Related Experiment Video
Updated: Aug 11, 2026

Differential Effects of Lipid-lowering Drugs in Modulating Morphology of Cholesterol Particles
Published on: November 10, 2017
Reducing residual risk for patients on statin therapy: the potential role of combination therapy
1Rush Medical College, Rush University Medical Center, Chicago, Illinois 60610, USA. michaeldavidson@radiantresearch.com
Insights
Statins effectively reduce cardiovascular events in coronary artery disease (CAD). However, many patients face high residual risk, necessitating combination therapy to achieve optimal outcomes without adverse effects.
Area of Science:
- Cardiology
- Pharmacology
Background:
- Statins (HMG-CoA reductase inhibitors) are standard for reducing death and myocardial infarction in coronary artery disease (CAD).
- A substantial proportion of patients on statin therapy experience high residual risk, posing a clinical challenge.
Purpose of the Study:
- To discuss the role of combination therapy in managing CAD.
- To explore strategies for achieving optional targets in high-risk CAD populations.
Main Methods:
- Review of current literature on statin therapy and combination treatments for CAD.
- Discussion of clinical challenges in managing residual risk.
Main Results:
- Combination therapy is indicated for patients with high residual risk despite optimal statin treatment.
- Optimal management requires balancing efficacy with potential adverse effects.
Conclusions:
- Combination therapy is a key strategy for managing high-risk CAD patients.
- Addressing residual risk is crucial for improving cardiovascular outcomes.
Abstract:
Cholesterol-lowering therapy with 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase inhibitors, or statins, has been established as an effective method of reducing death and myocardial infarction among patients with coronary artery disease (CAD). However, a significant number of patients receiving statin therapy continue to have high residual risk. An important clinical challenge exists in reducing residual CAD risk with optimal therapies without increasing adverse effects. Combination therapy appears most appropriate for patients with a high rate of events of residual risk despite optimal statin therapy. This article discusses the role of combination therapy in managing CAD and in achieving optional targets in high-risk patient populations.
Related Concept Videos
Lipid-Lowering Drugs: Statins and Miscellaneous Agents
Pharmacokinetics: Drug–Drug Interactions
Coronary Artery Disease IV: Preventive Measures
Coronary Artery Disease V: Interprofessional Care
Atherosclerosis III: Management
Peripheral Artery Disease III: Interprofessional Care