Abstract

The implications of the proceedings gathered here are increasingly important. Despite the powerful evidence generated by the findings of primary- and secondary-prevention trials—such as the West of Scotland Coronary Prevention Study (WOSCOPS),1 the Cholesterol and Recurrent Events (CARE) trial,2 and the Scandinavian Simvastatin Survival Study (4S),3—we still do not have all the answers regarding management of dyslipidemias in the prevention of coronary artery disease (CAD). The major emphasis of these and other angiographic and clinical outcome trials, and of the National Cholesterol Education Program (NCEP) guidelines,4 has been on lowering plasma low-density lipoprotein (LDL) cholesterol levels as the means to halting or reversing disease progression and decreasing morbidity and mortality. As the investigators of the following articles point out, however, whereas elevated LDL cholesterol may be a critical coronary risk factor, it is but one of several lipid abnormalities that may be important contributors to CAD riskAntonio M. Gotto, Jr.

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