Abstract
Atherosclerosis is a systemic disease of the arteries and is considered the leading cause of cardiovascular diseases (CVDs), coronary artery disease (CAD), peripheral artery disease (PAD), and stroke. Atherogenesis is dramatically accelerated by the concomitant presence of major cardiovascular risk factors such as dyslipidemia, hypertension, smoking, and visceral obesity. Atherothrombosis and aneurismal disease related to atherosclerosis underlie the majority of acute cardiovascular events in developed countries.
Different pharmacological classes of drugs have been developed to treat a single specific risk factor of CVD: hipolipemic and antihypertensive agents are landmarks of antiatherogenic therapy from several years. In recent times, the development of modern imaging techniques offers new tools for documenting the effect of drugs on progression of atherosclerosis lesions. The introduction of these technologies highlights the role of surrogate end-point and biomarkers as predictors of clinical outcomes in CVDs. The potential value to public health and industries in accelerating the discovery and development processes for cardiovascular therapeutics through smaller, shorter studies, using validated endpoints other than mortality and irreversible morbidity is substantial and very attractive.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Hiatt, W.R., Goldstone, J., Smith, S.C., Jr., McDermott, M., Moneta, G., Oka, R., Newman, A.B., Pearce, W.H.: Atherosclerotic peripheral vascular disease symposium II: nomenclature for vascular diseases. Circulation 118 (2008) 2826–2829
Adams, R.J., Chimowitz, M.I., Alpert, J.S., Awad, I.A., Cerqueria, M.D., Fayad, P., Taubert, K.A.: Coronary risk evaluation in patients with transient ischemic attack and ischemic stroke: a scientific statement for healthcare professionals from the Stroke Council and the Council on Clinical Cardiology of the American Heart Association/American Stroke Association. Stroke 34 (2003) 2310–2322
Kannel, W.B.: Risk factors for atherosclerotic cardiovascular outcomes in different arterial territories. J Cardiovasc Risk 1 (1994) 333–339
Haffner, S.M., Lehto, S., Ronnemaa, T., Pyorala, K., Laakso, M.: Mortality from coronary heart disease in subjects with type 2 diabetes and in nondiabetic subjects with and without prior myocardial infarction. N Engl J Med 339 (1998) 229–234
Chapman, M.J.: From pathophysiology to targeted therapy for atherothrombosis: a role for the combination of statin and aspirin in secondary prevention. Pharmacol Ther 113 (2007) 184–196
Hopkins, P.N., Williams, R.R.: A survey of 246 suggested coronary risk factors. Atherosclerosis 40 (1981) 1–52
Kannel, W.B., Wilson, P.W.: An update on coronary risk factors. Med Clin North Am 79 (1995) 951–971
Third Report of the National Cholesterol Education Program (NCEP): Expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (adult treatment panel III) final report. Circulation 106 (2002) 3143–3421
Conti, C.R.: Evolution of NCEP guidelines: ATP1–ATPIII risk estimation for coronary heart disease in 2002. National Cholesterol Education Program. Clin Cardiol 25 (2002) 89–90
Kuhar, M.B.: Update on managing hypercholesterolemia. The new NCEP guidelines. AAOHN J 50 (2002) 360–364
Smith, S.C., Jr., Allen, J., Blair, S.N., Bonow, R.O., Brass, L.M., Fonarow, G.C., Grundy, S.M., Hiratzka, L., Jones, D., Krumholz, H.M., Mosca, L., Pearson, T., Pfeffer, M.A., Taubert, K.A.: AHA/ACC guidelines for secondary prevention for patients with coronary and other atherosclerotic vascular disease: 2006 update endorsed by the National Heart, Lung, and Blood Institute. J Am Coll Cardiol 47 (2006) 2130–2139
Segura, J., Ruilope, L.M.: New guidelines of the European Society of Hypertension. Curr Hypertens Rep 10 (2008) 337–338
Marzolo, M., Verlato, F., Zotta, L., Guadagnin, M.L., Borgese, L., Cravatari, M., Nardi, M., Camporese, G., Andreozzi, G.M.: Occult atherosclerosis and physical vascular examination: a simple strategy to avoid inadequate cardiovascular prevention and under-use of diagnostic vascular guidelines in outpatients. A multicenter study by Angiology Care Units in North-Eastern Italy. Int Angiol 27 (2008) 426–432
Gidding, S.S., Lichtenstein, A.H., Faith, M.S., Karpyn, A., Mennella, J.A., Popkin, B., Rowe, J., Van Horn, L., Whitsel, L.: Implementing American Heart Association pediatric and adult nutrition guidelines: a scientific statement from the American Heart Association Nutrition Committee of the Council on Nutrition, Physical Activity and Metabolism, Council on Cardiovascular Disease in the Young, Council on Arteriosclerosis, Thrombosis and Vascular Biology, Council on Cardiovascular Nursing, Council on Epidemiology and Prevention, and Council for High Blood Pressure Research. Circulation 119 (2009) 1161–1175
de la Sierra, A., Zamorano, J.L., Ruilope, L.M.: Application of hypertension guidelines in clinical practice: implementation of the 2007 ESH/ESC European practice Guidelines in Spain. J Hypertens 27 Suppl 3 (2009) S27–S32
Smith, S.C., Jr., Jackson, R., Pearson, T.A., Fuster, V., Yusuf, S., Faergeman, O., Wood, D.A., Alderman, M., Horgan, J., Home, P., Hunn, M., Grundy, S.M.: Principles for national and regional guidelines on cardiovascular disease prevention: a scientific statement from the World Heart and Stroke Forum. Circulation 109 (2004) 3112–3121
Munger, M.A., Hawkins, D.W.: Atherothrombosis: epidemiology, pathophysiology, and prevention. J Am Pharm Assoc (2003) 44 (2004) S5–S12; quiz S12–S13
Libby, P., Theroux, P.: Pathophysiology of coronary artery disease. Circulation 111 (2005) 3481–3488
Libby, P.: Atherosclerosis: disease biology affecting the coronary vasculature. Am J Cardiol 98 (2006) 3Q–9Q
Libby, P.: Inflammation and cardiovascular disease mechanisms. Am J Clin Nutr 83 (2006) 456S–460S
Libby, P.: Inflammation in atherosclerosis. Nature 420 (2002) 868–874
Libby, P., Ridker, P.M., Hansson, G.K.: Inflammation in atherosclerosis: from pathophysiology to practice. J Am Coll Cardiol 54 (2009) 2129–2138
Naghavi, M., Libby, P., Falk, E., Casscells, S.W., Litovsky, S., Rumberger, J., Badimon, J.J., Stefanadis, C., Moreno, P., Pasterkamp, G., Fayad, Z., Stone, P.H., Waxman, S., Raggi, P., Madjid, M., Zarrabi, A., Burke, A., Yuan, C., Fitzgerald, P.J., Siscovick, D.S., de Korte, C.L., Aikawa, M., Juhani, K.E., Assmann, G., Becker, C.R., Chesebro, J.H., Farb, A., Galis, Z.S., Jackson, C., Jang, I.K., Koenig, W., Lodder, R.A., March, K., Demirovic, J., Navab, M., Priori, S.G., Rekhter, M.D., Bahr, R., Grundy, S.M., Mehran, R., Colombo, A., Boerwinkle, E., Ballantyne, C., Insull, W., Jr., Schwartz, R.S., Vogel, R., Serruys, P.W., Hansson, G.K., Faxon, D.P., Kaul, S., Drexler, H., Greenland, P., Muller, J.E., Virmani, R., Ridker, P.M., Zipes, D.P., Shah, P.K., Willerson, J.T.: From vulnerable plaque to vulnerable patient: a call for new definitions and risk assessment strategies: part I. Circulation 108 (2003) 1664–1672
Naghavi, M., Libby, P., Falk, E., Casscells, S.W., Litovsky, S., Rumberger, J., Badimon, J.J., Stefanadis, C., Moreno, P., Pasterkamp, G., Fayad, Z., Stone, P.H., Waxman, S., Raggi, P., Madjid, M., Zarrabi, A., Burke, A., Yuan, C., Fitzgerald, P.J., Siscovick, D.S., de Korte, C.L., Aikawa, M., Airaksinen, K.E., Assmann, G., Becker, C.R., Chesebro, J.H., Farb, A., Galis, Z.S., Jackson, C., Jang, I.K., Koenig, W., Lodder, R.A., March, K., Demirovic, J., Navab, M., Priori, S.G., Rekhter, M.D., Bahr, R., Grundy, S.M., Mehran, R., Colombo, A., Boerwinkle, E., Ballantyne, C., Insull, W., Jr., Schwartz, R.S., Vogel, R., Serruys, P.W., Hansson, G.K., Faxon, D.P., Kaul, S., Drexler, H., Greenland, P., Muller, J.E., Virmani, R., Ridker, P.M., Zipes, D.P., Shah, P.K., Willerson, J.T.: From vulnerable plaque to vulnerable patient: a call for new definitions and risk assessment strategies: part II. Circulation 108 (2003) 1772–1778
Hadi, H.A., Carr, C.S., Al Suwaidi, J.: Endothelial dysfunction: cardiovascular risk factors, therapy, and outcome. Vasc Health Risk Manag 1 (2005) 183–198
Anderson, T.J., Gerhard, M.D., Meredith, I.T., Charbonneau, F., Delagrange, D., Creager, M.A., Selwyn, A.P., Ganz, P.: Systemic nature of endothelial dysfunction in atherosclerosis. Am J Cardiol 75 (1995) 71B–74B
Kinlay, S., Ganz, P.: Role of endothelial dysfunction in coronary artery disease and implications for therapy. Am J Cardiol 80 (1997) 11I–16I
Traub, O., Berk, B.C.: Laminar shear stress: mechanisms by which endothelial cells transduce an atheroprotective force. Arterioscler Thromb Vasc Biol 18 (1998) 677–685
Libby, P., Ridker, P.M., Maseri, A.: Inflammation and atherosclerosis. Circulation 105 (2002) 1135–1143
Celermajer, D.S., Sorensen, K.E., Gooch, V.M., Spiegelhalter, D.J., Miller, O.I., Sullivan, I.D., Lloyd, J.K., Deanfield, J.E.: Non-invasive detection of endothelial dysfunction in children and adults at risk of atherosclerosis. Lancet 340 (1992) 1111–1115
Prasad, A., Zhu, J., Halcox, J.P., Waclawiw, M.A., Epstein, S.E., Quyyumi, A.A.: PredisÂposition to atherosclerosis by infections: role of endothelial dysfunction. Circulation 106 (2002) 184–190
Steinberg, H.O., Chaker, H., Leaming, R., Johnson, A., Brechtel, G., Baron, A.D.: Obesity/insulin resistance is associated with endothelial dysfunction. Implications for the syndrome of insulin resistance. J Clin Invest 97 (1996) 2601–2610
Thogersen, A.M., Jansson, J.H., Boman, K., Nilsson, T.K., Weinehall, L., Huhtasaari, F., Hallmans, G.: High plasminogen activator inhibitor and tissue plasminogen activator levels in plasma precede a first acute myocardial infarction in both men and women: evidence for the fibrinolytic system as an independent primary risk factor. Circulation 98 (1998) 2241–2247
Al Suwaidi, J., Higano, S.T., Holmes, D.R., Jr., Lennon, R., Lerman, A.: Obesity is independently associated with coronary endothelial dysfunction in patients with normal or mildly diseased coronary arteries. J Am Coll Cardiol 37 (2001) 1523–1528
Fichtlscherer, S., Zeiher, A.M.: Endothelial dysfunction in acute coronary syndromes: association with elevated C-reactive protein levels. Ann Med 32 (2000) 515–518
Fichtlscherer, S., Rosenberger, G., Walter, D.H., Breuer, S., Dimmeler, S., Zeiher, A.M.: Elevated C-reactive protein levels and impaired endothelial vasoreactivity in patients with coronary artery disease. Circulation 102 (2000) 1000–1006
Bonetti, P.O., Lerman, L.O., Lerman, A.: Endothelial dysfunction: a marker of atherosclerotic risk. Arterioscler Thromb Vasc Biol 23 (2003) 168–175
Lum, H., Roebuck, K.A.: Oxidant stress and endothelial cell dysfunction. Am J Physiol Cell Physiol 280 (2001) C719–C741
Deanfield, J., Donald, A., Ferri, C., Giannattasio, C., Halcox, J., Halligan, S., Lerman, A., Mancia, G., Oliver, J.J., Pessina, A.C., Rizzoni, D., Rossi, G.P., Salvetti, A., Schiffrin, E.L., Taddei, S., Webb, D.J.: Endothelial function and dysfunction. Part I: methodological issues for assessment in the different vascular beds: a statement by the Working Group on endothelin and endothelial factors of the European Society of Hypertension. J Hypertens 23 (2005) 7–17
Wilson, P.W., D’Agostino, R.B., Levy, D., Belanger, A.M., Silbershatz, H., Kannel, W.B.: Prediction of coronary heart disease using risk factor categories. Circulation 97 (1998) 1837–1847
Stamler, J., Wentworth, D., Neaton, J.D.: Prevalence and prognostic significance of hypercholesterolemia in men with hypertension. Prospective data on the primary screenees of the Multiple Risk Factor Intervention Trial. Am J Med 80 (1986) 33–39
Rifkind, B.M.: Lipid Research Clinics Coronary Primary Prevention Trial: results and implications. Am J Cardiol 54 (1984) 30C–34C
Rossouw, J.E., Lewis, B., Rifkind, B.M.: The value of lowering cholesterol after myocardial infarction. N Engl J Med 323 (1990) 1112–1119
Law, M.R., Wald, N.J., Rudnicka, A.R.: Quantifying effect of statins on low density lipoprotein cholesterol, ischaemic heart disease, and stroke: systematic review and meta-analysis. BMJ 326 (2003) 1423
Grundy, S.M., Cleeman, J.I., Merz, C.N., Brewer, H.B., Jr., Clark, L.T., Hunninghake, D.B., Pasternak, R.C., Smith, S.C., Jr., Stone, N.J.: Implications of recent clinical trials for the National Cholesterol Education Program Adult Treatment Panel III guidelines. Circulation 110 (2004) 227–239
Brown, W.V.: Cholesterol lowering in atherosclerosis. Am J Cardiol 86 (2000) 29H–32H
Forrester, J.S., Shah, P.K.: Emerging strategies for increasing high-density lipoprotein. Am J Cardiol 98 (2006) 1542–1549
Vega, G.L., Grundy, S.M.: Hypoalphalipoproteinemia (low high density lipoprotein) as a risk factor for coronary heart disease. Curr Opin Lipidol 7 (1996) 209–216
Tall, A.R.: An overview of reverse cholesterol transport. Eur Heart J 19 Suppl A (1998) A31–A35
Tall, A.R.: Cholesterol efflux pathways and other potential mechanisms involved in the athero-protective effect of high density lipoproteins. J Intern Med 263 (2008) 256–273
Tedgui, A., Mallat, Z.: Anti-inflammatory mechanisms in the vascular wall. Circ Res 88 (2001) 877–887
Tontonoz, P., Nagy, L., Alvarez, J.G., Thomazy, V.A., Evans, R.M.: PPARgamma promotes monocyte/macrophage differentiation and uptake of oxidized LDL. Cell 93 (1998) 241–252
Tedgui, A., Mallat, Z.: Apoptosis as a determinant of atherothrombosis. Thromb Haemost 86 (2001) 420–426
Hansson, G.K.: Atherosclerosis – an immune disease: the Anitschkov lecture 2007. AtherÂosclerosis 202 (2009) 2–10
Sposito, A.C., Chapman, M.J.: Statin therapy in acute coronary syndromes: mechanistic insight into clinical benefit. Arterioscler Thromb Vasc Biol 22 (2002) 1524–1534
Tedgui, A., Mallat, Z.: Apoptosis, a major determinant of atherothrombosis. Arch Mal Coeur Vaiss 96 (2003) 671–675
Greenland, P., Abrams, J., Aurigemma, G.P., Bond, M.G., Clark, L.T., Criqui, M.H., Crouse, J.R., 3rd, Friedman, L., Fuster, V., Herrington, D.M., Kuller, L.H., Ridker, P.M., Roberts, W.C., Stanford, W., Stone, N., Swan, H.J., Taubert, K.A., Wexler, L.: Prevention Conference V: Beyond secondary prevention: identifying the high-risk patient for primary prevention: noninvasive tests of atherosclerotic burden: Writing Group III. Circulation 101 (2000) E16–E22
Detrano, R.C.: Coronary artery scanning using electron beam computed tomography. Am J Card Imaging 10 (1996) 97–100
Detrano, R.C., Wong, N.D., Doherty, T.M., Shavelle, R.M., Tang, W., Ginzton, L.E., Budoff, M.J., Narahara, K.A.: Coronary calcium does not accurately predict near-term future coronary events in high-risk adults. Circulation 99 (1999) 2633–2638
Raggi, P.: Regression of calcified coronary artery plaque assessed by electron beam Âcomputed tomography. Z Kardiol 89 Suppl 2 (2000) 135–139
O’Malley, P.G., Taylor, A.J., Jackson, J.L., Doherty, T.M., Detrano, R.C.: Prognostic value of coronary electron-beam computed tomography for coronary heart disease events in asymptomatic populations. Am J Cardiol 85 (2000) 945–948
O’Rourke, R.A., Brundage, B.H., Froelicher, V.F., Greenland, P., Grundy, S.M., Hachamovitch, R., Pohost, G.M., Shaw, L.J., Weintraub, W.S., Winters, W.L., Jr., Forrester, J.S., Douglas, P.S., Faxon, D.P., Fisher, J.D., Gregoratos, G., Hochman, J.S., Hutter, A.M., Jr., Kaul, S., Wolk, M.J.: American College of Cardiology/American Heart Association Expert Consensus document on electron-beam computed tomography for the diagnosis and prognosis of coronary artery disease. Circulation 102 (2000) 126–140
Grundy, S.M.: Age as a risk factor: you are as old as your arteries. Am J Cardiol 83 (1999) 1455–1457; A1457
Boissel, J.P., Collet, J.P., Moleur, P., Haugh, M.: Surrogate endpoints: a basis for a rational approach. Eur J Clin Pharmacol 43 (1992) 235–244
Espeland, M.A., O’Leary D, H., Terry, J.G., Morgan, T., Evans, G., Mudra, H.: Carotid intimal-media thickness as a surrogate for cardiovascular disease events in trials of HMG-CoA reductase inhibitors. Curr Control Trials Cardiovasc Med 6 (2005) 3
Mitchell, J.R., Schwartz, C.J.: Relationship between arterial disease in different sites. A study of the aorta and coronary, carotid, and iliac arteries. Br Med J 1 (1962) 1293–1301
Wofford, J.L., Kahl, F.R., Howard, G.R., McKinney, W.M., Toole, J.F., Crouse, J.R., 3rd: Relation of extent of extracranial carotid artery atherosclerosis as measured by B-mode ultrasound to the extent of coronary atherosclerosis. Arterioscler Thromb 11 (1991) 1786–1794
Dormandy, J., Heeck, L., Vig, S.: Lower-extremity arteriosclerosis as a reflection of a systemic process: implications for concomitant coronary and carotid disease. Semin Vasc Surg 12 (1999) 118–122
Revkin, J.H., Shear, C.L., Pouleur, H.G., Ryder, S.W., Orloff, D.G.: Biomarkers in the Âprevention and treatment of atherosclerosis: need, validation, and future. Pharmacol Rev 59 (2007) 40–53
Rossouw, J.E.: Lipid-lowering interventions in angiographic trials. Am J Cardiol 76 (1995) 86C–92C
Smith, S.C., Jr., Blair, S.N., Criqui, M.H., Fletcher, G.F., Fuster, V., Gersh, B.J., Gotto, A.M., Gould, K.L., Greenland, P., Grundy, S.M., Hill, M.N., Hlatky, M.A., Houston-Miller, N., Krauss, R.M., LaRosa, J., Ockene, I.S., Oparil, S., Pearson, T.A., Rapaport, E., Starke, R.D.: Preventing heart attack and death in patients with coronary disease. Endorsed by the board of trustees of the American College of Cardiology. Cardiovasc Nurs 32 (1996) 26–28
Simon, A., Gariepy, J., Chironi, G., Megnien, J.L., Levenson, J.: Intima-media thickness: a new tool for diagnosis and treatment of cardiovascular risk. J Hypertens 20 (2002) 159–169
Duivenvoorden, R., Nederveen, A.J., de Groot, E., Kastelein, J.J.: Atherosclerosis imaging as a benchmark in the development of novel cardiovasular drugs. Curr Opin Lipidol 18 (2007) 613–621
Prati, F., Arbustini, E., Labellarte, A., Dal Bello, B., Sommariva, L., Mallus, M.T., Pagano, A., Boccanelli, A.: Correlation between high frequency intravascular ultrasound and histomorphology in human coronary arteries. Heart 85 (2001) 567–570
Tuzcu, E.M., Kapadia, S.R., Tutar, E., Ziada, K.M., Hobbs, R.E., McCarthy, P.M., Young, J.B., Nissen, S.E.: High prevalence of coronary atherosclerosis in asymptomatic teenagers and young adults: evidence from intravascular ultrasound. Circulation 103 (2001) 2705–2710
von Birgelen, C., Hartmann, M., Mintz, G.S., van Houwelingen, K.G., Deppermann, N., Schmermund, A., Bose, D., Eggebrecht, H., Neumann, T., Gossl, M., Wieneke, H., Erbel, R.: Relationship between cardiovascular risk as predicted by established risk scores versus plaque progression as measured by serial intravascular ultrasound in left main coronary arteries. Circulation 110 (2004) 1579–1585
Hertog, M.G.: Workshop on CV prevention with a focus on metabolic syndrome and surrogate markers. Taskforce 1 of the Cardiovascular Round Table, European Society of Cardiology: Executive Summary Report. Eur Heart J 27 (2006) 114–115
Fayad, Z.A., Nahar, T., Fallon, J.T., Goldman, M., Aguinaldo, J.G., Badimon, J.J., Shinnar, M., Chesebro, J.H., Fuster, V.: In vivo magnetic resonance evaluation of atherosclerotic plaques in the human thoracic aorta: a comparison with transesophageal echocardiography. Circulation 101 (2000) 2503–2509
Fayad, Z.A., Fuster, V.: Characterization of atherosclerotic plaques by magnetic resonance imaging. Ann N Y Acad Sci 902 (2000) 173–186
Momiyama, Y., Kato, R., Fayad, Z.A., Tanaka, N., Taniguchi, H., Ohmori, R., Kihara, T., Kameyama, A., Miyazaki, K., Kimura, K., Arakawa, K., Kusuhara, M., Nagata, M., Nakamura, H., Ohsuzu, F.: A possible association between coronary plaque instability and complex plaques in abdominal aorta. Arterioscler Thromb Vasc Biol 26 (2006) 903–909
Lima, J.A., Desai, M.Y., Steen, H., Warren, W.P., Gautam, S., Lai, S.: Statin-induced cholesterol lowering and plaque regression after 6 months of magnetic resonance imaging-monitored therapy. Circulation 110 (2004) 2336–2341
Wiviott, S.D., Cannon, C.P.: Update on lipid-lowering therapy and LDL-cholesterol targets. Nat Clin Pract Cardiovasc Med 3 (2006) 424–436
Smith, E.E., Abdullah, A.R., Amirfarzan, H., Schwamm, L.H.: Serum lipid profile on admission for ischemic stroke: failure to meet National Cholesterol Education Program Adult Treatment Panel (NCEP-ATPIII) guidelines. Neurology 68 (2007) 660–665
Singh, V., Deedwania, P.: Reducing morbidity and mortality in high risk patients with statins. Vasc Health Risk Manag 5 (2009) 495–507
Kent, S.M., Coyle, L.C., Flaherty, P.J., Markwood, T.T., Taylor, A.J.: Marked low-density lipoprotein cholesterol reduction below current national cholesterol education program targets provides the greatest reduction in carotid atherosclerosis. Clin Cardiol 27 (2004) 17–21
Endo, A.: The discovery and development of HMG-CoA reductase inhibitors. J Lipid Res 33 (1992) 1569–1582
Vega, G.L., Grundy, S.M.: Management of primary mixed hyperlipidemia with lovastatin. Arch Intern Med 150 (1990) 1313–1319
Broyles, F.E., Walden, C.E., Hunninghake, D.B., Hill-Williams, D., Knopp, R.H.: Effect of fluvastatin on intermediate density lipoprotein (remnants) and other lipoprotein levels in hypercholesterolemia. Am J Cardiol 76 (1995) 129A–135A
Bakker-Arkema, R.G., Davidson, M.H., Goldstein, R.J., Davignon, J., Isaacsohn, J.L., Weiss, S.R., Keilson, L.M., Brown, W.V., Miller, V.T., Shurzinske, L.J., Black, D.M.: Efficacy and safety of a new HMG-CoA reductase inhibitor, atorvastatin, in patients with hypertriglyceridemia. JAMA 275 (1996) 128–133
Arad, Y., Ramakrishnan, R., Ginsberg, H.N.: Effects of lovastatin therapy on very-low-density lipoprotein triglyceride metabolism in subjects with combined hyperlipidemia: evidence for reduced assembly and secretion of triglyceride-rich lipoproteins. Metabolism 41 (1992) 487–493
Twisk, J., Gillian-Daniel, D.L., Tebon, A., Wang, L., Barrett, P.H., Attie, A.D.: The role of the LDL receptor in apolipoprotein B secretion. J Clin Invest 105 (2000) 521–532
Stein, E.A., Lane, M., Laskarzewski, P.: Comparison of statins in hypertriglyceridemia. Am J Cardiol 81 (1998) 66B–69B
Jones, P., Kafonek, S., Laurora, I., Hunninghake, D.: Comparative dose efficacy study of atorvastatin versus simvastatin, pravastatin, lovastatin, and fluvastatin in patients with hypercholesterolemia (the CURVES study). Am J Cardiol 81 (1998) 582–587
Sacks, F.M., Pfeffer, M.A., Moye, L.A., Rouleau, J.L., Rutherford, J.D., Cole, T.G., Brown, L., Warnica, J.W., Arnold, J.M., Wun, C.C., Davis, B.R., Braunwald, E.: The effect of pravastatin on coronary events after myocardial infarction in patients with average Âcholesterol levels. Cholesterol and Recurrent Events Trial investigators. N Engl J Med 335 (1996) 1001–1009
Prevention of cardiovascular events and death with pravastatin in patients with coronary heart disease and a broad range of initial cholesterol levels. The Long-Term Intervention with Pravastatin in Ischaemic Disease (LIPID) Study Group. N Engl J Med 339 (1998) 1349–1357
Downs, J.R., Clearfield, M., Weis, S., Whitney, E., Shapiro, D.R., Beere, P.A., Langendorfer, A., Stein, E.A., Kruyer, W., Gotto, A.M., Jr.: Primary prevention of acute coronary events with lovastatin in men and women with average cholesterol levels: results of AFCAPS/TexCAPS. Air Force/Texas Coronary Atherosclerosis Prevention Study. JAMA 279 (1998) 1615–1622
Randomised trial of cholesterol lowering in 4444 patients with coronary heart disease: the Scandinavian Simvastatin Survival Study (4S). Lancet 344 (1994) 1383–1389
LaRosa, J.C., He, J., Vupputuri, S.: Effect of statins on risk of coronary disease: a meta-analysis of randomized controlled trials. JAMA 282 (1999) 2340–2346
Shepherd, J., Cobbe, S.M., Ford, I., Isles, C.G., Lorimer, A.R., MacFarlane, P.W., McKillop, J.H., Packard, C.J.: Prevention of coronary heart disease with pravastatin in men with hypercholesterolemia. West of Scotland Coronary Prevention Study Group. N Engl J Med 333 (1995) 1301–1307
Maron, D.J., Fazio, S., Linton, M.F.: Current perspectives on statins. Circulation 101 (2000) 207–213
Pyorala, K., Pedersen, T.R., Kjekshus, J., Faergeman, O., Olsson, A.G., Thorgeirsson, G.: Cholesterol lowering with simvastatin improves prognosis of diabetic patients with coronary heart disease. A subgroup analysis of the Scandinavian Simvastatin Survival Study (4S). Diabetes Care 20 (1997) 614–620
The effect of aggressive lowering of low-density lipoprotein cholesterol levels and low-dose anticoagulation on obstructive changes in saphenous-vein coronary-artery bypass grafts. The Post Coronary Artery Bypass Graft Trial Investigators. N Engl J Med 336 (1997) 153–162
Knatterud, G.L., Rosenberg, Y., Campeau, L., Geller, N.L., Hunninghake, D.B., Forman, S.A., Forrester, J.S., Gobel, F.L., Herd, J.A., Hickey, A., Hoogwerf, B.J., Terrin, M.L., White, C.: Long-term effects on clinical outcomes of aggressive lowering of low-density lipoprotein cholesterol levels and low-dose anticoagulation in the post coronary artery bypass graft trial. Post CABG Investigators. Circulation 102 (2000) 157–165
Blankenhorn, D.H., Azen, S.P., Kramsch, D.M., Mack, W.J., Cashin-Hemphill, L., Hodis, H.N., DeBoer, L.W., Mahrer, P.R., Masteller, M.J., Vailas, L.I., Alaupovic, P., Hirsch, L.J.: Coronary angiographic changes with lovastatin therapy. The Monitored Atherosclerosis Regression Study (MARS). Ann Intern Med 119 (1993) 969–976
Kroon, A.A., Aengevaeren, W.R., van der Werf, T., Uijen, G.J., Reiber, J.H., Bruschke, A.V., Stalenhoef, A.F.: LDL-Apheresis Atherosclerosis Regression Study (LAARS). Effect of aggressive versus conventional lipid lowering treatment on coronary atherosclerosis. Circulation 93 (1996) 1826–1835
Pitt, B., Waters, D., Brown, W.V., van Boven, A.J., Schwartz, L., Title, L.M., Eisenberg, D., Shurzinske, L., McCormick, L.S.: Aggressive lipid-lowering therapy compared with angioplasty in stable coronary artery disease. Atorvastatin versus Revascularization Treatment Investigators. N Engl J Med 341 (1999) 70–76
Brown, W.V.: The benefit of aggressive lipid lowering. Atheroscler Suppl 1 (2000) 15–19
Schwartz, G.G., Olsson, A.G., Ezekowitz, M.D., Ganz, P., Oliver, M.F., Waters, D., Zeiher, A., Chaitman, B.R., Leslie, S., Stern, T.: Effects of atorvastatin on early recurrent ischemic events in acute coronary syndromes: the MIRACL study: a randomized controlled trial. JAMA 285 (2001) 1711–1718
Stenestrand, U., Wallentin, L.: Early statin treatment following acute myocardial infarction and 1-year survival. JAMA 285 (2001) 430–436
West of Scotland Coronary Prevention Study: identification of high-risk groups and comparison with other cardiovascular intervention trials. Lancet 348 (1996) 1339–1342
Ballantyne, C.M., Herd, J.A., Dunn, J.K., Jones, P.H., Farmer, J.A., Gotto, A.M., Jr.: Effects of lipid lowering therapy on progression of coronary and carotid artery disease. Curr Opin Lipidol 8 (1997) 354–361
Brown, B.G., Zhao, X.Q.: Importance of endothelial function in mediating the benefits of lipid-lowering therapy. Am J Cardiol 82 (1998) 49T–52T
Buchwald, H., Varco, R.L., Matts, J.P., Long, J.M., Fitch, L.L., Campbell, G.S., Pearce, M.B., Yellin, A.E., Edmiston, W.A., Smink, R.D., Jr., et al.: Effect of partial ileal bypass surgery on mortality and morbidity from coronary heart disease in patients with hypercholesterolemia. Report of the Program on the Surgical Control of the Hyperlipidemias (POSCH). N Engl J Med 323 (1990) 946–955
Brown, B.G., Zhao, X.Q., Sacco, D.E., Albers, J.J.: Arteriographic view of treatment to achieve regression of coronary atherosclerosis and to prevent plaque disruption and clinical cardiovascular events. Br Heart J 69 (1993) S48–S53
Furberg, C.D., Adams, H.P., Jr., Applegate, W.B., Byington, R.P., Espeland, M.A., Hartwell, T., Hunninghake, D.B., Lefkowitz, D.S., Probstfield, J., Riley, W.A., et al.: Effect of lovastatin on early carotid atherosclerosis and cardiovascular events. Asymptomatic Carotid Artery Progression Study (ACAPS) Research Group. Circulation 90 (1994) 1679–1687
Salonen, R., Nyyssonen, K., Porkkala, E., Rummukainen, J., Belder, R., Park, J.S., Salonen, J.T.: Kuopio Atherosclerosis Prevention Study (KAPS). A population-based primary preventive trial of the effect of LDL lowering on atherosclerotic progression in carotid and femoral arteries. Circulation 92 (1995) 1758–1764
Crouse, J.R., 3rd, Byington, R.P., Bond, M.G., Espeland, M.A., Craven, T.E., Sprinkle, J.W., McGovern, M.E., Furberg, C.D.: Pravastatin, lipids, and atherosclerosis in the carotid arteries (PLAC-II). Am J Cardiol 75 (1995) 455–459
Salonen, R., Nyssonen, K., Porkkala-Sarataho, E., Salonen, J.T.: The Kuopio Atherosclerosis Prevention Study (KAPS): effect of pravastatin treatment on lipids, oxidation resistance of lipoproteins, and atherosclerotic progression. Am J Cardiol 76 (1995) 34C–39C
Mercuri, M., Bond, M.G., Sirtori, C.R., Veglia, F., Crepaldi, G., Feruglio, F.S., Descovich, G., Ricci, G., Rubba, P., Mancini, M., Gallus, G., Bianchi, G., D’Alo, G., Ventura, A.: Pravastatin reduces carotid intima-media thickness progression in an asymptomatic hypercholesterolemic mediterranean population: the Carotid Atherosclerosis Italian Ultrasound Study. Am J Med 101 (1996) 627–634
de Groot, E., Jukema, J.W., Montauban van Swijndregt, A.D., Zwinderman, A.H., Ackerstaff, R.G., van der Steen, A.F., Bom, N., Lie, K.I., Bruschke, A.V.: B-mode ultrasound assessment of pravastatin treatment effect on carotid and femoral artery walls and its correlations with coronary arteriographic findings: a report of the Regression Growth Evaluation Statin Study (REGRESS). J Am Coll Cardiol 31 (1998) 1561–1567
Hedblad, B., Wikstrand, J., Janzon, L., Wedel, H., Berglund, G.: Low-dose metoprolol CR/XL and fluvastatin slow progression of carotid intima-media thickness: Main results from the Beta-Blocker Cholesterol-Lowering Asymptomatic Plaque Study (BCAPS). Circulation 103 (2001) 1721–1726
Sawayama, Y., Shimizu, C., Maeda, N., Tatsukawa, M., Kinukawa, N., Koyanagi, S., Kashiwagi, S., Hayashi, J.: Effects of probucol and pravastatin on common carotid atherosclerosis in patients with asymptomatic hypercholesterolemia. Fukuoka Atherosclerosis Trial (FAST). J Am Coll Cardiol 39 (2002) 610–616
Al Badarin, F.J., Kullo, I.J., Kopecky, S.L., Thomas, R.J.: Impact of ezetimibe on atherosclerosis: is the jury still out? Mayo Clin Proc 84 (2009) 353–361
Nolting, P.R., de Groot, E., Zwinderman, A.H., Buirma, R.J., Trip, M.D., Kastelein, J.J.: Regression of carotid and femoral artery intima-media thickness in familial hypercholesterolemia: treatment with simvastatin. Arch Intern Med 163 (2003) 1837–1841
Kastelein, J.J., Akdim, F., Stroes, E.S., Zwinderman, A.H., Bots, M.L., Stalenhoef, A.F., Visseren, F.L., Sijbrands, E.J., Trip, M.D., Stein, E.A., Gaudet, D., Duivenvoorden, R., Veltri, E.P., Marais, A.D., de Groot, E.: Simvastatin with or without ezetimibe in familial hypercholesterolemia. N Engl J Med 358 (2008) 1431–1443
Smilde, T.J., van Wissen, S., Wollersheim, H., Trip, M.D., Kastelein, J.J., Stalenhoef, A.F.: Effect of aggressive versus conventional lipid lowering on atherosclerosis progression in familial hypercholesterolaemia (ASAP): a prospective, randomised, double-blind trial. Lancet 357 (2001) 577–581
Taylor, A.J., Kent, S.M., Flaherty, P.J., Coyle, L.C., Markwood, T.T., Vernalis, M.N.: ARBITER: arterial biology for the investigation of the treatment effects of reducing cholesterol: a randomized trial comparing the effects of atorvastatin and pravastatin on carotid intima medial thickness. Circulation 106 (2002) 2055–2060
Crouse, J.R., 3rd, Raichlen, J.S., Riley, W.A., Evans, G.W., Palmer, M.K., O’Leary, D.H., Grobbee, D.E., Bots, M.L.: Effect of rosuvastatin on progression of carotid intima-media thickness in low-risk individuals with subclinical atherosclerosis: the METEOR Trial. JAMA 297 (2007) 1344–1353
Jadad, A.R., Moore, R.A., Carroll, D., Jenkinson, C., Reynolds, D.J., Gavaghan, D.J., McQuay, H.J.: Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials 17 (1996) 1–12
Nissen, S.E., Nicholls, S.J., Sipahi, I., Libby, P., Raichlen, J.S., Ballantyne, C.M., Davignon, J., Erbel, R., Fruchart, J.C., Tardif, J.C., Schoenhagen, P., Crowe, T., Cain, V., Wolski, K., Goormastic, M., Tuzcu, E.M.: Effect of very high-intensity statin therapy on regression of coronary atherosclerosis: the ASTEROID trial. JAMA 295 (2006) 1556–1565
Nissen, S.E., Tuzcu, E.M., Schoenhagen, P., Brown, B.G., Ganz, P., Vogel, R.A., Crowe, T., Howard, G., Cooper, C.J., Brodie, B., Grines, C.L., DeMaria, A.N.: Effect of intensive Âcompared with moderate lipid-lowering therapy on progression of coronary atherosclerosis: a randomized controlled trial. JAMA 291 (2004) 1071–1080
Okazaki, S., Yokoyama, T., Miyauchi, K., Shimada, K., Kurata, T., Sato, H., Daida, H.: Early statin treatment in patients with acute coronary syndrome: demonstration of the beneficial effect on atherosclerotic lesions by serial volumetric intravascular ultrasound analysis during half a year after coronary event: the ESTABLISH Study. Circulation 110 (2004) 1061–1068
Takagi, T., Yoshida, K., Akasaka, T., Hozumi, T., Morioka, S., Yoshikawa, J.: Intravascular ultrasound analysis of reduction in progression of coronary narrowing by treatment with pravastatin. Am J Cardiol 79 (1997) 1673–1676
Cannon, C.P., Braunwald, E., McCabe, C.H., Rader, D.J., Rouleau, J.L., Belder, R., Joyal, S.V., Hill, K.A., Pfeffer, M.A., Skene, A.M.: Intensive versus moderate lipid lowering with statins after acute coronary syndromes. N Engl J Med 350 (2004) 1495–1504
Yonemura, A., Momiyama, Y., Fayad, Z.A., Ayaori, M., Ohmori, R., Higashi, K., Kihara, T., Sawada, S., Iwamoto, N., Ogura, M., Taniguchi, H., Kusuhara, M., Nagata, M., Nakamura, H., Tamai, S., Ohsuzu, F.: Effect of lipid-lowering therapy with atorvastatin on atherosclerotic aortic plaques detected by noninvasive magnetic resonance imaging. J Am Coll Cardiol 45 (2005) 733–742
Ayaori, M., Momiyama, Y., Fayad, Z.A., Yonemura, A., Ohmori, R., Kihara, T., Tanaka, N., Nakaya, K., Ogura, M., Sawada, S., Taniguchi, H., Kusuhara, M., Nagata, M., Nakamura, H., Ohsuzu, F.: Effect of bezafibrate therapy on atherosclerotic aortic plaques detected by MRI in dyslipidemic patients with hypertriglyceridemia. Atherosclerosis 196 (2008) 425–433
Corti, R., Fuster, V., Fayad, Z.A., Worthley, S.G., Helft, G., Smith, D., Weinberger, J., Wentzel, J., Mizsei, G., Mercuri, M., Badimon, J.J.: Lipid lowering by simvastatin induces regression of human atherosclerotic lesions: two years’ follow-up by high-resolution noninvasive magnetic resonance imaging. Circulation 106 (2002) 2884–2887
Yonemura, A., Momiyama, Y., Fayad, Z.A., Ayaori, M., Ohmori, R., Kihara, T., Tanaka, N., Nakaya, K., Ogura, M., Taniguchi, H., Kusuhara, M., Nagata, M., Nakamura, H., Tamai, S., Ohsuzu, F.: Effect of lipid-lowering therapy with atorvastatin on atherosclerotic aortic plaques: a 2-year follow-up by noninvasive MRI. Eur J Cardiovasc Prev Rehabil 16 (2009) 222–228
Liao, J.K.: Beyond lipid lowering: the role of statins in vascular protection. Int J Cardiol 86 (2002) 5–18
Nilsson, J.: Nobel seminar: molecular medicine – cell biology in disease. The mevalonate pathway – a link between cellular cholesterol homeostasis and growth regulation. J Intern Med 232 (1992) 10–13
Takemoto, M., Liao, J.K.: Pleiotropic effects of 3-hydroxy-3-methylglutaryl coenzyme a reductase inhibitors. Arterioscler Thromb Vasc Biol 21 (2001) 1712–1719
Rikitake, Y., Liao, J.K.: Rho GTPases, statins, and nitric oxide. Circ Res 97 (2005) 1232–1235
Laufs, U., Wassmann, S., Hilgers, S., Ribaudo, N., Bohm, M., Nickenig, G.: Rapid effects on vascular function after initiation and withdrawal of atorvastatin in healthy, normocholesterolemic men. Am J Cardiol 88 (2001) 1306–1307
Weitz-Schmidt, G., Welzenbach, K., Brinkmann, V., Kamata, T., Kallen, J., Bruns, C., Cottens, S., Takada, Y., Hommel, U.: Statins selectively inhibit leukocyte function antigen-1 by binding to a novel regulatory integrin site. Nat Med 7 (2001) 687–692
Ridker, P.M., Rifai, N., Rose, L., Buring, J.E., Cook, N.R.: Comparison of C-reactive protein and low-density lipoprotein cholesterol levels in the prediction of first cardiovascular events. N Engl J Med 347 (2002) 1557–1565
Kayikcioglu, M., Can, L., Evrengul, H., Payzin, S., Kultursay, H.: The effect of statin therapy on ventricular late potentials in acute myocardial infarction. Int J Cardiol 90 (2003) 63–72
Young-Xu, Y., Jabbour, S., Goldberg, R., Blatt, C.M., Graboys, T., Bilchik, B., Ravid, S.: Usefulness of statin drugs in protecting against atrial fibrillation in patients with coronary artery disease. Am J Cardiol 92 (2003) 1379–1383
Aronow, W.S., Ahn, C.: Frequency of congestive heart failure in older persons with prior myocardial infarction and serum low-density lipoprotein cholesterol ≥125 mg/dl treated with statins versus no lipid-lowering drug. Am J Cardiol 90 (2002) 147–149
Node, K., Fujita, M., Kitakaze, M., Hori, M., Liao, J.K.: Short-term statin therapy improves cardiac function and symptoms in patients with idiopathic dilated cardiomyopathy. Circulation 108 (2003) 839–843
Hebert, P.R., Gaziano, J.M., Chan, K.S., Hennekens, C.H.: Cholesterol lowering with statin drugs, risk of stroke, and total mortality. An overview of randomized trials. JAMA 278 (1997) 313–321
Corvol, J.C., Bouzamondo, A., Sirol, M., Hulot, J.S., Sanchez, P., Lechat, P.: Differential effects of lipid-lowering therapies on stroke prevention: a meta-analysis of randomized trials. Arch Intern Med 163 (2003) 669–676
Freeman, D.J., Norrie, J., Sattar, N., Neely, R.D., Cobbe, S.M., Ford, I., Isles, C., Lorimer, A.R., Macfarlane, P.W., McKillop, J.H., Packard, C.J., Shepherd, J., Gaw, A.: Pravastatin and the development of diabetes mellitus: evidence for a protective treatment effect in the West of Scotland Coronary Prevention Study. Circulation 103 (2001) 357–362
Crisby, M., Carlson, L.A., Winblad, B.: Statins in the prevention and treatment of Alzheimer disease. Alzheimer Dis Assoc Disord 16 (2002) 131–136
Kirsch, C., Eckert, G.P., Mueller, W.E.: Statin effects on cholesterol micro-domains in brain plasma membranes. Biochem Pharmacol 65 (2003) 843–856
Leung, B.P., Sattar, N., Crilly, A., Prach, M., McCarey, D.W., Payne, H., Madhok, R., Campbell, C., Gracie, J.A., Liew, F.Y., McInnes, I.B.: A novel anti-inflammatory role for simvastatin in inflammatory arthritis. J Immunol 170 (2003) 1524–1530
Wong, R.W., Rabie, A.B.: Statin collagen grafts used to repair defects in the parietal bone of rabbits. Br J Oral Maxillofac Surg 41 (2003) 244–248
Meroni, P.L., Raschi, E., Testoni, C., Tincani, A., Balestrieri, G.: Antiphospholipid antibodies and the endothelium. Rheum Dis Clin North Am 27 (2001) 587–602
van de Donk, N.W., Kamphuis, M.M., Lokhorst, H.M., Bloem, A.C.: The cholesterol lowering drug lovastatin induces cell death in myeloma plasma cells. Leukemia 16 (2002) 1362–1371
Neuhaus, O., Archelos, J.J., Hartung, H.P.: Statins in multiple sclerosis: a new therapeutic option? Mult Scler 9 (2003) 429–430
Gould, A.L., Cariski, A.T.: Meta-analysis by the Program on the Surgical Control of the Hyperlipidemias (POSCH) investigators. Ann Surg 227 (1998) 314–316
Cholesterol, diastolic blood pressure, and stroke: 13,000 strokes in 450,000 people in 45 prospective cohorts. Prospective studies collaboration. Lancet 346 (1995) 1647–1653
Dechend, R., Fiebler, A., Lindschau, C., Bischoff, H., Muller, D., Park, J.K., Dietz, R., Haller, H., Luft, F.C.: Modulating angiotensin II-induced inflammation by HMG Co-A reductase inhibition. Am J Hypertens 14 (2001) 55S–61S
Sarkar, K., Sinha, A.K., Mehta, J.L.: The role of statins in endothelial dysfunction in hypertension. Curr Opin Cardiol 21 (2006) 316–321
Davignon, J.: Emphasis on pleiotropic effects, a new paradigm shift? [Review]. Coron Artery Dis 15 (2004) 223–225
Venkatesh, P.K.M., Caskey, D.M., Reddy, P.C.M.: Therapies to increase high-density Âlipoprotein cholesterol and their effect on cardiovascular outcomes and regression of atherosclerosis. Am J Med Sci 336 (2008) 64–68
Eisenberg, S., Gavish, D., Oschry, Y., Fainaru, M., Deckelbaum, R.J.: Abnormalities in very low, low and high density lipoproteins in hypertriglyceridemia. Reversal toward normal with bezafibrate treatment. J Clin Invest 74 (1984) 470–482
Schoonjans, K., Staels, B., Auwerx, J.: Role of the peroxisome proliferator-activated receptor (PPAR) in mediating the effects of fibrates and fatty acids on gene expression. J Lipid Res 37 (1996) 907–925
Fruchart, J.C., Brewer, H.B., Jr., Leitersdorf, E.: Consensus for the use of fibrates in the treatment of dyslipoproteinemia and coronary heart disease. Fibrate Consensus Group. Am J Cardiol 81 (1998) 912–917
Vu-Dac, N., Schoonjans, K., Kosykh, V., Dallongeville, J., Fruchart, J.C., Staels, B., Auwerx, J.: Fibrates increase human apolipoprotein A-II expression through activation of the peroxisome proliferator-activated receptor. J Clin Invest 96 (1995) 741–750
Neve, B.P., Fruchart, J.C., Staels, B.: Role of the peroxisome proliferator-activated receptors (PPAR) in atherosclerosis. Biochem Pharmacol 60 (2000) 1245–1250
Pineda Torra, I., Gervois, P., Staels, B.: Peroxisome proliferator-activated receptor alpha in metabolic disease, inflammation, atherosclerosis and aging. Curr Opin Lipidol 10 (1999) 151–159
Pauciullo, P., Marotta, G., Rubba, P., Cortese, C., Caruso, M.G., Gnasso, A., Fischetti, A., Motti, C., Mancini, M.: Serum lipoproteins, apolipoproteins and very low density lipoprotein subfractions during 6-month fibrate treatment in primary hypertriglyceridaemia. J Intern Med 228 (1990) 425–430
Leaf, D.A., Connor, W.E., Illingworth, D.R., Bacon, S.P., Sexton, G.: The hypolipidemic effects of gemfibrozil in type V hyperlipidemia. A double-blind, crossover study. JAMA 262 (1989) 3154–3160
Kornitzer, M., Dramaix, M., Vandenbroek, M.D., Everaert, L., Gerlinger, C.: Efficacy and tolerance of 200 mg micronised fenofibrate administered over a 6-month period in hyperlipidaemic patients: an open Belgian multicenter study. Atherosclerosis 110 Suppl (1994) S49–S54
A co-operative trial in the primary prevention of ischaemic heart disease using clofibrate. Report from the Committee of Principal Investigators. Br Heart J 40 (1978) 1069–1118
Frick, M.H., Elo, O., Haapa, K., Heinonen, O.P., Heinsalmi, P., Helo, P., Huttunen, J.K., Kaitaniemi, P., Koskinen, P., Manninen, V., et al.: Helsinki Heart Study: primary-prevention trial with gemfibrozil in middle-aged men with dyslipidemia. Safety of treatment, changes in risk factors, and incidence of coronary heart disease. N Engl J Med 317 (1987) 1237–1245
Clofibrate and niacin in coronary heart disease. JAMA 231 (1975) 360–381
Trial of clofibrate in the treatment of ischaemic heart disease. Five-year study by a group of physicians of the Newcastle upon Tyne region. Br Med J 4 (1971) 767–775
Ischaemic heart disease: a secondary prevention trial using clofibrate. Report by a research committee of the Scottish Society of Physicians. Br Med J 4 (1971) 775–784
Carlson, L.A., Rosenhamer, G.: Reduction of mortality in the Stockholm Ischaemic Heart Disease Secondary Prevention Study by combined treatment with clofibrate and nicotinic acid. Acta Med Scand 223 (1988) 405–418
Rubins, H.B., Robins, S.J., Collins, D., Fye, C.L., Anderson, J.W., Elam, M.B., Faas, F.H., Linares, E., Schaefer, E.J., Schectman, G., Wilt, T.J., Wittes, J.: Gemfibrozil for the secondary prevention of coronary heart disease in men with low levels of high-density lipoprotein cholesterol. Veterans Affairs High-Density Lipoprotein Cholesterol Intervention Trial Study Group. N Engl J Med 341 (1999) 410–418
Secondary prevention by raising HDL cholesterol and reducing triglycerides in patients with coronary artery disease: the Bezafibrate Infarction Prevention (BIP) study. Circulation 102 (2000) 21–27
Huttunen, J.K., Heinonen, O.P., Manninen, V., Koskinen, P., Hakulinen, T., Teppo, L., Manttari, M., Frick, M.H.: The Helsinki Heart Study: an 8.5-year safety and mortality Âfollow-up. J Intern Med 235 (1994) 31–39
Kamanna, V.S., Kashyap, M.L.: Nicotinic acid (niacin) receptor agonists: will they be useful therapeutic agents? Am J Cardiol 100 (2007) S53–S61
Vega, G.L., Grundy, S.M.: Lipoprotein responses to treatment with lovastatin, gemfibrozil, and nicotinic acid in normolipidemic patients with hypoalphalipoproteinemia. Arch Intern Med 154 (1994) 73–82
Luria, M.H.: Effect of low-dose niacin on high-density lipoprotein cholesterol and total Âcholesterol/high-density lipoprotein cholesterol ratio. Arch Intern Med 148 (1988) 2493–2495
McKenney, J.M., Proctor, J.D., Harris, S., Chinchili, V.M.: A comparison of the efficacy and toxic effects of sustained- vs. immediate-release niacin in hypercholesterolemic patients. JAMA 271 (1994) 672–677
Illingworth, D.R., Stein, E.A., Mitchel, Y.B., Dujovne, C.A., Frost, P.H., Knopp, R.H., Tun, P., Zupkis, R.V., Greguski, R.A.: Comparative effects of lovastatin and niacin in primary hypercholesterolemia. A prospective trial. Arch Intern Med 154 (1994) 1586–1595
Canner, P.L., Berge, K.G., Wenger, N.K., Stamler, J., Friedman, L., Prineas, R.J., Friedewald, W.: Fifteen year mortality in Coronary Drug Project patients: long-term benefit with niacin. J Am Coll Cardiol 8 (1986) 1245–1255
Blankenhorn, D.H., Nessim, S.A., Johnson, R.L., Sanmarco, M.E., Azen, S.P., Cashin-Hemphill, L.: Beneficial effects of combined colestipol-niacin therapy on coronary atherosclerosis and coronary venous bypass grafts. JAMA 257 (1987) 3233–3240
Brown, G., Albers, J.J., Fisher, L.D., Schaefer, S.M., Lin, J.T., Kaplan, C., Zhao, X.Q., Bisson, B.D., Fitzpatrick, V.F., Dodge, H.T.: Regression of coronary artery disease as a result of intensive lipid-lowering therapy in men with high levels of apolipoprotein B. N Engl J Med 323 (1990) 1289–1298
Brown, B.G., Zhao, X.Q., Chait, A., Fisher, L.D., Cheung, M.C., Morse, J.S., Dowdy, A.A., Marino, E.K., Bolson, E.L., Alaupovic, P., Frohlich, J., Albers, J.J.: Simvastatin and niacin, antioxidant vitamins, or the combination for the prevention of coronary disease. N Engl J Med 345 (2001) 1583–1592
The Lipid Research Clinics Coronary Primary Prevention Trial results. I. Reduction in Âincidence of coronary heart disease. JAMA 251 (1984) 351–364
The Lipid Research Clinics Coronary Primary Prevention Trial results. II. The relationship of Âreduction in incidence of coronary heart disease to cholesterol lowering. JAMA 251 (1984) 365–374
Hamilton, P.: Role of ezetimibe in the management of patients with atherosclerosis. Coron Artery Dis 20 (2009) 169–174
Bays, H.E., Moore, P.B., Drehobl, M.A., Rosenblatt, S., Toth, P.D., Dujovne, C.A., Knopp, R.H., Lipka, L.J., Lebeaut, A.P., Yang, B., Mellars, L.E., Cuffie-Jackson, C., Veltri, E.P.: Effectiveness and tolerability of ezetimibe in patients with primary hypercholesterolemia: pooled analysis of two phase II studies. Clin Ther 23 (2001) 1209–1230
Knopp, R.H., Dujovne, C.A., Le Beaut, A., Lipka, L.J., Suresh, R., Veltri, E.P.: Evaluation of the efficacy, safety, and tolerability of ezetimibe in primary hypercholesterolaemia: a pooled analysis from two controlled phase III clinical studies. Int J Clin Pract 57 (2003) 363–368
Melani, L., Mills, R., Hassman, D., Lipetz, R., Lipka, L., LeBeaut, A., Suresh, R., Mukhopadhyay, P., Veltri, E.: Efficacy and safety of ezetimibe coadministered with pravastatin in patients with primary hypercholesterolemia: a prospective, randomized, double-blind trial. Eur Heart J 24 (2003) 717–728
Lewington, S., Clarke, R., Qizilbash, N., Peto, R., Collins, R.: Age-specific relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one million adults in 61 prospective studies. Lancet 360 (2002) 1903–1913
Jacoby, D.S., Rader, D.J.: Renin-angiotensin system and atherothrombotic disease: from genes to treatment. Arch Intern Med 163 (2003) 1155–1164
Schmitz, G., Hankowitz, J., Kovacs, E.M.: Cellular processes in atherogenesis: potential targets of Ca2+ channel blockers. Atherosclerosis 88 (1991) 109–132
Tulenko, T.N., Laury-Kleintop, L., Walter, M.F., Mason, R.P.: Cholesterol, calcium and atherosclerosis: is there a role for calcium channel blockers in atheroprotection? Int J Cardiol 62 Suppl 2 (1997) S55–S66
Ruilope, L.M., Rosei, E.A., Bakris, G.L., Mancia, G., Poulter, N.R., Taddei, S., Unger, T., Volpe, M., Waeber, B., Zannad, F.: Angiotensin receptor blockers: Therapeutic targets and cardiovascular protection. Blood Press 14 (2005) 196–209
Schmidt-Ott, K.M., Kagiyama, S., Phillips, M.I.: The multiple actions of angiotensin II in atherosclerosis. Regul Pept 93 (2000) 65–77
Lonn, E.: Angiotensin-converting enzyme inhibitors and angiotensin receptor blockers in atherosclerosis. Curr Atheroscler Rep 4 (2002) 363–372
Krum, H., Gilbert, R.E.: Novel therapies blocking the renin-angiotensin-aldosterone system in the management of hypertension and related disorders. J Hypertens 25 (2007) 25–35
Higgins, J.P.: Can angiotensin-converting enzyme inhibitors reverse atherosclerosis? South Med J 96 (2003) 569–579
Yasuda, N., Akazawa, H., Qin, Y., Zou, Y., Komuro, I.: A novel mechanism of mechanical stress-induced angiotensin II type 1-receptor activation without the involvement of angiotensin II. Naunyn Schmiedebergs Arch Pharmacol 377 (2008) 393–399
O’Keefe, J.H., Wetzel, M., Moe, R.R., Bronsnahan, K., Lavie, C.J.: Should an angiotensin-converting enzyme inhibitor be standard therapy for patients with atherosclerotic disease? J Am Coll Cardiol 37 (2001) 1–8
Weir, M.R.: Effects of renin-angiotensin system inhibition on end-organ protection: can we do better? Clin Ther 29 (2007) 1803–1824
Ruilope, L.M., Redon, J., Schmieder, R.: Cardiovascular risk reduction by reversing endothelial dysfunction: ARBs, ACE inhibitors, or both? Expectations from the ONTARGET Trial Programme. Vasc Health Risk Manag 3 (2007) 1–9
Yusuf, S., Teo, K.K., Pogue, J., Dyal, L., Copland, I., Schumacher, H., Dagenais, G., Sleight, P., Anderson, C.: Telmisartan, ramipril, or both in patients at high risk for vascular events. N Engl J Med 358 (2008) 1547–1559
Dagenais, G.R., Yusuf, S., Bourassa, M.G., Yi, Q., Bosch, J., Lonn, E.M., Kouz, S., Grover, J.: Effects of ramipril on coronary events in high-risk persons: results of the Heart Outcomes Prevention Evaluation Study. Circulation 104 (2001) 522–526
Jukema, J.W., van der Hoorn, J.W.: Amlodipine and atorvastatin in atherosclerosis: a review of the potential of combination therapy. Expert Opin Pharmacother 5 (2004) 459–468
Zanchetti, A., Hennig, M., Baurecht, H., Tang, R., Cuspidi, C., Carugo, S., Mancia, G.: Prevalence and incidence of the metabolic syndrome in the European Lacidipine Study on Atherosclerosis (ELSA) and its relation with carotid intima-media thickness. J Hypertens 25 (2007) 2463–2470
Zanchetti, A., Bond, M.G., Hennig, M., Neiss, A., Mancia, G., Dal Palu, C., Hansson, L., Magnani, B., Rahn, K.H., Reid, J.L., Rodicio, J., Safar, M., Eckes, L., Rizzini, P.: Calcium antagonist lacidipine slows down progression of asymptomatic carotid atherosclerosis: Âprincipal results of the European Lacidipine Study on Atherosclerosis (ELSA), a randomized, double-blind, long-term trial. Circulation 106 (2002) 2422–2427
Mason, R.P., Marche, P., Hintze, T.H.: Novel vascular biology of third-generation l-type calcium channel antagonists: ancillary actions of amlodipine. Arterioscler Thromb Vasc Biol 23 (2003) 2155–2163
Mason, R.P.: Mechanisms of atherosclerotic plaque stabilization for a lipophilic calcium antagonist amlodipine. Am J Cardiol 88 (2001) 2M–6M
The sixth report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure. Arch Intern Med 157 (1997) 2413–2446
The fifth report of the Joint National Committee on detection, evaluation, and treatment of high blood pressure (JNC V). Arch Intern Med 153 (1993) 154–183
Psaty, B.M., Smith, N.L., Siscovick, D.S., Koepsell, T.D., Weiss, N.S., Heckbert, S.R., Lemaitre, R.N., Wagner, E.H., Furberg, C.D.: Health outcomes associated with antihypertensive therapies used as first-line agents. A systematic review and meta-analysis. JAMA 277 (1997) 739–745
Brown, M.J., Palmer, C.R., Castaigne, A., de Leeuw, P.W., Mancia, G., Rosenthal, T., Ruilope, L.M.: Morbidity and mortality in patients randomised to double-blind treatment with a long-acting calcium-channel blocker or diuretic in the International Nifedipine GITS study: Intervention as a Goal in Hypertension Treatment (INSIGHT). Lancet 356 (2000) 366–372
Dahlof, B., Devereux, R.B., Kjeldsen, S.E., Julius, S., Beevers, G., de Faire, U., Fyhrquist, F., Ibsen, H., Kristiansson, K., Lederballe-Pedersen, O., Lindholm, L.H., Nieminen, M.S., Omvik, P., Oparil, S., Wedel, H.: Cardiovascular morbidity and mortality in the Losartan Intervention For Endpoint reduction in hypertension study (LIFE): a randomised trial against atenolol. Lancet 359 (2002) 995–1003
Major outcomes in high-risk hypertensive patients randomized to angiotensin-converting enzyme inhibitor or calcium channel blocker vs. diuretic: the Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT). JAMA 288 (2002) 2981–2997
Psaty, B.M., Lumley, T., Furberg, C.D., Schellenbaum, G., Pahor, M., Alderman, M.H., Weiss, N.S.: Health outcomes associated with various antihypertensive therapies used as first-line agents: a network meta-analysis. JAMA 289 (2003) 2534–2544
Wiysonge, C.S., Bradley, H., Mayosi, B.M., Maroney, R., Mbewu, A., Opie, L.H., Volmink, J.: Beta-blockers for hypertension. Cochrane Database Syst Rev (2007) CD002003
Staessen, J.A., Wang, J.G., Thijs, L.: Cardiovascular protection and blood pressure reduction: a meta-analysis. Lancet 358 (2001) 1305–1315
Staessen, J.A., Wang, J.G., Thijs, L.: Cardiovascular prevention and blood pressure reduction: a quantitative overview updated until 1 March 2003. J Hypertens 21 (2003) 1055–1076
Turnbull, F.: Effects of different blood-pressure-lowering regimens on major cardiovascular events: results of prospectively-designed overviews of randomised trials. Lancet 362 (2003) 1527–1535
Verdecchia, P., Reboldi, G., Angeli, F., Gattobigio, R., Bentivoglio, M., Thijs, L., Staessen, J.A., Porcellati, C.: Angiotensin-converting enzyme inhibitors and calcium channel blockers for coronary heart disease and stroke prevention. Hypertension 46 (2005) 386–392
Law, M.R., Morris, J.K., Wald, N.J.: Use of blood pressure lowering drugs in the prevention of cardiovascular disease: meta-analysis of 147 randomised trials in the context of expectations from prospective epidemiological studies. BMJ 338 (2009) b1665
Migdalis, I.N., Gerolimou, B., Kozanidou, G., Hatzigakis, S.M., Karmaniolas, K.D.: Effect of fosinopril sodium on early carotid atherosclerosis in diabetic patients with hypertension. J Med 28 (1997) 371–380
MacMahon, S., Sharpe, N., Gamble, G., Clague, A., Mhurchu, C.N., Clark, T., Hart, H., Scott, J., White, H.: Randomized, placebo-controlled trial of the angiotensin-converting enzyme inhibitor, ramipril, in patients with coronary or other occlusive arterial disease. PART-2 Collaborative Research Group. Prevention of atherosclerosis with ramipril. J Am Coll Cardiol 36 (2000) 438–443
Lonn, E., Yusuf, S., Dzavik, V., Doris, C., Yi, Q., Smith, S., Moore-Cox, A., Bosch, J., Riley, W., Teo, K.: Effects of ramipril and vitamin E on atherosclerosis: the study to evaluate carotid ultrasound changes in patients treated with ramipril and vitamin E (SECURE). Circulation 103 (2001) 919–925
Hosomi, N., Mizushige, K., Ohyama, H., Takahashi, T., Kitadai, M., Hatanaka, Y., Matsuo, H., Kohno, M., Koziol, J.A.: Angiotensin-converting enzyme inhibition with enalapril slows progressive intima-media thickening of the common carotid artery in patients with non-insulin-dependent diabetes mellitus. Stroke 32 (2001) 1539–1545
Asselbergs, F.W., van Roon, A.M., Hillege, H.L., de Jong, P.E., Gans, R.O., Smit, A.J., van Gilst, W.H.: Effects of fosinopril and pravastatin on carotid intima-media thickness in subjects with increased albuminuria. Stroke 36 (2005) 649–653
Wiklund, O., Hulthe, J., Wikstrand, J., Schmidt, C., Olofsson, S.O., Bondjers, G.: Effect of controlled release/extended release metoprolol on carotid intima-media thickness in patients with hypercholesterolemia: a 3-year randomized study. Stroke 33 (2002) 572–577
Pitt, B., Byington, R.P., Furberg, C.D., Hunninghake, D.B., Mancini, G.B., Miller, M.E., Riley, W.: Effect of amlodipine on the progression of atherosclerosis and the occurrence of clinical events. PREVENT Investigators. Circulation 102 (2000) 1503–1510
Borhani, N.O., Mercuri, M., Borhani, P.A., Buckalew, V.M., Canossa-Terris, M., Carr, A.A., Kappagoda, T., Rocco, M.V., Schnaper, H.W., Sowers, J.R., Bond, M.G.: Final outcome results of the Multicenter Isradipine Diuretic Atherosclerosis Study (MIDAS). A randomized controlled trial. JAMA 276 (1996) 785–791
Zanchetti, A., Rosei, E.A., Palu, C., Leonetti, G., Magnani, B., Pessina, A.: The Verapamil in Hypertension and Atherosclerosis Study (VHAS): results of long-term randomized treatment with either verapamil or chlorthalidone on carotid intima-media thickness. J Hypertens 16 (1998) 1667–1676
Simon, A., Gariepy, J., Moyse, D., Levenson, J.: Differential effects of nifedipine and Âco-amilozide on the progression of early carotid wall changes. Circulation 103 (2001) 2949–2954
Boutouyrie, P., Bussy, C., Hayoz, D., Hengstler, J., Dartois, N., Laloux, B., Brunner, H., Laurent, S.: Local pulse pressure and regression of arterial wall hypertrophy during long-term antihypertensive treatment. Circulation 101 (2000) 2601–2606
Roman, M.J., Alderman, M.H., Pickering, T.G., Pini, R., Keating, J.O., Sealey, J.E., Devereux, R.B.: Differential effects of angiotensin converting enzyme inhibition and diuretic therapy on reductions in ambulatory blood pressure, left ventricular mass, and vascular hypertrophy. Am J Hypertens 11 (1998) 387–396
Zanchetti, A., Crepaldi, G., Bond, M.G., Gallus, G., Veglia, F., Mancia, G., Ventura, A., Baggio, G., Sampieri, L., Rubba, P., Sperti, G., Magni, A.: Different effects of antihypertensive regimens based on fosinopril or hydrochlorothiazide with or without lipid lowering by pravastatin on progression of asymptomatic carotid atherosclerosis: principal results of PHYLLIS – a randomized double-blind trial. Stroke 35 (2004) 2807–2812
Ludwig, M., Stapff, M., Ribeiro, A., Fritschka, E., Tholl, U., Smith, R.D., Stumpe, K.O.: Comparison of the effects of losartan and atenolol on common carotid artery intima-media thickness in patients with hypertension: results of a 2-year, double-blind, randomized, controlled study. Clin Ther 24 (2002) 1175–1193
Hoogerbrugge, N., de Groot, E., de Heide, L.H., de Ridder, M.A., Birkenhageri, J.C., Stijnen, T., Jansen, H.: Doxazosin and hydrochlorothiazide equally affect arterial wall thickness in hypertensive males with hypercholesterolaemia (the DAPHNE study). Doxazosin Atherosclerosis Progression Study in Hypertensives in the Netherlands. Neth J Med 60 (2002) 354–361
Koshiyama, H., Tanaka, S., Minamikawa, J.: Effect of calcium channel blocker amlodipine on the intimal-medial thickness of carotid arterial wall in type 2 diabetes. J Cardiovasc Pharmacol 33 (1999) 894–896
Topouchian, J., Asmar, R., Sayegh, F., Rudnicki, A., Benetos, A., Bacri, A.M., Safar, M.E.: Changes in arterial structure and function under trandolapril-verapamil combination in hypertension. Stroke 30 (1999) 1056–1064
Pontremoli, R., Viazzi, F., Ravera, M., Leoncini, G., Berruti, V., Bezante, G.P., Del Sette, M., Deferrari, G.: Long term effect of nifedipine GITS and lisinopril on subclinical organ damage in patients with essential hypertension. J Nephrol 14 (2001) 19–26
Stanton, A.V., Chapman, J.N., Mayet, J., Sever, P.S., Poulter, N.R., Hughes, A.D., Thom, S.A.: Effects of blood pressure lowering with amlodipine or lisinopril on vascular structure of the common carotid artery. Clin Sci (Lond) 101 (2001) 455–464
Terpstra, W.F., May, J.F., Smit, A.J., Graeff, P.A., Meyboom-de Jong, B., Crijns, H.J.: Effects of amlodipine and lisinopril on intima-media thickness in previously untreated, elderly hypertensive patients (the ELVERA trial). J Hypertens 22 (2004) 1309–1316
Wang, J.-G.M.D.P., Staessen, J.A.M.D.P., Li, Y.M.D.P., Van Bortel, L.M.M.D.P., Nawrot, T.P., Fagard, R.M.D.P., Messerli, F.H.M.D., Safar, M.M.D.: Carotid intima-media thickness and antihypertensive treatment: a meta-analysis of randomized controlled trials. Stroke 37 (2006) 1933–1940
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2011 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Eandi, M. (2011). Drug Therapy and Follow-Up. In: Suri, J., Kathuria, C., Molinari, F. (eds) Atherosclerosis Disease Management. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-7222-4_19
Download citation
DOI: https://doi.org/10.1007/978-1-4419-7222-4_19
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4419-7221-7
Online ISBN: 978-1-4419-7222-4
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)