The causal role of an elevated serum cholesterol level in thegenesis of atherosclerosis and its clinical sequelae, particularlyischemic heart disease, is now well established. The recognitionof this role has been the impetus for numerous trials designedto test the hypothesis that a reduction in the cholesterol levelwill lead to a reduction in morbidity and mortality from cardiovasculardisease. Most of these studies have indeed demonstrated a reductionin the incidence of ischemic cardiac events, and some have alsoshown 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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