Abstract

We read with great interest the study of Takase et al1 on the addition of ezetimibe to lipid-lowering therapy (simvastatin) on coronary artery endothelial function. It shows that addition of ezetimibe not only lowers low-density lipoprotein cholesterol (Table 2) but also lowers important oxysterols (Table 3) and is associated with an improvement in coronary endothelial dysfunction. The main conclusions from the article (the presumed relation between a decrease in oxysterols and an improvement of coronary endothelial function), however, hinge on a post hoc analysis from the study. In Figure 5, the authors compare both treatment …

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