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A correction has been published: N Engl J Med 1995;333(7):467.

Review Article
Drug Therapy
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Volume 332:1491-1498 June 1, 1995 Number 22
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Management of Primary Hyperlipidemia
Richard J. Havel, M.D., and Elliot Rapaport, M.D.

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Epidemiologic, clinical, genetic, experimental, and pathological studies have clearly established the primary role of lipoproteins in atherogenesis.1,2 Lowering plasma cholesterol concentrations reduces the availability of atherogenic lipoproteins and also, presumably, the accumulation of cholesterol in the intima of arteries. Measures to lower plasma cholesterol have become fundamental to the practice of preventive cardiology, and their use in both patients who already have coronary disease and healthy people has materially contributed to the 50 percent reduction in mortality from coronary heart disease in the United States in the past two decades.3,4

Lowering the plasma cholesterol concentration by a variety of means, . . . [Full Text of this Article]

Atherogenic and Antiatherogenic Lipoproteins

Low-Density Lipoprotein Cholesterol

The Atherogenic Lipoprotein Phenotype

Plasma Lipoprotein(A)

Plasma HDL Cholesterol

Measurement of Lipoproteins in Risk Assessment

Plasma LDL Cholesterol

Plasma Non-HDL Cholesterol

Plasma Triglycerides and HDL Cholesterol

Prevention and Treatment of Atherogenic Hyperlipidemia

Primary Prevention

            Screening

            Treatment

Secondary Prevention

            Potential for Reducing Morbidity and Mortality

            Treatment

Coronary-Artery Bypass Surgery

Percutaneous Coronary Angioplasty

Treatment of Women

Treatment of Patients with Hypertension or Diabetes Mellitus

Treatment of the Elderly

Conclusions


Source Information

From the Cardiovascular Research Institute and the Department of Medicine, University of California, San Francisco, CA 94143-0130, where reprint requests should be addressed to Dr. Havel.

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