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Article ; Online: Increasing high-density lipoprotein as a therapeutic target in atherothrombotic disease.

Badimón, Juan José / Ibáñez, Borja

Revista espanola de cardiologia

2010  Volume 63, Issue 3, Page(s) 323–333

Abstract: ... epidemic. Both an elevated low-density lipoprotein (LDL) cholesterol level and a decreased high-density ... lipoprotein (HDL) cholesterol level are associated with the increased incidence of atherothrombosis. Reducing ... cardiovascular events. Therapies aimed at increasing HDL have been investigated for several decades ...

Abstract Unlabelled: Atherothrombosis, atherosclerosis and their thrombotic complications have become epidemic. Both an elevated low-density lipoprotein (LDL) cholesterol level and a decreased high-density lipoprotein (HDL) cholesterol level are associated with the increased incidence of atherothrombosis. Reducing LDL using statins has been shown to provide very effective therapy for both primary and secondary prevention. Nevertheless, despite statin treatment, a large percentage of patients continues to experience cardiovascular events. Therapies aimed at increasing HDL have been investigated for several decades, with promising
Results: However, because statin treatment was not standardized in earlier trials, it has been difficult to draw clear
Conclusions: Recent advances in both animal studies and clinical trials indicate that increasing the HDL level could result in additional benefits to those achieved by reducing LDL levels using statins. Intravenous infusion of various HDL preparations appears to lead to the accelerated regression and stabilization of atheromatous plaque, and could provide a novel approach to treatment in high-risk patients. This review describes the biological rationale underlying the use of treatments that increase HDL and discusses the potential benefits of such treatment.
MeSH term(s) Atherosclerosis/blood ; Atherosclerosis/complications ; Atherosclerosis/drug therapy ; Atherosclerosis/physiopathology ; Humans ; Lipoproteins, HDL/blood ; Lipoproteins, HDL/metabolism ; Thrombosis/blood ; Thrombosis/complications ; Thrombosis/drug therapy
Chemical Substances Lipoproteins, HDL
Language Spanish
Publishing date 2010-01-14
Publishing country Spain
Document type Journal Article ; Review
ZDB-ID 128925-1
ISSN 1579-2242 ; 0300-8932
ISSN (online) 1579-2242
ISSN 0300-8932
DOI 10.1016/s1885-5857(10)70065-7
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