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Updated: Sep 7, 2026

Differential Effects of Lipid-lowering Drugs in Modulating Morphology of Cholesterol Particles
Published on: November 10, 2017
[Treatment of hyperlipidemia]
1Department of Laboratory Medicine, Toho University School of Medicine, Ohta-ku, Tokyo 143-0015.
Insights
Aggressive treatment of hyperlipidemia, including hypercholesterolemia and hypertriglyceridemia, is crucial for reducing coronary heart disease risks. New insights focus on lifestyle changes and hypolipidemic drugs for effective dyslipidemia management.
Area of Science:
- Cardiovascular Medicine
- Metabolic Disorders
- Pharmacology
Context:
- Hyperlipidemia, particularly hypercholesterolemia, is a primary risk factor for coronary heart disease (CHD).
- Hypertriglyceridemia is increasingly recognized as a significant CHD risk factor.
- Atherogenesis involves small, dense LDL, remnant lipoproteins, and isolated hypoalphalipoproteinemia, all linked to hypertriglyceridemia.
Purpose:
- To discuss the importance of treating both hypercholesterolemia and hypertriglyceridemia.
- To explore new therapeutic strategies for dyslipidemia management.
Summary:
- Aggressive lipid-lowering therapy in high-risk individuals demonstrably reduces CHD morbidity and mortality.
- Hypertriglyceridemia plays a key role in the pathogenesis of abnormal lipoprotein profiles associated with atherosclerosis.
- Effective dyslipidemia management requires addressing both cholesterol and triglyceride levels.
Impact:
- Improved patient outcomes through reduced cardiovascular events.
- Enhanced understanding of lipoprotein metabolism and its role in cardiovascular disease.
- Guidance on integrating lifestyle modifications and pharmacotherapy for comprehensive dyslipidemia treatment.
Abstract:
Hyperlipidemia, especially hypercholesterolemia is one of the most important risk factors for coronary heart disease. Now it is well recognized that aggressive lipid-lowering drug treatment in high-risk individuals reduces coronary heart disease morbidity and mortality rates and increases overall survival. Hypertriglyceridemia has now been recognized as another important risk factor for coronary heart disease. Recently, much attention has been focused on the atherogenesis of small, dense LDL, remnant lipoprotein and isolated hypoalphalipoproteinemia. Hypertriglyceridemia is known to be deeply involved in the pathogenesis of all of these abnormal lipoprotein profiles. Therefore, treatment of hypertriglyceridemia as well as hypercholesterolemia must be fully discussed. In this issue, I will talk about new insights into treatment of dyslipidemia by changing the life style and/or by various hypolipidemic drugs.
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