Читать книгу Pathy's Principles and Practice of Geriatric Medicine - Группа авторов - Страница 275

The reason for a low‐level recommendation (i.e. ‘Consider’) and a targeted approach (only for the Robust and Frail with additional risk factors) for cholesterol screening is because there is limited evidence about primary prevention of coronary heart disease using drugs in older populations. However, there are recommendations by organizations for secondary prevention of coronary heart disease in the elderly. The USPSTF recommends screening individuals 65 or older with coronary risk factors because studies have shown a reduction in coronary events on treating patients with statins compared with placebo. The National Cholesterol Educational Program reaffirms the position that older people who are at higher risk and in otherwise good health are candidates for cholesterol‐lowering therapy. The decision to treat should also be based on coexisting disease, social and economic considerations, and functional age. There is no upper limit for age of screening and treatment for lipid disorders in the elderly. The recommendations for the frequency of screening are not known.⁴⁶