Update on lipid-lowering therapy and LDL-cholesterol targets

作者: Stephen D Wiviott , Christopher P Cannon

DOI: 10.1038/NCPCARDIO0613

关键词:

摘要: Serum cholesterol has long been recognized as an important risk factor for the development and progression of atherosclerotic vascular disease. For more than 30 years, improved outcomes with lipid lowering have demonstrated. As a result these data, National Heart, Lung, Blood Institute (NHLBI) convened Cholesterol Education Program-Adult Treatment Panel I (NCEP ATP I). This panel similar ones around world served to set standards in clinical practice. Subsequent revisions II III) led greater focus being placed on LDL, targets LDL levels based patients' subsequent coronary disease events. Since publication NCEP III guidelines, several large-scale trials conducted, findings which potential impact practice standards. In this article we current guidelines lipid-lowering therapy, review results implications completed trials, consider utility additional preventive such C-reactive protein HDL. We also prospects treatments future goals.

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