The development and progression of atherosclerosis is an intricateinflammatory process dependent on intimal entry of low-densitylipoprotein (LDL) cholesterol. Although myriad genetic and environmentalfactors modulate this process, the centrality of LDL cholesterolto the physiology of plaque genesis, progression, and instabilityleads to the notion that reducing serum LDL cholesterol mightbe an effective way to mitigate or even prevent the disease.
A number of clinical trials have unequivocally demonstratedthe clinical utility of lowering LDL cholesterol levels. Thethree major cholesterol-lowering trials carried out in peoplewithout a history of coronary events (primary prevention trials)include the . . . [Full Text of this Article]
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From the Atherothrombosis and Coronary Artery Disease Branch, National Heart, Lung, and Blood Institute, Bethesda, MD.
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