Statins as such do not have any significant adverse effect on the heart per se
it is easier to be proactive then reactive,
No offence - but it is even easier to expect people to be responsible for themselves - in reality - most are not.
I always shudder to think of that young South Asian secretary who came to the clinic, at an interval of 1 year, accusing us for not following her up, when she missed 6 appointments during that period . . . interestingly, she was a case of multi-drug resistance tuberculosis who did not complete her treatment (she argued that she did not receive any letter asking her to continue on medication after she mised her first appointment and did not ask GP to represcribe her tablets). Alarmingly, she was feeling unwell and loosing weight - she had a recurrence . . . with two kids at home.
We were responsible for not being pro-active - it is only when I went to that medical firm and went through her notes following a missed appointment, alarmed, contacted her GP, she made the appearance. She completely absolved herself of any responsibility - refused to acknowledge that she has been told how serious her disease is - I got very angry and showed her notes - where it was documented that consultant spoke to her and explained how serious her condition is.
She was very upset - and complained against me.
This is about 8 yrs back, now we have a Special nurse in most hospital trusts who keep an eye on patients - so that this never happens again.