Reprint of: Impact of Lipids on Cardiovascular Health: JACC Health Promotion Series

Brian A. Ference, Ian Graham, Lale Tokgozoglu, Alberico L. Catapano

Research output: Contribution to journalReview articlepeer-review


People who maintain ideal cardiovascular heath have a low lifetime risk of cardiovascular disease. Therefore, encouraging people to achieve ideal cardiovascular health represents an important opportunity to improve the prevention of cardiovascular disease. However, preventing cardiovascular disease by promoting ideal cardiovascular health requires shifting the focus from treating disease after it develops to preventing cardiovascular events before they happen by slowing the progression of atherosclerosis. Because atherogenic lipoproteins play a central causal role in the initiation and progression of atherosclerosis, maintaining optimal lipid levels is necessary to achieve ideal cardiovascular health. This review describes the cumulative effect of lipid-carrying lipoproteins on the risk of cardiovascular disease, estimates the magnitude of the clinical benefit that can be achieved by maintaining optimal lipid levels, identifies the most effective timing for implementing strategies designed to achieve optimal lipid levels, and provides a clinical pathway to help people achieve the lipid levels necessary for ideal cardiovascular health.

Original languageEnglish
Pages (from-to)2980-2995
Number of pages16
JournalJournal of the American College of Cardiology
Issue number23
Publication statusPublished - Dec 11 2018


  • apolipoproteins
  • cholesterol
  • low-density lipoproteins
  • population
  • risk
  • total burden

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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