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Arquivos Brasileiros de Cardiologia
Article . 2015 . Peer-reviewed
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Arquivos Brasileiros de Cardiologia
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Association between LDL-C, Non HDL-C, and Apolipoprotein B Levels with Coronary Plaque Regression

Authors: Masson, Walter; Siniawski, Daniel; Lobo, Martín; Molinero, Graciela; Giorgi, Mariano; Huerín, Melina;

Association between LDL-C, Non HDL-C, and Apolipoprotein B Levels with Coronary Plaque Regression

Abstract

Previous reports have inferred a linear relationship between LDL-C and changes in coronary plaque volume (CPV) measured by intravascular ultrasound. However, these publications included a small number of studies and did not explore other lipid markers.To assess the association between changes in lipid markers and regression of CPV using published data.We collected data from the control, placebo and intervention arms in studies that compared the effect of lipidlowering treatments on CPV, and from the placebo and control arms in studies that tested drugs that did not affect lipids. Baseline and final measurements of plaque volume, expressed in mm3, were extracted and the percentage changes after the interventions were calculated. Performing three linear regression analyses, we assessed the relationship between percentage and absolute changes in lipid markers and percentage variations in CPV.Twenty-seven studies were selected. Correlations between percentage changes in LDL-C, non-HDL-C, and apolipoprotein B (ApoB) and percentage changes in CPV were moderate (r = 0.48, r = 0.47, and r = 0.44, respectively). Correlations between absolute differences in LDL-C, non‑HDL-C, and ApoB with percentage differences in CPV were stronger (r = 0.57, r = 0.52, and r = 0.79). The linear regression model showed a statistically significant association between a reduction in lipid markers and regression of plaque volume.A significant association between changes in different atherogenic particles and regression of CPV was observed. The absolute reduction in ApoB showed the strongest correlation with coronary plaque regression.

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Keywords

Doenças Cardiovasculares, Apolipoprotein B/ therapeutic use, Aterosclerose/fisiopatologia, Coronary Artery Disease, Atherosclerosis / physiopathology, Reference Values, Diseases of the circulatory (Cardiovascular) system, Humans, Ultrasonography, Interventional, Apolipoproteins B, LDL-Colesterol, Anticholesteremic Agents, Cholesterol, HDL, Lipoproteínas LDL, Original Articles, Cholesterol, LDL, Plaque, Atherosclerotic, Apolipoproteína B/uso terapêutico, Lipoproteins, LDL, Treatment Outcome, Cardiovascular Diseases, RC666-701, Arm, Biomarkers

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    12
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
12
Top 10%
Average
Average
Green
gold