Document Detail


Primary prevention of coronary heart disease. What has WOSCOPS told us and what questions remain? West Of Scotland Coronary Prevention Study.
MedLine Citation:
PMID:  9211076     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Coronary heart disease remains the major cause of death and morbidity in developed countries. As a consequence, its prevention constitutes a significant public health challenge. In recent times, our understanding of this disease process has expanded and many of the factors that influence its expression have been elucidated. In addition, a number of trials of diet and lipid-lowering drugs have been performed in an effort to tackle this problem. These studies demonstrate that when lipid levels are favourably altered, cardiovascular events are reduced without adverse effect. The rate at which event outcomes diverge between treated and untreated patients depends on the degree of atherosclerosis manifestation prior to treatment and the aggressiveness of the lipid altering strategy. Nonetheless, to date, the residual risk of cardiovascular events is still unacceptably high despite even the most potent lipid-lowering treatments used in these trials. In order to minimise the risk of future events, earlier intervention and a greater change in LDL and HDL cholesterol levels are needed in conjunction with other risk factor modifications.
Authors:
V Maher; J Sinfuego; P Chao; J Parekh
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Drugs     Volume:  54     ISSN:  0012-6667     ISO Abbreviation:  Drugs     Publication Date:  1997 Jul 
Date Detail:
Created Date:  1997-09-02     Completed Date:  1997-09-02     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  7600076     Medline TA:  Drugs     Country:  NEW ZEALAND    
Other Details:
Languages:  eng     Pagination:  1-8     Citation Subset:  IM    
Affiliation:
University of Washington Medical Center, Seattle, USA. maherv@u.washington.edu
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MeSH Terms
Descriptor/Qualifier:
Arteriosclerosis / pathology,  physiopathology
Coronary Disease / pathology,  physiopathology,  prevention & control*
Humans

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


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