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Should hypercholesterolemia be treated in patients older than 65?

Although patients older than 65 are at increased risk for cardiovascular disease, there has been a long controversy over whether they should be treated for hypercholesterolemia. Some studies'. have found little or no correlation between cholesterol and coronary heart disease morbidity and mortality, and recommend that physicians be "cautious about initiating cholesterol-lowering treatment in men and women above 65 to 70 years of age." Resolving this controversy was difficult, because few studies of cholesterol-lowering therapy have included older patients. However, more recent studies are making the question easier to answer.