The National Cholesterol Guidelines recommends an intensive lipid-lowering therapy that uses high doses of certain statins both at the medical facility and upon discharge.
The problem is that:
Many doctors think that lower dosage is better (a conservative wait and see policy);
Some physicians don't understand the recommendations;
Some medical personnel think that the guidelines don't apply to their patients, especially if those patients are older;
It takes time for doctors to accept and adopt new guidelines.