Statins as primary prevention in patients without dyslipidaemia

Mr VW is a 52-year-old regular customer of your pharmacy. He is not overweight, runs 10km three times a week, eats healthily, does not smoke and controls his hypertension with quinapril (Accupril) 10mg daily. He was recently shocked when his 53-year-old long-time friend suffered a massive heart attack while playing golf at the local country club and died before the ambulance arrived, so he underwent a full medical check-up and was given a clean bill of health, Although his GP has assured him that his cholesterol levels are completely normal, his wife has 'read somewhere that he perhaps should have another blood test and be taking a statin medication anyway'.