physicians guidelines, a 44-year-old diabetic woman with premature or surgical menopause who is not receiving estrogen replacement therapy would have only one risk factor for coronary heart disease and thus would not be eligible for cholesterol screening.
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Thacker HL. American College of Physicians Guidelines on Cholesterol Screening. Ann Intern Med. ;125:1008–1009. doi: 10.7326/0003-4819-125-12-199612150-00020

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Published: Ann Intern Med. 1996;125(12):1008-1009.

DOI: 10.7326/0003-4819-125-12-199612150-00020

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