1 Department of Pediatrics, New York Hospital, Cornell Medical Center, 526 East 68th St, N-053, New York, NY 10021
To the Editor.
The paper by Drs Garcia and Moodie is the third article in the past 4 months to question the efficacy of family history as the first step in a screening strategy to identify children with hypercholesterolemia.1-3 Their finding that 50% of the children they identified with elevated low-density lipoprotein (LDL) cholesterol did not have a family history of premature cardiovascular disease or hyperlipidemia is essentially the same as that of Griffen and colleagues.2