Some of Dr. Barry Marged's statements regarding the use of statins by elderly patients are misguided ("Give Patients the Full Statin Picture," Letters, July 15, 2007, p. 11).
His simple assessment of hyperlipidemia's contribution to atherosclerosis is partly true, i.e., slowly progressive coronary narrowing causing angina. It appears, however, that he does not appreciate hyperlipidemia's contribution to positive remodeling causing unstable plaque. Even in the elderly, these, unstable lesions rupture, thrombose, and cause acute myocardial infarctions. MIs ...