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A combination therapy consisting of the HMG-CoA reductase inhibitor **atorvastatin** and **omega-3-acid ethyl esters** (a concentrated mixture of eicosapentaenoic acid [EPA] and docosahexaenoic acid [DHA]). This specific combination is being investigated by **Samsung Medical Center** in the "Intensive Lipid Lowering and Omega-3 in ACS" clinical trial (NCT02178332) for patients with **acute coronary syndrome** (ACS). The treatment regimen evaluates the impact of intensive lipid-lowering therapy (atorvastatin 40mg) combined with high-dose omega-3 fatty acids (4g) on coronary atherosclerotic plaque composition, specifically aiming to reduce necrotic core volume and stabilize vulnerable plaques. Atorvastatin acts by inhibiting cholesterol synthesis in the liver, while omega-3 fatty acids primarily reduce triglyceride levels and exert anti-inflammatory effects through the activation of PPAR-alpha.
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