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Editorial
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Volume 352:1483-1484 April 7, 2005 Number 14
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Low-Density Lipoprotein Cholesterol in Patients with Stable Coronary Heart Disease — Is It Time to Shift Our Goals?
Bertram Pitt, M.D.

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The evidence of the effectiveness of statins in the treatment of stable coronary heart disease (CHD) continues to grow. Large-scale, randomized, secondary-prevention trials involving patients with CHD have shown that statins reduce the clinical consequences of atherosclerosis, including death from cardiovascular causes, nonfatal myocardial infarction, nonfatal stroke, hospitalization for unstable angina pectoris and heart failure, as well as the need for coronary revascularization. Current guidelines recommend a low-density lipoprotein (LDL) cholesterol level of less than 100 mg per deciliter (2.6 mmol per liter) as the goal for patients with stable CHD and a goal of 70 mg per deciliter (1.8 . . . [Full Text of this Article]


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From the University of Michigan School of Medicine, Ann Arbor.

This editorial was published at www.nejm.org on March 8, 2005.


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