[Importance of HDL cholesterol in atherothrombosis: how did we get here? Where are we going?]

Rev Esp Cardiol. 2010 Jun:63 Suppl 2:20-35. doi: 10.1016/s0300-8932(10)70150-0.
[Article in Spanish]

Abstract

The association between cardiovascular events and a high low-density lipoprotein (LDL) cholesterol level has been clearly established by numerous clinical trials. Moreover, reducing the LDL-cholesterol level using statins has been shown to be highly effective in both primary and secondary prevention. Nevertheless, despite statin treatment, the residual cardiovascular risk remains high and a large number of cardiovascular events still occur. On the other hand, a growing number of studies have demonstrated that there is an inverse association between the high-density lipoprotein (HDL) cholesterol level and cardiovascular risk. The most recent observations indicate that increasing the HDL-cholesterol level confers an additional benefit to reducing the LDL-cholesterol level with statins. Together, these findings justify turning our attention to HDL-cholesterol to provide a novel additional strategy for reducing cardiovascular risk. This review article describes: firstly, epidemiological studies that endorse HDL cholesterol as a therapeutic target; secondly, the different alternative treatments available for increasing the HDL-cholesterol level; and, finally, the benefits associated with such an increase.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Atherosclerosis / blood*
  • Atherosclerosis / prevention & control*
  • Cardiovascular Diseases / blood*
  • Cardiovascular Diseases / prevention & control*
  • Cholesterol, HDL / blood*
  • Humans
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors / therapeutic use*
  • Thrombosis / blood*
  • Thrombosis / prevention & control*

Substances

  • Cholesterol, HDL
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors