Review Article
Volume 70, Issue 17, October 2017, Pages 2171-2185
JOURNAL：J Am Coll Cardiol.
Article Link
How Low to Go With Glucose, Cholesterol, and Blood Pressure in Primary Prevention of CVD
Hong KN, Fuster V, Bhatt DL et al.
KEYWORDS
cardiovascular disease; diabetes; hyperlipidemia; hypertension; primary prevention
Diabetes, hyperlipidemia, and hypertension are modifiable risk factors that predict cardiovascular disease events. The effect of these risk factors on incident cardiovascular disease increases with progressively higher levels of glucose, low-density lipoprotein cholesterol, and blood pressure. The thresholds for initiating treatment of these modifiable risk factors and the optimal goals of risk factor modification are a focus of primary prevention research. Although an aggressive approach is appealing, adverse events may occur, and potential physiological barriers may exist. This paper discusses primary prevention of coronary heart disease that may be achieved through modification of diabetes, hyperlipidemia, and hypertension by summarizing current guidelines and pertinent clinical trial data from intervention trials that included a primary prevention cohort.
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