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University of Pennsylvania Health System, Cardiovascular Division,
Philadelphia Heart Institute in Pennsylvania (Dr Spratt) and The University of
Texas Health Science Center at San Antonio (Dr Denke).
Dr Spratt is on the
speakers bureau for Merck & Co, Pfizer Inc, and AstraZeneca
Pharmaceuticals LP. Dr Denke is on the advisory board of
Merck/ScheringPlough Pharmaceuticals and on the speakers bureau for
Merck & Co and Merck/ScheringPlough Pharmaceuticals. She also is an
advisor and a coauthor on the Ezetimibe Add-on to Statin for Effectiveness
(EASE) trial.
Address correspondence to Kelly Anne Spratt, DO, Clinical Assistant Professor of Medicine, University of Pennsylvania Health System, Cardiovascular Division, Philadelphia Heart Institute, Second Floor, 39th & Market Streets, Philadelphia, PA 19104.E-mail: kspratt{at}uphs.upenn.edu
The National Cholesterol Education Program Adult Treatment Panel III lipid management guidelines emphasize the importance of matching the intensity of lipid modification therapy to each patient's risk of coronary heart disease. For many patients who are at low risk, nonpharmacologic interventions such as diet, exercise, and smoking cessation can be effective lipid-lowering strategies. However, many patients require the addition of drug therapy to achieve lipid targets. Currently available lipid-modifying drugs include bile acid sequestrants, fibrates, nicotinic acid, cholesterol absorption inhibitors, and statins. In addition, nonprescription agents such as plant stanols and sterols are available to modify plasma lipid levels. These agents can be used individually or coadministered to achieve lipid goals.
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