Hypolipidemic Therapy and HDL

Authors

  • Ioannis A Chaveles Evagelismos General Hospital, Athens

DOI:

https://doi.org/10.2015/hc.v5i1%20Sup.372

Abstract

Statins significantly reduce cardiovascular events by reducing low-density-lipoprotein cholesterol (LDL-C). However, despite achieving the LDL goals, a substantial residual risk remains. It appears that low levels of high-density lipoprotein cholesterol (HDL-C) constitute another independent risk factor for coronary artery disease (CAD). Therefore, raising HDL levels appears an attractive target to further reduce the cardiovascular risk. However, classical HDL-reducing drugs (nicotinic acid derivatives, fibrates) are not well tolerated and newer agents (torcetrapid), which seemed effective in doing that, had to be withdrawn due to increased mortality. Nevertheless, due to the importance of HDL in influencing the cardiovascular risk, efforts in developing safer drugs are continuing. Such pharmacological developments, as well as the nonpharmacological approaches to increase HDL, and other HDL-targeted therapies are discussed in this overview.

Author Biography

Ioannis A Chaveles, Evagelismos General Hospital, Athens

Specialty: Cardiology

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Issue

Section

Athens Cardiology Update 2010