Document Detail


Current perspectives on statins.
MedLine Citation:
PMID:  10637210     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Statins (HMG-CoA reductase inhibitors) are used widely for the treatment of hypercholesterolemia. They inhibit HMG-CoA reductase competitively, reduce LDL levels more than other cholesterol-lowering drugs, and lower triglyceride levels in hypertriglyceridemic patients. Statins are well tolerated and have an excellent safety record. Clinical trials in patients with and without coronary heart disease and with and without high cholesterol have demonstrated consistently that statins reduce the relative risk of major coronary events by approximately 30% and produce a greater absolute benefit in patients with higher baseline risk. Proposed mechanisms include favorable effects on plasma lipoproteins, endothelial function, plaque architecture and stability, thrombosis, and inflammation. Mechanisms independent of LDL lowering may play an important role in the clinical benefits conferred by these drugs and may ultimately broaden their indication from lipid-lowering to antiatherogenic agents.
Authors:
D J Maron; S Fazio; M F Linton
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.; Review    
Journal Detail:
Title:  Circulation     Volume:  101     ISSN:  1524-4539     ISO Abbreviation:  Circulation     Publication Date:  2000 Jan 
Date Detail:
Created Date:  2000-02-01     Completed Date:  2000-02-01     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0147763     Medline TA:  Circulation     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  207-13     Citation Subset:  AIM; IM    
Affiliation:
Department of Medicine, Division of Cardiovascular Medicine, Vanderbilt University, School of Medicine, Nashville, TN 37232-6300 , USA. david.maron@mcmail.vanderbilt.edu
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MeSH Terms
Descriptor/Qualifier:
Antilipemic Agents / therapeutic use
Cardiology / trends*
Clinical Trials as Topic
Drug Therapy, Combination
Endothelium, Vascular / drug effects,  physiopathology
Humans
Hydroxymethylglutaryl-CoA Reductase Inhibitors / adverse effects,  pharmacology,  therapeutic use*
Hypercholesterolemia / drug therapy*,  prevention & control
Practice Guidelines as Topic
Grant Support
ID/Acronym/Agency:
HL-53989/HL/NHLBI NIH HHS; HL-57986/HL/NHLBI NIH HHS
Chemical
Reg. No./Substance:
0/Antilipemic Agents; 0/Hydroxymethylglutaryl-CoA Reductase Inhibitors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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