The main causes responsible for the atherosclerosis are briefly illust
rated. Subsequently, the structure, the clinical effects and the advan
tages of the Fluvastatin in comparison to other HGM-CoA reductase inhi
bitors are exposed. We report its efficacy in lowering the Tryglicerid
es-value and the high values of Lp(a), responsible of some thrombotic
effects. The drug significantly reduces the new formation of arterial
plaques. It had no effects on the biliar lipids in patients with renal
insufficiency and in those receiving Cyclosporine. Finally, we report
on the results obtained by the FLUENT (Fluvastatin Long-term Extensio
n Trial) study and on its efficacy to prevent cardiovascular diseases.
Thus, Fluvastatin is a new entirely synthetic HGM-reductase inhibitor
that acts on the rate-determining enzyme in cholesterol synthesis.