Document Detail


Nicotinic acid, alone and in combinations, for reduction of cardiovascular risk.
MedLine Citation:
PMID:  18375243     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The current guidelines for the treatment of high risk lipid disorders do not specify a therapeutic target level of high-density lipoprotein (HDL) cholesterol for cardiovascular disease prevention in high-risk populations. However, as described in this report, there is a substantial body of evidence from basic science and epidemiologic studies and from clinical trials providing the strong, consistent message that raising HDL cholesterol by therapeutic means will effectively reduce cardiovascular risk independently of reductions in low-density lipoprotein (LDL) cholesterol. Therapeutic HDL cholesterol raising, most effectively achieved by nicotinic acid (niacin), appears to be at least as effective as comparable percentages of LDL cholesterol lowering for the reduction of atherosclerosis progression or clinical cardiovascular events, over a broad range of risk levels. The widespread adoption of this strategy awaits the results of large, ongoing controlled clinical trials of HDL cholesterol raising.
Authors:
B Greg Brown; Xue-Qiao Zhao
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The American journal of cardiology     Volume:  101     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-03-31     Completed Date:  2008-07-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  58B-62B     Citation Subset:  AIM; IM    
Affiliation:
Division of Cardiology, Department of Medicine, University of Washington School of Medicine, Seattle, Washington 98195-8019, USA. bgbrown@u.washington.edu
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MeSH Terms
Descriptor/Qualifier:
Anticholesteremic Agents / therapeutic use*
Cardiovascular Diseases / etiology,  prevention & control*
Cholesterol, HDL / drug effects
Cholesterol, LDL / drug effects
Clofibric Acid / therapeutic use
Drug Therapy, Combination
Dyslipidemias / complications,  drug therapy*
Humans
Hyperlipidemias / drug therapy
Niacin / pharmacology,  therapeutic use*
Risk Factors
Risk Reduction Behavior
Chemical
Reg. No./Substance:
0/Anticholesteremic Agents; 0/Cholesterol, HDL; 0/Cholesterol, LDL; 59-67-6/Niacin; 882-09-7/Clofibric Acid

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


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