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. 1999 May 15;318(7194):1337–1341. doi: 10.1136/bmj.318.7194.1337

Table 1.

Emerging cardiovascular risk factors and new preventive strategies

Emerging cardiovascular risk factors New preventive strategies
“Normal” cholesterol, blood pressure, and blood glucose Lower thresholds of treatment in high risk individuals
Oxidation of low density lipoprotein cholesterol Antioxidants (such as vitamin E)
Activation of the renin-angiotensin-aldosterone system Angiotensin converting enzyme inhibitors
Hyperhomocysteinaemia Folic acid, vitamin B-6, vitamin B-12
Abnormalities of coagulation:
 Fibrinogen New antithrombotic approaches (such as preventive use of warfarin, new antiplatelet drugs)
 Factor VII
 Von Willebrand factor
 Plasminogen activator inhibitor-1
Lipoprotein Lp(a) Niacin, oestrogens
Postmenopausal state Oestrogens, selective oestrogen receptor modulators
Chronic infection and inflammation Antibiotics, anti-inflammatory agents
Genetic abnormalities “Targeted” treatment aimed at specific genes or their phenotypic expression
Nutritional factors
Psychological factors
Environmental factors
Socioeconomic factors