The evidence of the effectiveness of statins in the treatmentof stable coronary heart disease (CHD) continues to grow. Large-scale,randomized, secondary-prevention trials involving patients withCHD have shown that statins reduce the clinical consequencesof atherosclerosis, including death from cardiovascular causes,nonfatal myocardial infarction, nonfatal stroke, hospitalizationfor unstable angina pectoris and heart failure, as well as theneed for coronary revascularization. Current guidelines recommenda low-density lipoprotein (LDL) cholesterol level of less than100 mg per deciliter (2.6 mmol per liter) as the goal for patientswith 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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