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Updated: Jun 18, 2025

Differential Effects of Lipid-lowering Drugs in Modulating Morphology of Cholesterol Particles
Published on: November 10, 2017
Landscape of Statin as a Cornerstone in Atherosclerotic Cardiovascular Disease
Cheng Yang1, Yong-Jian Wu1, Jie Qian1
1State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, 100037 Beijing, China.
Insights
Statins are essential for managing cholesterol and preventing cardiovascular disease. These lipid-lowering drugs are highly effective and safe for treating atherosclerosis and atherosclerotic cardiovascular disease (ASCVD).
Area of Science:
- Cardiovascular Medicine
- Pharmacology
Background:
- Atherosclerosis is a primary cause of global mortality and morbidity.
- Statins are the primary treatment for lowering lipids and preventing cardiovascular events.
Purpose of the Study:
- To review the evolution and role of statins in cholesterol management.
- To detail the anti-atherosclerotic mechanisms, efficacy, safety, and clinical outcomes of statins.
Main Methods:
- Literature review on statin therapy.
- Analysis of clinical outcomes in primary and secondary prevention of atherosclerotic cardiovascular disease (ASCVD).
Main Results:
- Statins demonstrate significant efficacy and safety in diverse patient populations.
- Combination therapy with statins shows beneficial effects.
- Statins are crucial in both primary and secondary ASCVD prevention.
Conclusions:
- Statins are the most successful anti-atherogenic drugs in cardiovascular medicine.
- Guidelines support the use of statins for ASCVD prevention and treatment.
- Statins play an indispensable role in managing cholesterol and preventing cardiovascular disease.
Abstract:
Atherosclerosis, the key pathogenesis of cardiovascular disease, is a leading cause of death and disability worldwide. Statins are first-line lipid-lowering drugs, which have been demonstrated to be powerful agents for anti-atherosclerosis. Numerous studies have confirmed the cardiovascular benefits and long-term safety of statins in a wide range of patients. Statins play an indispensable and irreplaceable part in the prevention and treatment of atherosclerotic cardiovascular disease (ASCVD). In this article, we summarize the evolution of statins and their role in the treatment of cholesterol. The anti-atherosclerotic mechanism of statins, its efficacy, safety and clinical outcomes in secondary and primary prevention of ACSVD in different patient populations, the combination treatment effects, and guideline recommendations are also detailed. This paper highlights the profound significance of statins as the most successful anti-atherogenic drug in the cardiovascular field.
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