Nicholls Stephen J, Pisaniello Anthony D, Kataoka Yu, Puri Rishi
University of Adelaide, Discipline of Medicine, Adelaide , Australia.
Expert Opin Pharmacother. 2014 Jun;15(8):1119-25. doi: 10.1517/14656566.2014.904287. Epub 2014 Apr 5.
For more than two decades, lowering levels of low-density lipoprotein cholesterol has formed the cornerstone of management of patients with atherosclerotic cardiovascular disease. The substantial residual risk of clinical events in patients treated with statin therapy highlights the need to develop more effective strategies to reduce cardiovascular risk.
Current and future approaches targeting dyslipidemia and inflammatory factors implicated in atherosclerosis are discussed.
Considerable efforts to further reduce levels of atherogenic lipoproteins provide additional strategies to lower cardiovascular risk. In contrast, it remains to be determined whether targeting protective lipid factors or inflammatory mediators of atherosclerosis will be clinically beneficial.
二十多年来,降低低密度脂蛋白胆固醇水平一直是动脉粥样硬化性心血管疾病患者管理的基石。接受他汀类药物治疗的患者仍存在较高的临床事件残余风险,这凸显了开发更有效策略以降低心血管风险的必要性。
讨论了针对血脂异常和动脉粥样硬化相关炎症因子的当前及未来方法。
进一步降低致动脉粥样硬化脂蛋白水平的大量努力为降低心血管风险提供了额外策略。相比之下,针对动脉粥样硬化的保护性脂质因子或炎症介质是否具有临床益处仍有待确定。