| Update on the role of the atherogenic lipoprotein phenotype in cardiovascular prevention. | |
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MedLine Citation:
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PMID: 19804310 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Higher plasma triglyceride levels and decreased HDL-cholesterol concentrations are usually accompanied by the presence of small, dense LDL in the so-called lipid triad or 'atherogenic lipoprotein phenotype'. This phenotype is highly atherogenic and its prevalence may suggest an even higher overall burden of atherosclerotic disease as compared with that associated with hypercholesterolemia. As stated by the National Cholesterol Education Program Adult Treatment Panel III, there is evidence suggesting each component of this lipid triad is individually atherogenic. However, the relative contribution of each component cannot be easily determined. Therefore, it has been suggested to consider the atherogenic lipoprotein phenotype as a whole as a risk factor. This is supported by data from epidemiological studies considering high-risk populations, which showed that the contribution to cardiovascular risk of each individual component cannot be dissected from the sum of all factors. We recently investigated the prevalence of the atherogenic lipoprotein phenotype in different categories of patients at higher cardiovascular risk: with coronary and noncoronary forms of atherosclerosis or metabolic diseases, including Type 2 diabetes, polycystic ovary syndrome and growth hormone deficiency. Subjects with higher triglyceride levels, decreased HDL-cholesterol concentrations and increased levels of small, dense LDL (i.e., subjects with the atherogenic lipoprotein phenotype) are common in coronary and noncoronary forms of atherosclerosis. In the future, it may be possible to measure the presence of small, dense LDL to identify subgroups at higher cardiovascular risk. |
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Authors:
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Manfredi Rizzo; Kaspar Berneis |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Future cardiology Volume: 3 ISSN: 1744-8298 ISO Abbreviation: Future Cardiol Publication Date: 2007 Sep |
Date Detail:
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Created Date: 2009-10-06 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101239345 Medline TA: Future Cardiol Country: England |
Other Details:
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Languages: eng Pagination: 553-8 Citation Subset: - |
Affiliation:
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Universita' di Palermo, Dipartimento di Medicina Clinica e delle Patologie Emergenti, Via del Vespro, 141 90127 Palermo, Italy. mrizzo@unipa.it. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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