Epidemiologic studies provide increasing evidence that hypertriglyceridemia
is a risk factor for cardiovascular disease. A meta-analysis of 17 populat
ion-based studies of triglyceride levels and cardiovascular disease identif
ied a 76% increase in cardiovascular disease risk in women and a 31% increa
se in men associated with a 1 mmol/L increase in triglyceride levels. Addit
ional epidemiologic studies have shown that plasma triglyceride levels and
low-density lipoprotein particle sire predict subsequent coronary artery di
sease. Taken together, the existing epidemiologic data may help identify a
group of patients who may benefit from interventions aimed at decreasing tr
iglyceride levels associated with an increased risk of cardiovascular disea
se. (C) 1999 by Excerpta Medica, Inc.