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This article is no surprise but is reassuring to know that
the benefit of LDL lowering with statins and others is greater in
the elderly up to age 100 than in younger age groups.
Years ago one British autopsy study established the causes of deaths
of people who died between 90 and 100 which are the same as those who died
in the '80s and '70s, indicating that cardiovascular deaths are the number one
accounting for over 50%.
All those millions of people who had had CABG or coronary stenting,
including Henry Kissinger, George Burns, are living thru the '90s and are reaching
100. I had a patient who had CABG with an internal mammary artery in the 70's
lived to be age 103.
Despite the lack of data years ago I always preached to all my patients
the benefit of lipid-lowering in the elderly throughout my career.
Every day I could see the benefits in my own patients clearly as my patients got older.
At the same time, I observed what happened to those who did not heed my advice.
When you practice medicine as long as I did, namely 43 years, each patient you follow
for decades becomes a unique longitudinal medical study.