Guan Siming, Zhang Yanqing, Wang Bin, Li Wei
Department of Geriatrics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology.
Int Heart J. 2019 Jan 25;60(1):175-177. doi: 10.1536/ihj.17-394. Epub 2018 Nov 20.
The initiation and progression of atherosclerotic cardiovascular disease (ASCVD) has always been associated with a series of risk factors. Evidences of statin therapy from randomized clinical trials are abundant, whereas discussions regarding patients with ASCVD without evidence-based risk factors are rare. Here, we describe a case of a 58-year-old woman who was diagnosed with ASCVD with none of these evidence-based risk factors. After four years of medical interventions, including atorvastatin, the patient recovered completely from severe chest pain with significant regression of atherosclerotic plaques in coronary arteries.