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Arch Intern Med. 2000;160:1903-1904.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

DESPITE DECADES of debate, the question of whether the triglyceride level is an "independent" risk factor for coronary heart disease (CHD) still generates considerable controversy. If, after all this time, we do not have an answer to this question, it is probably time to ask a different question. That question, addressed in part in the article by Avins and Neuhaus¹ in this issue of the ARCHIVES, is not whether the triglyceride level is an independent risk factor for CHD, but whether it is a useful test for the clinician interested in the prevention and treatment of CHD.

A useful test is one that, at acceptable cost, convenience, and safety, affects diagnosis, prognosis, or therapy. For triglyceride levels and CHD, the issue is whether knowing a patient's triglyceride level has any therapeutic or prognostic implications. No clinical trials have been conducted to determine if lowering triglyceride levels decreases cardiovascular events. Major . . . [Full Text of this Article]

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RELATED LETTER

Triglyceride Level: A Predictive Risk Factor for Atherosclerosis?
Thomas F. Whayne, Jr, Judy C. Zielke, Andrew L. Avins, and John M. Neuhaus
Arch Intern Med. 2001;161(2):295-296.
EXTRACT | FULL TEXT  

RELATED ARTICLE

Do Triglycerides Provide Meaningful Information About Heart Disease Risk?
Andrew L. Avins and John M. Neuhaus
Arch Intern Med. 2000;160(13):1937-1944.
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