Should healthy women take statins if they haven't had a heart attack?

Yes: Statins have multiple functions and benefits beside lowering LDL cholesterol. These include: improve endothelial function, modulate anti -inflammatory response, maintain plaque stability, prevent thrombus formation, stabilize immunity to mention some.

Evidence base Rx: Very good question. With history of coronary artery disease/heart attack statins decrease mortality up to around 30%.Goal is LDL less than 100mg/dl. More aggressive therapy to lees than 70 sometimes used. No history of CAD but with high chol and LDL with 2 more risk factors, i will use statins. Only high chol with no other risk factor evidence is gray, i will say no but consult ur doctor.