他汀对血脂正常者的心血管事件预防作用

冠心病一、二级预防研究显示 ,低密度脂蛋白胆固醇低于血脂指南治疗水平甚至正常者 ,他汀也能明显降低心血管危险性。其原因是 :指南中的“正常”水平并非生物学正常水平 ,仅是某人群的平均值 ;血脂成分是非常复杂的 ;他汀具有调脂外作用。临床上对血脂正常但有危险因素者或患有冠心病者宜提倡使用他汀药物

The prophylactic effects of statins on cardiovascular events in patients with normal level of plasma lipids

Primary and secondary prevention clinical trials have demonstrated that statins markedly reduced cardiovascular risks even in patients whose plasma level of low-density lipoprotein cholesterol is lower than that of drug-treatment goal in lipid management guidelines. The reasons are as follows: The "normal" level in guidelines is not the normal level biologically, it is merely an average value in a given human group; The composition of plasma lipids is very complex; Statins have effects other than lipid modifying. Statins should be prescribed in patients without hyperlipidemia but with risk factors or coronary heart disease.