Epidemiologic, clinical, genetic, experimental, and pathologicalstudies have clearly established the primary role of lipoproteinsin atherogenesis.1,2 Lowering plasma cholesterol concentrationsreduces the availability of atherogenic lipoproteins and also,presumably, the accumulation of cholesterol in the intima ofarteries. Measures to lower plasma cholesterol have become fundamentalto the practice of preventive cardiology, and their use in bothpatients who already have coronary disease and healthy peoplehas materially contributed to the 50 percent reduction in mortalityfrom coronary heart disease in the United States in the pasttwo decades.3,4
Lowering the plasma cholesterol concentration by a variety ofmeans, . . . [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.
References
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