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Hyperlipidaemia and cardiovascular disease: HDL, inflammation and surprising results of AIM-HIGH study

机译:高脂血症和心血管疾病:HDL,炎症和AIM-HIGH研究令人惊讶的结果

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摘要

Although scarcely any relationship in the cardiovascular epidemiology is as firmly established as the inverse relationship between HDL-cholesterol (HDL-C) concentrations and the incidence of atherosclerotic vascular disease, the evidence for athe-roprotective effects of HDL in ever new clinical settings pours incessantly. In the post-hoc analysis of the Measuring Effects on intima-media Thickness: an Evaluation Of Rosuvastatin (METEOR) study, which was a randomized placebo-controlled trial including 984 individuals and assessing the effects of rosuvastatin treatment on the rate of change of carotid intima-media thickness (CIMT), only older age, high BMI and low HDL-C levels but not elevated LDL-cholesterol (LDL-C) or high-sensitivity C-reac-tive protein levels (hsCRP) were related to echolu-cency of the carotid intima-media, which closely reflects the disadvantageous composition of carotid plaques prone to rupture.
机译:尽管在心血管流行病学中几乎没有任何关系与HDL-胆固醇(HDL-C)浓度与动脉粥样硬化性血管疾病的发生率之间的逆相关关系一样牢固,但在不断出现的新临床环境中,HDL的抗动脉粥样硬化作用的证据不断涌现。在对内膜中层厚度的测量效果的事后分析中:评价瑞舒伐他汀(METEOR)研究,该研究是一项随机安慰剂对照试验,包括984位个体,并评估了瑞舒伐他汀治疗对颈动脉变化率的影响内膜中层厚度(CIMT),仅老年,高BMI和低HDL-C水平,但不升高LDL-胆固醇(LDL-C)或高敏感性C反应蛋白水平(hsCRP)与echolu-颈动脉内膜-中膜的密度,充分反映了易于破裂的颈动脉斑块的不利成分。

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