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Lipid Lowering: Progression and Regression of Atherosclerotic Lesions

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Drugs Affecting Lipid Metabolism

Part of the book series: Medical Science Symposia Series ((MSSS,volume 2))

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Abstract

Two clinical trials with identical coronary and carotid end points indicate that aggressive reduction of blood lipoprotein level can induce beneficial change throughout the range of the atherosclerotic process. The drug treatments tested were combined colestipol/niacin and lovastatin. The data are most convincing for intrusive coronary lesions. There are also clear indications of benefit to very early pre-intrusive carotid lesions in men from CLAS and encouraging results from a small number of women in MARS.

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References

  1. Blankenhorn, D.H., Nessim, S.A., Johnson, R.L., Sanmarco, M.E., Azen S.P., Chasin-Hemphill, L. (1987) r‘Beneficial effects of combined colestipol-niacin therapy therapy on coronary atherosclerosis and coronary venous bypass grafts’, JAMA 257, 3233–3240.

    Article  PubMed  CAS  Google Scholar 

  2. Buchwald H., Varcom R.L., Matts, J.P., et al. (1990) ‘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)’, — Engl — Med 323, 946–955.

    Article  CAS  Google Scholar 

  3. Buchwald H., Matts, J,P., Fitch, L.L., Stamler J., and the POSCH Group (1991), ‘Clinical prognostic significance of serial changes in coronary angiograms: Ten year data from the Program on the Surgical Control of the Hyperlipidemias (POSCH)’, (Abstract), Circulation 84, II–286.

    Google Scholar 

  4. Solberg, L.A., McGarry, P.A., Moosy J., Strong, J.P., Tejada C., Loken, — (1968) ‘Severity of atherosclerosis in in cerebral arteries, coronary arteries, and aortas’, Ann NY Acad Sci 149, 956–973.

    Article  Google Scholar 

  5. Azen, S.P., Cashin-Hemphill L., Pogoda J., et al. (1991) ‘Evaluation of human panelists in assessing coronary of human panelists in assessing coronary atherosclerosis’, Arterioscler Thromb 11, 385–394.

    Article  PubMed  CAS  Google Scholar 

  6. O’Leary, D.H., Polak, J.F., Wolfson, S.K. Jr., et al. (1991) ‘Use of sonography to evaluate carotid atherosclerosis in the elderly. The Cardiovascular Health Study. CHS Collaborative Research Group’, Stroke 22, 1155–1163.

    Article  PubMed  Google Scholar 

  7. Blankenhorn, D.H., Johnson, R.L., Nessim, S.A., Azen, S.P., Sanmarco, M.E., Selzer, R.H. (1987) ‘The Cholesterol Lowering Atherosclerosis Study (CLAS): Design, Methods, and Baseline Results’, Controlled Clinical Trials 8, 354–387.

    Article  Google Scholar 

  8. Cashin-Hemphill L., Mack, W.J., Pogoda, J.M., Sanmarco, M.E., Azen, S.P., Blankenhorn, D.H. (1990) ‘Beneficial effects of colestipol-niacin on coronary atherosclerosis. — 4-year follow-up’, JAMA 264, 3013–3017.

    Article  PubMed  CAS  Google Scholar 

  9. Blankenhorn, D.H., Azen, S.P., Crawford, D.W., et al. (1991) ‘Effects of colestipol-niacin therapy on human femoral femoral atherosclerosis’, Circulation 83, 438–447.

    Article  PubMed  CAS  Google Scholar 

  10. Pignoli P., Tremoli E., Poli A., Oreste P., Paoletti, R. (1986) ‘Intimal plus medial thickness of the arterial wall: — direct measurement with ultrasound imaging’, Circulation 74, 1399–1406.

    Article  PubMed  CAS  Google Scholar 

  11. Farrar, D.J., Green, H.D., Wagner, W.D., Bond, M.G. (1980) ‘Reduction in pulse wave velocity and improvement of aortic distensibility accompanying regression of atherosclerosis in the rhesus monkey’, Cir Res 47, 425–432

    Article  CAS  Google Scholar 

  12. Shimokawa, H. and Vanhoutte, P.M. (1989) ‘Hypercholesterolemia causes generalized impairment of endothelium-dependent relaxation to aggregating platelets in porcine arteries’, — Am Coll Cardiol 13, 1402–1408.

    Article  PubMed  CAS  Google Scholar 

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© 1993 Springer Science+Business Media Dordrecht

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Blankenhorn, D.H. (1993). Lipid Lowering: Progression and Regression of Atherosclerotic Lesions. In: Catapano, A.L., Gotto, A.M., Smith, L.C., Paoletti, R. (eds) Drugs Affecting Lipid Metabolism. Medical Science Symposia Series, vol 2. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-1703-6_29

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  • DOI: https://doi.org/10.1007/978-94-011-1703-6_29

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-4746-3

  • Online ISBN: 978-94-011-1703-6

  • eBook Packages: Springer Book Archive

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