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Preventing coronary heart disease: High baseline risk strategy and cost effectiveness of guidelines

EDITOR—Manuel et al found, contrary to Rose's population health strategy, that a high baseline risk strategy was the most effective approach to coronary heart disease prevention with a statin in Canada.1 This approach is consistent with new UK guidelines.2 Using data from the nationally representative Scottish health survey 1998 we estimate that 25% of 40-74 year olds …