Treatment of Hypercholesterolemia in Women:  Equality, Effectiveness, and Extrapolation of Evidence

Thomas A. Pearson, MD, PhD; Merle Myerson, MD, EdD
JAMA. 1997;277(16):1320-1321. doi:10.1001/jama.1997.03540400070035.
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The well-established fact that male sex is a risk factor for coronary heart disease (CHD) has been interpreted by some clinicians that CHD risk is lower for all women, that risk factors for CHD morbidity and mortality are somehow less predictive in women than in men, and that interventions to reduce that risk of CHD are inherently less effective in women. In this issue of The JOurnal, Schrott et al1 describe the extent to which lipid abnormalities are treated in women, identifying those factors that are associated with achieving (or not achieving) goals in low-density lipoprotein (LDL) cholesterol levels as set forth by the National Cholesterol Education Program Adult Treatment Panel (NCEP ATP) guidelines. In 2763 postmenopausal women with documented CHD recruited into a clinical trial of estrogen replacement therapy, 91% did not meet the NCEP ATP-II goals of an LDL cholesterol level of 2.6 mmol/L (100 mg/dL) or


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