Hyperlipidaemia is a powerful predictor of coronary artery disease, with a strong, independent, continuous and grades positive associationbetweencholesterol levels and risk of coronary events. Several large studies have shown the benefit of cholesterol reduction and there is clear evidence of the efficacy of statins in the reduction of events inprimazy and secondary prevention1. A 1% reduction in the total serum cholesterol reduces the frequency of fatal coronary heart disease by atleast 2%2. A l0% meandecrease inthe total serum choelsterol level reduces the incidence of both fatal and nonfatal myocardial infarctions3. Family physicians need to recognize patients at risk for hypercholesterolaemia, institute appropriate therapy and counsel family members about disease prevention4.