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Hyperlipidaemia and cardiovascular disease: The quantity does not turn into quality!

机译:高脂血症和心血管疾病:数量不等于质量!

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摘要

Karl Marx - German philosopher and founder of historical materialism - claimed that at some stage of both natural and social processes quantitative changes turn into qualitative ones. This dialectical law of transition seems now to have been refuted in the field of lipidology. Two recently published clinical outcome trials testing atheroptotective effects of HDL failed to find evidence that quantitative elevation of HDL cholesterol levels in plasma translates into qualitative benefits in terms of cardiovascular risk reduction. The dal-OUTCOME trial, in which 15871 patients with acute coronary syndrome were randomly allocated to the cholesterol ester transfer protein (CETP) inhibitor dalce-trapib or placebo, revealed a lack of efficacy of the compound in reducing cardiovascular events despite the impressive increase of HDL cholesterol by 31-40%.
机译:德国哲学家,历史唯物主义的创始人卡尔·马克思(Karl Marx)声称,在自然过程和社会过程的某个阶段,数量变化变成了质变。脂质学领域似乎已经驳斥了这种辩证性的过渡定律。两项最近发表的测试HDL的抗光影效果的临床结果试验未能找到证据,证明血浆HDL胆固醇水平的定量升高可从降低心血管风险方面转化为定性益处。 dal-OUTCOME试验将15871例急性冠状动脉综合征患者随机分配给胆固醇酯转移蛋白(CETP)抑制剂dalce-trapib或安慰剂,该药物尽管降低了24%,但在降低心血管事件方面缺乏疗效。高密度脂蛋白胆固醇降低31-40%。

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