1 00:00:04,930 --> 00:00:07,740 We next discuss interventions suggested 2 00:00:07,740 --> 00:00:11,850 by the model developed for the Framingham Heart Study. 3 00:00:14,690 --> 00:00:17,020 The first intervention has to do with drugs 4 00:00:17,020 --> 00:00:18,920 to lower blood pressure. 5 00:00:18,920 --> 00:00:21,670 In FDR's time, hypertension drugs 6 00:00:21,670 --> 00:00:24,410 were too toxic for practical use. 7 00:00:24,410 --> 00:00:29,630 But in the 1950s, the diuretic chlorothiazide was developed, 8 00:00:29,630 --> 00:00:32,520 and the Framingham Heart Study gave Ed Freis 9 00:00:32,520 --> 00:00:36,090 the evidence needed to argue for testing effects for blood 10 00:00:36,090 --> 00:00:37,630 pressure drugs. 11 00:00:37,630 --> 00:00:40,810 In fact, the Veterans Administration Trial 12 00:00:40,810 --> 00:00:41,810 was conducted. 13 00:00:41,810 --> 00:00:45,470 This was a randomized, double blind clinical trial, 14 00:00:45,470 --> 00:00:51,490 that found decreased risk of coronary heart disease. 15 00:00:51,490 --> 00:00:54,770 Now, the market for diuretics worldwide 16 00:00:54,770 --> 00:00:57,940 is more than a billion dollars. 17 00:00:57,940 --> 00:01:02,260 Another intervention had to do with-- to lower cholesterol. 18 00:01:02,260 --> 00:01:06,690 Despite the Framingham results, early cholesterol drugs 19 00:01:06,690 --> 00:01:08,750 were too toxic for practical use. 20 00:01:08,750 --> 00:01:12,270 But in the 1970s, the first statins were developed. 21 00:01:12,270 --> 00:01:16,890 The study of 4,444 patients with CHD 22 00:01:16,890 --> 00:01:20,900 revealed that statins cause a 37% risk 23 00:01:20,900 --> 00:01:24,510 reduction of a second heart attack. 24 00:01:24,510 --> 00:01:31,470 Furthermore, a study of 6,595 men with high cholesterol 25 00:01:31,470 --> 00:01:37,420 revealed that statins cause a 32% risk reduction in deaths. 26 00:01:37,420 --> 00:01:40,150 Now, the market for statins worldwide 27 00:01:40,150 --> 00:01:42,440 is more than $20 billion.