Optimal goals for statin use in patients with coronary artery disease

Curr Opin Cardiol. 2005 Nov;20(6):525-9. doi: 10.1097/01.hco.0000184529.52832.e6.

Abstract

Purpose of review: Coronary artery disease is the largest cause of premature death in the Western world. Lipid-lowering therapy with statins has revolutionized the management of this condition over the past decade.

Recent developments: Successive clinical trials have lowered the treatment bar for statin therapy in patients with coronary artery disease. In addition to traditional markers of efficacy such as low-density lipoprotein cholesterol, emerging targets such as C-reactive protein are becoming recognized as important therapeutic goals.

Summary: This review focuses on the important contributions to the literature during the past year and provides an expert opinion of the therapeutic goals for statin therapy.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Atherosclerosis / drug therapy
  • Atherosclerosis / prevention & control
  • C-Reactive Protein / drug effects
  • Cholesterol, LDL / drug effects
  • Coronary Disease / drug therapy*
  • Humans
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors / pharmacology
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors / therapeutic use*
  • Lovastatin / pharmacology
  • Lovastatin / therapeutic use*
  • Pravastatin / pharmacology
  • Pravastatin / therapeutic use*
  • Treatment Outcome

Substances

  • Cholesterol, LDL
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors
  • C-Reactive Protein
  • Lovastatin
  • Pravastatin