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Review Article
Medical Progress
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Volume 332:512-521 February 23, 1995 Number 8
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Cholesterol Reduction in Cardiovascular Disease — Clinical Benefits and Possible Mechanisms
Glenn N. Levine, M.D., John F. Keaney, M.D., and Joseph A. Vita, M.D.

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The causal role of an elevated serum cholesterol level in the genesis of atherosclerosis and its clinical sequelae, particularly ischemic heart disease, is now well established. The recognition of this role has been the impetus for numerous trials designed to test the hypothesis that a reduction in the cholesterol level will lead to a reduction in morbidity and mortality from cardiovascular disease. Most of these studies have indeed demonstrated a reduction in the incidence of ischemic cardiac events, and some have also shown a reduction in mortality from cardiovascular disease. Despite this intensive investigation, however, the mechanism (or mechanisms) responsible . . . [Full Text of this Article]

Epidemiologic and Angiographic Studies of Hypercholesterolemia and Atherosclerosis

Cholesterol Reduction and Cardiovascular Disease

Primary-Prevention Trials

Secondary-Prevention Trials

Angiographic Studies of Cholesterol Reduction

Hypercholesterolemia, Plaque Rupture, and Lesion Activation

Hypercholesterolemia, Atherosclerosis, and Endothelial Dysfunction

Studies of Endothelial Dysfunction in Coronary Artery Disease and Hypercholesterolemia

Studies of Cholesterol Reduction and Endothelial Function

Summary


Source Information

From the Evans Memorial Department of Medicine and the Whitaker Cardiovascular Institute, Boston University School of Medicine, Boston.

Address reprint requests to Dr. vita at the Section of Cardiology, Boston University Medical Center Hospital, 88 E. Newton St., Boston, MA 02118.

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