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Editorial
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Volume 350:1562-1564 April 8, 2004 Number 15
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Intensive Statin Therapy — A Sea Change in Cardiovascular Prevention
Eric J. Topol, M.D.

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 by Cannon, C. P.
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In the management of atherosclerotic vascular disease, statin drugs have already surpassed all other classes of medicines in reducing the incidence of the major adverse outcomes of death, heart attack, and stroke. A decade ago, their effectiveness was first demonstrated by the results of the Scandinavian Simvastatin Survival Study (4S), a trial that provided definitive evidence of the benefit of simvastatin, as compared with placebo, in improving survival.1 By 1996, statins were dubbed "miracle drugs," and their underuse was duly noted.2 Prominent scientists in the field even speculated that heart attacks might be "gone with the century."3 For the most . . . [Full Text of this Article]


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From the Cleveland Clinic Lerner College of Medicine and the Department of Cardiovascular Medicine, Cleveland Clinic Foundation — both in Cleveland.



This editorial was published at www.nejm.org on March 8, 2004.

Address reprint requests to Dr. Topol at the Cleveland Clinic Foundation, 9500 Euclid Ave., Desk F25, Cleveland, OH 44105, or at topole@ccf.org.


Related Letters:

Intensive versus Moderate Lipid Lowering with Statins after Acute Coronary Syndromes
van der Harst P., Voors A. A., van Veldhuisen D. J., Miller M., Gotto A. M. Jr., Paradis J.-M., LeLorier J., Auer J., Weber T., Eber B., Cannon C. P., Braunwald E.
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N Engl J Med 2004; 351:714-717, Aug 12, 2004. Correspondence

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