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Updated: Jul 24, 2026

Differential Effects of Lipid-lowering Drugs in Modulating Morphology of Cholesterol Particles
Published on: November 10, 2017
Clinical trials of reducing low-density lipoprotein concentrations
1National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Maryland, USA.
Insights
New statin drug trials confirm their effectiveness in reducing cardiovascular events and mortality. These powerful medications are safe and beneficial for diverse patient groups, including those with diabetes and hypertension.
Area of Science:
- Cardiovascular Medicine
- Pharmacology
Background:
- Low-density lipoprotein (LDL) cholesterol is causally linked to atherosclerotic coronary heart disease (CHD).
- Previous LDL-lowering trials showed CHD rate reductions but raised concerns about long-term toxicity.
Purpose of the Study:
- To evaluate the efficacy and safety of statin therapy in reducing cardiovascular events.
- To assess the impact of statins across various patient subgroups and for stroke prevention.
Main Methods:
- Analysis of recent clinical trials investigating statin drugs for cardiovascular risk reduction.
- Inclusion of both primary and secondary prevention studies.
- Review of angiographic data assessing effects on coronary and carotid lesions.
Main Results:
- Statin therapy uniformly reduced CHD mortality and morbidity, as well as total mortality.
- Significant decrease in the need for revascularization procedures observed.
- Benefits were consistent across subgroups including women, diabetics, and hypertensives; statins also aided stroke prevention.
Conclusions:
- Statin drugs represent a highly effective and safe therapeutic class for managing atherosclerotic coronary heart disease.
- These findings support the widespread use of statins in both primary and secondary cardiovascular prevention strategies.
- Statin therapy demonstrates a positive impact on vascular lesions, contributing to improved patient outcomes.
Abstract:
Much diverse evidence suggests that the plasma levels of low-density lipoprotein (LDL) cholesterol play a causal role in the pathogenesis of atherosclerotic coronary heart disease. Until recently, clinical trials of LDL lowering, while showing significant reductions in coronary heart disease (CHD) rates, were not entirely convincing and left some questions of long-term toxicity unresolved. The results of a series of new trials using members of the powerful statin class of drugs are now being reported. Whether they are primary or secondary prevention studies, they have been uniformly successful in reducing mortality and morbidity from CHD and even total mortality, and have decreased the need for revascularization procedures. Their effectiveness is apparent in many different subgroups such as women, diabetics, hypertensives, and in stroke prevention. Statin drugs also have proven to be remarkably safe over the duration of the studies. Angiographic studies show an impact on coronary or carotid lesions.
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