Long standing heart disease should be better screened

EDITOR—The audit by Irving et al in Scotland in 1997 showed that management of cholesterol concentration was performed less optimally than the treatment of other risk factors in secondary prevention of coronary heart disease.1 Those who had had coronary bypass operations before 1994—before the Scandinavian simvastatin survival study2—were much less likely to receive treatment. Our experience in the Helsinki area in 1998 was similar.3 Patients whose coronary heart disease had been diagnosed …