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New England Journal of Medicine
2002;347:1557-1565.
Paul M. Ridker, MD, Nader Rifai,
PhD, Lynda Rose, MS,
Julie E. Buring, ScD, Nancy R. Cook, ScD
FRIDAY, April 11 (HealthScoutNews)
-- Using two lipid-lowering medicines reduces multiple risk factors
for heart disease. That finding, from researchers at the University
of Texas Southwestern Medical Center at Dallas, appears in the April
15 issue of the American Journal of Cardiology. Researchers combined
low-dose simvastatin, which targets low-density lipoprotein (LDL)
cholesterol (bad cholesterol), with the drug fenofibrate, which increases
high-density lipoprotein (HDL) cholesterol (good cholesterol). The
study included 20 people with combined hyperlipidemia, a condition
characterized by high triglycerides, high LDL cholesterol and low
HDL cholesterol. High LDL is a risk factor for coronary heart disease,
and low HDL and high triglycerides also increase the risk. When they
were put on the simvastatin/fenofibrate combination, the study volunteers
had a 52 percent reduction in triglycerides, a 23 percent increase
in HDL and a 28 percent decrease n LDL. "This study provides reasonable
evidence that a low dose of statin plus fenofibrate is a relatively
safe and effective drug combination for treating LDL and several emerging
risk factors for coronary heart disease," principal investigator Dr.
Gloria Vega says in a news release.
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