we're going to be pretty aggressive about trying to get the blood pressure down we talked about the cholesterol medicines these statins these are often very controversial medicines that patients have a lot of rumors that they've heard about that these are going to cause their muscles to dissolve or their liver to cause problems but these medicines seem to have benefits above and beyond just reducing the cholesterol they have what are called pliat trophic effects which means that they help preserve that endothelial cell layer