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Simultaneous low-density lipoprotein-C lowering and high-density lipoprotein-C elevation for optimum cardiovascular disease prevention with various drug classes, and their combinations: a meta-analysis of 23 randomized lipid trials a b a B. Greg Brown , Karen Hinckley Stukovsky and Xue-Qiao Zhao Purpose of review Abbreviations Our analysis presents an alternative hypothesis to the HDL high-density lipoprotein LDL low-density lipoprotein prevailing view that low-density lipoprotein-C is the only QCA quantitative coronary arteriography important target of lipid therapy. Recent findings 2006 Lippincott Williams & Wilkins Two recently published studies showed surprising results. 0957-9672 In the Armed Forces Regression Study, low-density lipoprotein-C was lowered only 22% with cholystyramine, niacin and gemfibrozil. Coronary stenosis regressed, Introduction however, and the primary clinical event rate was reduced by In this report, we review the epidemiologic studies that 54%. Conversely, in the FIELD trial, the primary event rate confirm and quantify the impact of elevated low-density reduction was only 11% (P¼ NS). These differences lipoprotein (LDL)-C and low high-density lipoprotein appeared to be explained largely by the difference in high- (HDL)-C as major independent determinants of cardio- density lipoprotein response to these regimens (38 vs. 3%). vascular risk. We then describe a meta-analysis of the This meta-analysis
Current Opinion in Lipidology – Wolters Kluwer Health
Published: Dec 1, 2006
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