Cor Vasa 2014, 56(2):e133-e139 | DOI: 10.1016/j.crvasa.2014.01.003

Combined therapy of mixed dyslipidemia in patients with high cardiovascular risk and changes in the lipid target values and atherogenic index of plasma

Hana Rosolováa,*, Milada Dobiášováb, Vladimír Soškac, Vladimír Bláhad, Richard Češkae, Barbora Nussbaumerováa, Terezie Pelikánováf, Miroslav Součekg
a Centrum preventivní kardiologie, II. interní klinika, Lékařská fakulta Plzeň, Univerzita Karlova v Praze a Fakultní nemocnice Plzeň, Plzeň, Česká republika
b Fyziologický ústav České akademie věd, Praha, Česká republika
c Oddělení klinické biochemie, Fakultní nemocnice u sv. Anny, Brno, Česká republika
d Klinika gerontologická a metabolická, Lékařská fakulta Univerzity Karlovy v Hradci Králové a Fakultní nemocnice Hradec Králové, Hradec Králové, Česká republika
e III. interní klinika, 1. lékařská fakulta Univerzity Karlovy a Všeobecná fakultní nemocnice, Praha, Česká republika
f Centrum diabetologie, Institut klinické a experimentální medicíny, Praha, Česká republika
g II. interní klinika, Lékařská fakulta Masarykovy univerzity a Fakultní nemocnice u sv. Anny, Brno, Česká republika

Purpose: To evaluate the safety and efficacy of combined lipid-modifying agents (statin + fenofibrate) on plasma lipid profile including the atherogenic index of plasma (AIP = log[TG/HDL-C]) in patients at high and very high cardiovascular (CV) risk and mixed dyslipidemia.

Method: A total of 81 patients (53 males, 28 females; 60 ± 9.8 years) were included. Mixed dyslipidemia was defined as having 2 of the following 3 lipid abnormalities: LDL-cholesterol (C) >2.5 mmol/l, HDL-C

Keywords: Atherogenic index of plasma; (AIP = log[triglycerides, ; HDL cholesterol]); Combined lipid-modifying therapy; Mixed dyslipidemia

Received: October 30, 2013; Revised: January 16, 2014; Accepted: January 19, 2014; Published: April 1, 2014  Show citation

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Rosolová H, Dobiášová M, Soška V, Bláha V, Češka R, Nussbaumerová B, et al.. Combined therapy of mixed dyslipidemia in patients with high cardiovascular risk and changes in the lipid target values and atherogenic index of plasma. Cor Vasa. 2014;56(2):e133-139. doi: 10.1016/j.crvasa.2014.01.003.
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References

  1. J. Perk, G. De Backer, H. Gohlke, et al., European Guidelines on cardiovascular disease prevention in clinical practice (version 2012). The Fifth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of nine societies and by invited experts), European Heart Journal 33 (2012) 1635-1701. Go to original source... Go to PubMed...
  2. Z. Reiner, A.L. Catapano, G. De Backer, et al., ESC/EAS Guidelines for the management of dyslipidemias. The Task Force for the management of dyslipidemias of the European Society of Cardiology (ESC) and the European Atherosclerosis Society (EAS), European Heart Journal 32 (2011) 1769-1818. Go to original source... Go to PubMed...
  3. G. Assmann, H. Schulte, Relation of high-density lipoprotein cholesterol and triglycerides to incidence of atherosclerotic coronary artery disease (the PROCAM experience). Prospective Cardiovascular Munster Study, American Journal of Cardiology 70 (1992) 733-737. Go to original source... Go to PubMed...
  4. Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults, Executive summary of the third report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III), Journal of the American Medical Association 285 (2011) 2486-2497.
  5. M. Dobiášová, J. Frohlich, Nový aterogenní index plazmy (AIP) odpovídá poměru triglyceridů a HDL-cholesterolu, velikosti částic lipoproteinů a esterifikační rychlosti cholesterolu: změny po léčbě lipanorem, Vnitřní lékařství 46 (2000) 152-156. Go to PubMed...
  6. M. Dobiasova, J. Frohlich, The plasma parameter log (TG/HDL-C) as an atherogenic index: correlation with lipoprotein particle size and esterification rate in Apo-B-lipoprotein-depleted plasma (FERHDL), Clinical Biochemistry 34 (2001) 583-588. Go to original source... Go to PubMed...
  7. M. Dobiasova, J. Frohlich, R. Ceska, et al., Cardiovascular risk assessment by atherogenic index of plasma [log(TG/HDL-C)], in: Atherosclerosis Suppl. of the XVI International Symposium on Atherosclerosis, Istanbul, Turkey, 2008. Go to original source...
  8. AIP calculator www.biomed.cas.cz/fgu/aip
  9. A.C. Keech, R.J. Simek, P. Barter, et al., Effects of long-term fenofibrate therapy on cardiovascular events in 9795 people with type 2 diabetes mellitus (the FIELD study): randomised controlled trial, Lancet 366 (2005) 1849-1861. Go to original source...
  10. The ACCORD Study Group and ACCORD Eye Study Group, Effects of medical therapies on retinopathy progression in Type 2 diabetes, New England Journal of Medicine 363 (2010) 233-244. Go to original source... Go to PubMed...
  11. S. Grundy, G.L. Vega, Z. Juan, et al., Effectiveness and tolerability of Simvastatin plus Fenofibrate for combined hyperlipidemia (The SAFARI Trial), American Journal of Cardiology 95 (2005) 462-468. Go to original source... Go to PubMed...
  12. M. Dobiasova, Atherogenic index of plasma [Log(triglycerides/HDL-cholesterol)]: theoretical and practical implications, Clinical Chemistry 50 (2004) 113-115. Go to original source...
  13. M. Dobiášová, AIP - Aterogenní index plazmy jako významný prediktor kardiovaskulárního rizika: od výzkumu do praxe, Vnitřní lékařství 52 (2006) 64-71. Go to PubMed...
  14. J. Frohlich, M. Dobiasova, Fractional esterification rate of cholesterol and ratio of triglycerides to HDL-cholesterol are powerful predictors of positive findings on coronary angiography, Clinical Chemistry 49 (2003) 1873-1880. Go to original source... Go to PubMed...
  15. T. McLaughlin, F. Abbasi, K. Chval, et al., Use of metabolic markers to identify overweight individuals who are insulin resistant, Annals of Internal Medicine 139 (2003) 802-809. Go to original source... Go to PubMed...
  16. C.H. Li, E.S. Ford, L. Meng, et al., Does the association of the triglyceride to high-density lipoprotein cholesterol ratio with fasting serum insulin differ by race/ethnicity, Cardiovascular Diabetology 7 (2008) 4-13. Go to original source... Go to PubMed...
  17. M.H. Tan, K.C. Loh, M. Dobiasova, et al., Fractional esterification rate of HDL particles in patients with type 2 diabetes, Diabetes Care 21 (1998) 139-142. Go to original source... Go to PubMed...
  18. M. Guerin, W.L. Goff, T.S. Lassel, et al., Proatherogenic role of elevated CE transfer from HDL to VLDL1 and dense LDL in type 2 diabetes, Arteriosclerosis, Thrombosis, and Vascular Biology 21 (2001) 282-289. Go to original source... Go to PubMed...
  19. T. Murakami, S. Michelagnoli, R. Longhi, et al., Triglycerides are major determinants of cholesterol esterification/transfer and HDL remodelling in human plasma, Arteriosclerosis, Thrombosis, and Vascular Biology 15 (1995) 1819-1828. Go to original source... Go to PubMed...
  20. The ACCORD Study Group, Effect of combination lipid therapy in type 2 diabetes mellitus, New England Journal of Medicine 362 (2010) 1563-1574. Go to original source... Go to PubMed...
  21. S. Hayek, F.C. Escaro, A. Sattar, et al., Effect of Ezetimibe on major atherosclerotic disease events and all-cause mortality, American Journal of Cardiology 111 (2013) 532-539. Go to original source... Go to PubMed...
  22. A. Catapano, P.P. Toth, E. Tomassini, et al., The efficacy and safety of Ezetimibe coadministered with statin therapy in various patient groups, Clinical Lipidology 8 (2013) 13-41. Go to original source...




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