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Differential Effects of Lipid-lowering Drugs in Modulating Morphology of Cholesterol Particles
Published on: November 10, 2017
Alcohol use, vascular disease, and lipid-lowering drugs
Genovefa D Kolovou1, Klelia D Salpea, Katherine K Anagnostopoulou
11st Cardiology Department, Onassis Cardiac Surgery Center, Athens, Greece, and Department of Clinical Biochemistry, Vascular Disease Prevention Clinics, Royal Free Hospital, Royal Free and University College Medical School, London, UK. genkolovou@mail.gr
Insights
Light to moderate alcohol consumption may reduce coronary heart disease (CHD) risk and total mortality. This review discusses alcohol
Area of Science:
- Cardiology
- Epidemiology
- Pharmacology
Background:
- Epidemiological and clinical studies suggest light-to-moderate alcohol (Alc) consumption is linked to reduced coronary heart disease (CHD) risk and overall mortality in middle-aged and older adults.
- Potential cardioprotective mechanisms include improved lipid profiles, anti-clotting effects, and reduced lipoprotein (a).
- The role of alcohol in patients undergoing lipid-lowering therapy requires careful consideration due to long-term treatment needs.
Purpose of the Study:
- To review the beneficial effects of alcohol consumption on coronary heart disease (CHD) risk.
- To discuss the potential side effects of alcohol consumption.
- To evaluate the safety and suitability of alcohol consumption in patients using hypolipidemic drugs.
Main Methods:
- This is a review article.
- Literature search on alcohol consumption, CHD risk, and hypolipidemic drug interactions.
- Synthesis of existing epidemiological and clinical study findings.
Main Results:
- Light-to-moderate alcohol intake is associated with a reduced risk of coronary heart disease (CHD) and total mortality.
- Proposed mechanisms include increased HDL cholesterol, prevention of clot formation, reduced platelet aggregation, enhanced clot dissolution, and lower lipoprotein (a).
- Alcohol's effects may benefit patients with dyslipidemia or CHD.
Conclusions:
- Alcohol consumption may offer cardioprotective benefits, particularly in middle-aged and elderly populations.
- The interaction between alcohol and hypolipidemic drugs needs careful evaluation for patient safety.
- Further research is warranted to establish definitive guidelines for alcohol consumption in patients on lipid-lowering therapy.
Abstract:
Many epidemiological and clinical studies have shown that light-to-moderate alcohol (Alc) consumption is associated with reduced risk of coronary heart disease (CHD) and total mortality in middle-aged and elderly men and women. The plausible mechanisms for the putative cardioprotective effects include increased levels of high-density lipoprotein cholesterol, prevention of clot formation, reduced platelet aggregation, promotion of blood clot dissolution, and lowering of plasma lipoprotein (a) concentration. Individuals who need to be treated with lipid-lowering drugs, such as dyslipidemic or CHD patients, may benefit from these effects of Alc. Because hypolipidemic treatment is usually continued for life, an important issue is the suitability of Alc consumption in these patients. In the present review, the beneficial effects of Alc consumption on CHD risk, its side effects, and its safety and suitability when coadministered with hypolipidemic drugs are discussed.
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