The effect of aggressive and moderate lowering of LDL-cholesterol and low dose anticoagulation on plasma lipids, apolipoproteins and lipoprotein families in post coronary artery bypass graft trial.

Author: AlaupovicP, CampeauL, DomanskiM, FesmireJ D, FormanS, ForresterJ, GobelF L, HerdJ A, HoogwerfB, HunnighakeD, KnatterudG L

Paper Details 
Original Abstract of the Article :
The reported results (The Post Coronary Artery Bypass Graft Trial Investigators. 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. New Engl J Med 1997;336:153-162) of th...See full text at original site
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引用元:
https://doi.org/10.1016/s0021-9150(99)00151-3

データ提供:米国国立医学図書館(NLM)

The Impact of Aggressive and Moderate LDL-Cholesterol Lowering on Cardiovascular Health

In the realm of cardiovascular health, we're constantly seeking ways to combat the relentless march of atherosclerosis. This research delves into the effects of aggressive and moderate LDL-cholesterol lowering strategies on the progression of atherosclerosis in patients who have undergone coronary artery bypass graft surgery. The study employed a rigorous approach, utilizing lovastatin in high and moderate doses along with cholestyramine to achieve the desired LDL-cholesterol levels. The findings provide valuable insights into the impact of these strategies on various lipid profiles and lipoprotein families.

Aggressive Cholesterol Lowering Offers Potential Benefits

The results of this study demonstrate that aggressive LDL-cholesterol lowering strategies resulted in more significant reductions in total cholesterol, LDL-cholesterol, apoB, LDL-apoB, and cholesterol-rich Lp-B family compared to moderate lowering strategies. This finding suggests that aggressive approaches could play a crucial role in mitigating the progression of atherosclerosis, particularly in patients with a history of coronary artery bypass surgery.

The Importance of Tailoring Treatment Strategies

These findings highlight the importance of individualizing treatment approaches, considering factors such as the severity of atherosclerosis and individual patient characteristics. While aggressive LDL-cholesterol lowering may offer greater benefits in certain cases, it's essential to carefully weigh the potential risks and benefits before implementing such a strategy. It's also important to note that these findings require further investigation and validation before definitive conclusions can be drawn.

Dr.Camel's Conclusion

This research reminds me of a desert oasis, where the water, representing aggressive LDL-cholesterol lowering, is a powerful tool for combating the harsh desert conditions, symbolizing atherosclerosis. The findings suggest that aggressive treatment might be more effective in certain situations, but just like the desert, it's important to approach with caution, ensuring that the water is used wisely to avoid any negative consequences. Remember, the key is to find the right balance and personalize treatment strategies to meet the unique needs of each patient.

Date :
  1. Date Completed 1999-12-21
  2. Date Revised 2019-07-18
Further Info :

Pubmed ID

10532693

DOI: Digital Object Identifier

10.1016/s0021-9150(99)00151-3

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Languages

English

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