Document Detail


Lipoprotein ratios: Physiological significance and clinical usefulness in cardiovascular prevention.
MedLine Citation:
PMID:  19774217     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Low-density lipoprotein (LDL) cholesterol concentration has been the prime index of cardiovascular disease risk and the main target for therapy. However, several lipoprotein ratios or "atherogenic indices" have been defined in an attempt to optimize the predictive capacity of the lipid profile. In this review, we summarize their pathophysiological aspects, and highlight the rationale for using these lipoprotein ratios as cardiovascular risk factors in clinical practice, specifying their cut-off risk levels and a target for lipid-lowering therapy. Total/high-density lipoprotein (HDL) cholesterol and LDL/HDL cholesterol ratios are risk indicators with greater predictive value than isolated parameters used independently, particularly LDL. Future recommendations regarding the diagnosis and treatment of dyslipidemia, including instruments for calculating cardiovascular risk or action guidelines, should include the lipoprotein ratios with greater predictive power which, in view of the evidence-based results, are none other than those which include HDL cholesterol.
Authors:
Jes?s Mill?n; Xavier Pint?; Anna Mu?oz; Manuel Z??iga; Joan Rubi?s-Prat; Luis Felipe Pallardo; Luis Masana; Alipio Mangas; Antonio Hern?ndez-Mijares; Pedro Gonz?lez-Santos; Juan F Ascaso; Juan Pedro-Botet
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Publication Detail:
Type:  Journal Article; Review     Date:  2009-09-18
Journal Detail:
Title:  Vascular health and risk management     Volume:  5     ISSN:  1178-2048     ISO Abbreviation:  Vasc Health Risk Manag     Publication Date:  2009  
Date Detail:
Created Date:  2009-09-23     Completed Date:  2009-12-01     Revised Date:  2010-03-09    
Medline Journal Info:
Nlm Unique ID:  101273479     Medline TA:  Vasc Health Risk Manag     Country:  New Zealand    
Other Details:
Languages:  eng     Pagination:  757-65     Citation Subset:  IM    
Affiliation:
Hospital Universitario Gregorio Mara??n, Madrid, Spain.
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MeSH Terms
Descriptor/Qualifier:
Antilipemic Agents / therapeutic use*
Apolipoprotein A-I / blood
Apolipoproteins B / blood
Biological Markers / blood
Cardiovascular Diseases / blood,  etiology,  prevention & control*
Cholesterol, HDL / blood
Cholesterol, LDL / blood
Dyslipidemias / blood,  complications,  diagnosis,  drug therapy*
Evidence-Based Medicine
Female
Humans
Lipoproteins / blood*
Male
Practice Guidelines as Topic
Predictive Value of Tests
Risk Assessment
Risk Factors
Triglycerides / blood
Chemical
Reg. No./Substance:
0/APOA1 protein, human; 0/Antilipemic Agents; 0/Apolipoprotein A-I; 0/Apolipoproteins B; 0/Biological Markers; 0/Cholesterol, HDL; 0/Cholesterol, LDL; 0/Lipoproteins; 0/Triglycerides
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