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January 20, 1984JAMA780 citations

The Lipid Research Clinics Coronary Primary Prevention Trial results. I. Reduction in incidence of coronary heart disease

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Key Points

  • This trial aimed to determine if lowering cholesterol levels can reduce the risk of coronary heart disease in men with primary hypercholesterolemia.
  • Multicenter, randomized, double-blind trial with 3,806 middle-aged men with type II hyperlipoproteinemia.
  • Cholestyramine resin treatment versus placebo for an average of 7.4 years.
  • Both groups followed a moderate cholesterol-lowering diet.
  • Cholestyramine group achieved 13.4% reduction in total cholesterol and 20.3% reduction in LDL-C.
  • Cholestyramine reduced risk of primary endpoint (CHD death or nonfatal myocardial infarction) by 19% (P<0.05).
  • Cumulative incidence of primary endpoint was 7% in cholestyramine vs 8.6% in placebo group.

Abstract

The Lipid Research Clinics Coronary Primary Prevention Trial (LRC-CPPT), a multicenter, randomized, double-blind study, tested the efficacy of cholesterol lowering in reducing risk of coronary heart disease (CHD) in 3,806 asymptomatic middle-aged men with primary hypercholesterolemia (type II hyperlipoproteinemia). The treatment group received the bile acid sequestrant cholestyramine resin and the control group received a placebo for an average of 7.4 years. Both groups followed a moderate cholesterol-lowering diet. The cholestyramine group experienced average plasma total and low-density lipoprotein cholesterol (LDL-C) reductions of 13.4% and 20.3%, respectively, which were 8.5% and 12.6% greater reductions than those obtained in the placebo group. The cholestyramine group experienced a 19% reduction in risk (PJAMA1984;251:351-364)

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A 1984 study studied this question.

synapsesocial.com/papers/6a09329bfebbf018f816046bhttps://doi.org/10.1001/jama.251.3.351
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