To the Editor: The Lipid management guidelines — 2001 supplement1 is no doubt full of cardiovascular wisdom. Unfortunately, the authors appear oblivious to the fact that people are more than just cardiovascular systems. I found no mention of the risks of violent deaths associated with low cholesterol levels, which in some studies have been found to offset the decreased cardiovascular mortality benefits.2
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- 1. Lipid management guidelines — 2001. MJA 2001; 175 (Suppl 5 November): S57-S88.
- 2. Muldoon MF, Mannuck SB, Matthews KA. Lowering cholesterol concentrations and mortality: a quantitative review of primary prevention trials. BMJ 1990; 301: 309-314.
- 3. Engstrom G, Alsen M, Regnell G, Traskman-Bendz L. Serum lipids in suicide attempters. Suicide Life-Threat Behav 1995; 25: 393-400.