Triglyceride-rich lipoproteins and high-density lipoprotein cholesterol in patients at high risk of cardiovascular disease: evidence and guidance for management
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...Patients with hypertension, and especially those with type 2 diabetes or metabolic syndrome, often have atherogenic dyslipidemia, characterized by elevated triglycerides and LDL-cholesterol with a low HDL-cholesterol.(12,13,648) The benefit of adding a statin to antihypertensive treatment was well established by the Anglo-Scandinavian Cardiac Outcomes Trial—Lipid Lowering Arm (ASCOT-LLA) study,(649) as summarized in the 2007 ESH/ESC Guidelines....
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"Triglyceride-rich lipoproteins and ..." refers background in this paper
...Additionally, triglycerides were not associated with stroke risk after adjustment for other lipid factors.93 These data are compatible with the view that it is the number of TRL and remnant particles that cause CVD....
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...choice for attainment of LDL-C goal in patients at high risk of CVD.(4,5) After LDL-C goal attainment however, and if triglyceride levels remain elevated (≥1....
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...HDL-C or triglycerides either for initiation of additional therapies or for targets for such treatments in patients at LDL-C goal.(4,5,16) –19 The aim of this paper is to critically appraise the current evidence...
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...Finally, all fibrates are known to increase the long-term risk of cholelithiasis.218 In summary, statins firmly remain the first line treatment of choice for attainment of LDL-C goal in patients at high risk of CVD.4,5 After LDL-C goal attainment however, and if triglyceride levels remain elevated (≥1.7 mmol/L or 150 mg/dL, as defined by recent European guidelines4) and HDL-C low (,1.0 mmol/L Figure 6 Proposed algorithm for the management of high-risk individuals with elevated triglycerides and/or low HDL cholesterol at LDL cholesterol goal. aLDL-C at goal as recommended by the most recent European guidelines (2007);4 ,2.5 mmol/L in high-risk patients, decreasing to ,2.0 mmol/L in very high risk patients....
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...In the Turkish Adults Risk Factor Study, 40% of men and 35% of women had triglycerides .1.7 mmol/L with or without low HDL-C (≤0.9 mmol/L or 35 mg/dL).83 Atherogenic dyslipidaemia is more prevalent in individuals at high risk of CVD....
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