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Foreword
1Department of Medical Cardiology, Glasgow Royal Infirmary, 10, Alexandra Parade, Glasgow G31 2ER, UK
2Department of Vascular Medicine, Academic Medical Centre, University of Amsterdam, Meibergdreef 9, Room F4-159.2,1105 AZ Amsterdam, The Netherlands
* Corresponding authors. E-mail addresses: stuart.cobbe@clinmed.gla.ac.uk and e.vandongen@amc.uva.nl
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The results of recently reported clinical trials of statin therapy have provided persuasive evidence that low-density lipoprotein (LDL-C) targets and initiation cut-points in lipid-lowering therapy have been set too high in individuals at high or moderately high risk of coronary heart disease (CHD). This evidence has resulted in recommendations for modifications of the National Cholesterol Education Program Adult Treatment Panel III (ATP III) lipid-lowering guidelines.1 The recommendations include an optional LDL-C target of <70 mg/dL (1.8 mmol/L) and an optional treatment initiation cut-point of <100 mg/dL (2.6 mmol/L) in high-risk patients, especially those considered to be at very high risk, and an optional target of <100 mg/dL (2.6 mmol/L) and a treatment initiation cut-point of <130 mg/dL (3.4 mmol/L) in patients at moderately high risk. The