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Updated: Aug 13, 2026

Differential Effects of Lipid-lowering Drugs in Modulating Morphology of Cholesterol Particles
Published on: November 10, 2017
Cholesterol, lipids, and statins
1Center for Cardiovascular Disease Prevention, Methodist DeBakey Heart Center, Texas, USA. cmb@bcm.tmc.edu
Insights
Low-density lipoprotein cholesterol (LDL-C) targets are evolving, with new therapies like advanced statins and combination treatments aiding achievement. Raising high-density lipoprotein cholesterol (HDL-C) alongside LDL-C reduction shows promise for further event reduction.
Area of Science:
- Cardiology
- Lipid Metabolism
Background:
- Current guidelines recommend specific low-density lipoprotein cholesterol (LDL-C) targets.
- Achieving these targets is crucial for cardiovascular risk management.
Purpose of the Study:
- To discuss the evolving targets for LDL-C.
- To highlight available and emerging therapeutic strategies for lipid management.
Main Methods:
- Review of current clinical guidelines and therapeutic options.
- Discussion of novel approaches in lipid-lowering therapy.
Main Results:
- Established LDL-C goals are <100 mg/dL, with <70 mg/dL for very-high-risk patients.
- More potent statins and combination therapies are available to meet these goals.
Conclusions:
- LDL-C targets are becoming more stringent.
- Simultaneous elevation of high-density lipoprotein cholesterol (HDL-C) with aggressive LDL-C lowering may offer enhanced cardiovascular event reduction.
Abstract:
In conclusion, our targets for LDL-C are changing. Right now, the goal is less than 100 mg/dL, with an optional goal of less than 70 in very-high-risk individuals. To achieve these targets, we have available more effective statins as well as more effective combination therapies. An exciting area for potentially even greater reduction in events is raising HDL-C in conjunction with aggressive efforts to lower LDL-C.
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