Update in Preventive Medicine
Authors: Laurence H. Beck, Seema Pania Kumar
Journal: Annals of Internal Medicine (1999)

Updates from the Annual Session2 November 1999Update in Preventive MedicineLaurence H. Beck, MD and Seema Pania Kumar, MDLaurence H. Beck, MDFrom Cleveland Clinic Florida, Ft. Lauderdale, Florida; and Georgetown University Medical Center, Washington, D.C.Search for more papers by this author and Seema Pania Kumar, MDFrom Cleveland Clinic Florida, Ft. Lauderdale, Florida; and Georgetown University Medical Center, Washington, D.C.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-131-9-199911020-00009 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Many of the studies published in 1998 that dealt with prevention are concentrated in three areas: cardiovascular disease, breast and other cancers, and osteoporosis. The studies looking at other topics tended to be small in scale or unconvincing, or they failed to yield findings of broad interest to practicing internists.Cardiovascular DiseaseIn 1998, numerous large trials of primary and secondary prevention using lipid-lowering agents uniformly claimed beneficial results. Pharmacologic cholesterol reduction has previously been shown to reduce the risk for cardiovascular death in hypercholesterolemic patients with known coronary artery disease. The use of “statin” drugs, or HMG-CoA (3-hydroxy-3-methylglutaryl-coenzyme A) ...References1. Lewis SF, Sacks FM, Mitchell JS, East C, Glasser S, Kell S, et al . Effect of pravastatin on cardiovascular events in women after myocardial infarction: the cholesterol and recurrent events (CARE) trial. J Am Coll Cardiol. 1998;32:140-6. CrossrefMedlineGoogle Scholar2. Delmas PD, Bjarnason NH, Mitlak BH, Ravoux AC, Shah AS, Huster WJ, et al . Effects of raloxifene on bone mineral density, serum cholesterol concentrations, and uterine endometrium in postmenopausal women. N Engl J Med. 1997;337:1641-7. CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Cleveland Clinic Florida, Ft. Lauderdale, Florida; and Georgetown University Medical Center, Washington, D.C.Corresponding Author: Laurence H. Beck, MD, Department of Internal Medicine, Cleveland Clinic Florida, 2900 West Cypress Creek Road, Ft. Lauderdale, FL 33309. For reprint orders in quantities exceeding 100, please contact the Reprints Coordinator; phone, 215-351-2657; e-mail, [email protected]acponline.org.Current Author Addresses: Dr. Beck: Department of Internal Medicine, Cleveland Clinic Florida, 2900 West Cypress Creek Road, Ft. Lauderdale, FL 33309.Dr. Kumar: Department of Medicine, 6 PHC, Georgetown University Medical Center, 3800 Reservoir Road, Washington, DC 20007. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoUpdate in Preventive Medicine Joel H. Merenstein Metrics Cited ByStatins in Cardio-OncologyCarotid Stenosis: Primary Prevention and Medical TreatmentCardiovascular DisordersThe Treatment of Coronary Heart Disease: An UpdateLONG-TERM CARE OF THE LIVER TRANSPLANT RECIPIENTUpdate in Preventive MedicineJoel H. Merenstein, MD 2 November 1999Volume 131, Issue 9Page: 681-687KeywordsBone mineral densityBreast cancerCancer preventionCholesterolCoronary heart diseaseEstrogensFolic acidOsteoporosisRelative riskStable coronary artery disease Issue Published: 2 November 1999 CopyrightCopyright © 1999 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...