Levels and Changes of HDL Cholesterol and Apolipoprotein A-I in Relation to Risk of Cardiovascular Events Among Statin-Treated Patients: A Meta-Analysis
Identifieur interne : 004E36 ( Main/Exploration ); précédent : 004E35; suivant : 004E37Levels and Changes of HDL Cholesterol and Apolipoprotein A-I in Relation to Risk of Cardiovascular Events Among Statin-Treated Patients: A Meta-Analysis
Auteurs : S. Matthijs Boekholdt [Pays-Bas] ; Benoit J. Arsenault [Pays-Bas] ; G. Kees Hovingh [Pays-Bas] ; Samia Mora [États-Unis] ; Terje R. Pedersen [Norvège] ; John C. Larosa [États-Unis] ; K. M. A. Welch [États-Unis] ; Pierre Amarenco [France] ; David A. Demicco [États-Unis] ; Andrew M. Tonkin [Australie] ; David R. Sullivan [Australie] ; Adrienne Kirby [Australie] ; Helen M. Colhoun [Royaume-Uni] ; Graham A. Hitman [Royaume-Uni] ; D. John Betteridge [Royaume-Uni] ; Paul N. Durrington [Royaume-Uni] ; Michael B. Clearfield [États-Unis] ; John R. Downs [États-Unis] ; Antonio M. Jr Gotto [États-Unis] ; Paul M. Ridker [États-Unis] ; John J. P. Kastelein [Pays-Bas]Source :
- Circulation : (New York, N.Y.) [ 0009-7322 ] ; 2013.
Descripteurs français
- KwdFr :
- Accident vasculaire cérébral (), Accident vasculaire cérébral (épidémiologie), Angor instable (), Angor instable (épidémiologie), Apolipoprotéine A-I (sang), Cholestérol HDL (sang), Cholestérol LDL (sang), Comportement de réduction des risques, Défaillance cardiaque (), Défaillance cardiaque (épidémiologie), Essais cliniques comme sujet (), Facteurs de risque, Humains, Infarctus du myocarde (), Infarctus du myocarde (épidémiologie), Inhibiteurs de l'hydroxyméthylglutaryl-CoA réductase (pharmacologie), Inhibiteurs de l'hydroxyméthylglutaryl-CoA réductase (usage thérapeutique), Maladie artérielle périphérique (), Maladie artérielle périphérique (épidémiologie), Maladies cardiovasculaires (), Maladies cardiovasculaires (sang), Maladies cardiovasculaires (traitement médicamenteux), Maladies cardiovasculaires (épidémiologie), Modèles de hasards proportionnels, Résultat thérapeutique, Triglycéride (sang), Études de suivi.
- MESH :
- pharmacologie : Inhibiteurs de l'hydroxyméthylglutaryl-CoA réductase.
- sang : Apolipoprotéine A-I, Cholestérol HDL, Cholestérol LDL, Maladies cardiovasculaires, Triglycéride.
- traitement médicamenteux : Maladies cardiovasculaires.
- usage thérapeutique : Inhibiteurs de l'hydroxyméthylglutaryl-CoA réductase.
- épidémiologie : Accident vasculaire cérébral, Angor instable, Défaillance cardiaque, Infarctus du myocarde, Maladie artérielle périphérique, Maladies cardiovasculaires.
- Pascal (Inist)
- Accident vasculaire cérébral, Angor instable, Comportement de réduction des risques, Défaillance cardiaque, Essais cliniques comme sujet, Facteurs de risque, Humains, Hypercholestérolémie, Infarctus du myocarde, Maladie artérielle périphérique, Maladies cardiovasculaires, Modèles de hasards proportionnels, Niveau, Changement, Lipoprotéine HDL, Cholestérol HDL, Apolipoprotéine A, Facteur risque, Risque, Pathologie de l'appareil circulatoire, Dérivé de la statine, Résultat thérapeutique, Traitement, Homme, Malade, Métaanalyse, Médecine factuelle, Appareil circulatoire, Cardiologie, Phlébologie, Lipide, Hypolipémiant, Maladie cardiovasculaire, Études de suivi.
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Angina, Unstable (epidemiology), Angina, Unstable (prevention & control), Antilipemic agent, Apolipoprotein A, Apolipoprotein A-I (blood), Cardiology, Cardiovascular Diseases (blood), Cardiovascular Diseases (drug therapy), Cardiovascular Diseases (epidemiology), Cardiovascular Diseases (prevention & control), Cardiovascular disease, Change, Cholesterol HDL, Cholesterol, HDL (blood), Cholesterol, LDL (blood), Circulatory system, Clinical Trials as Topic (statistics & numerical data), Evidence-based medicine, Follow-Up Studies, Heart Failure (epidemiology), Heart Failure (prevention & control), Human, Humans, Hydroxymethylglutaryl-CoA Reductase Inhibitors (pharmacology), Hydroxymethylglutaryl-CoA Reductase Inhibitors (therapeutic use), Hypercholesterolemia, Level, Lipids, Lipoprotein HDL, Metaanalysis, Myocardial Infarction (epidemiology), Myocardial Infarction (prevention & control), Patient, Peripheral Arterial Disease (epidemiology), Peripheral Arterial Disease (prevention & control), Phlebology, Proportional Hazards Models, Risk, Risk Factors, Risk Reduction Behavior, Risk factor, Statin derivative, Stroke (epidemiology), Stroke (prevention & control), Treatment, Treatment Outcome, Triglycerides (blood).
- MESH :
- chemical , blood : Apolipoprotein A-I, Cholesterol, HDL, Cholesterol, LDL, Triglycerides.
- blood : Cardiovascular Diseases.
- drug therapy : Cardiovascular Diseases.
- epidemiology : Angina, Unstable, Cardiovascular Diseases, Heart Failure, Myocardial Infarction, Peripheral Arterial Disease, Stroke.
- chemical , pharmacology : Hydroxymethylglutaryl-CoA Reductase Inhibitors.
- prevention & control : Angina, Unstable, Cardiovascular Diseases, Heart Failure, Myocardial Infarction, Peripheral Arterial Disease, Stroke.
- statistics & numerical data : Clinical Trials as Topic.
- chemical , therapeutic use : Hydroxymethylglutaryl-CoA Reductase Inhibitors.
- Follow-Up Studies, Humans, Proportional Hazards Models, Risk Factors, Risk Reduction Behavior, Treatment Outcome.
Abstract
Background-It is unclear whether levels of high-density lipoprotein cholesterol (HDL-C) or apolipoprotein A-I (apoA-I) remain inversely associated with cardiovascular risk among patients who achieve very low levels of low-density lipoprotein cholesterol on statin therapy. It is also unknown whether a rise in HDL-C or apoA-I after initiation of statin therapy is associated with a reduced cardiovascular risk. Methods and Results-We performed a meta-analysis of 8 statin trials in which lipids and apolipoproteins were determined in all study participants at baseline and at 1-year follow-up. Individual patient data were obtained for 38 153 trial participants allocated to statin therapy, of whom 5387 suffered a major cardiovascular event. HDL-C levels were associated with a reduced risk of major cardiovascular events (adjusted hazard ratio [HR], 0.83; 95% confidence interval [CI], 0.81-0.86 per 1 standard deviation increment), as were apoA-I levels (HR, 0.79; 95% CI, 0.72-0.82). This association was also observed among patients achieving on-statin low-density lipoprotein cholesterol levels <50 mg/dL. An increase of HDL-C was not associated with reduced cardiovascular risk (HR, 0.98; 95% CI, 0.94-1.01 per 1 standard deviation increment), whereas a rise in apoA-1 was (HR, 0.93; 95% CI, 0.90-0.97).
Url:
Affiliations:
- Australie, France, Norvège, Pays-Bas, Royaume-Uni, États-Unis
- Angleterre, Grand Londres, Grand Manchester, Hollande-Septentrionale, Nouvelle-Galles du Sud, Victoria (État), Île-de-France
- Amsterdam, Londres, Manchester, Melbourne, Paris, Sydney
- Université de Londres, Université de Manchester, Université de Sydney
Links toward previous steps (curation, corpus...)
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Le document en format XML
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Levels and Changes of HDL Cholesterol and Apolipoprotein A-I in Relation to Risk of Cardiovascular Events Among Statin-Treated Patients: A Meta-Analysis</title>
<author><name sortKey="Boekholdt, S Matthijs" sort="Boekholdt, S Matthijs" uniqKey="Boekholdt S" first="S. Matthijs" last="Boekholdt">S. Matthijs Boekholdt</name>
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<placeName><settlement type="city">Amsterdam</settlement>
<region nuts="2" type="province">Hollande-Septentrionale</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Arsenault, Benoit J" sort="Arsenault, Benoit J" uniqKey="Arsenault B" first="Benoit J." last="Arsenault">Benoit J. Arsenault</name>
<affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Department of Vascular Medicine, Academic Medical Center</s1>
<s2>Amsterdam</s2>
<s3>NLD</s3>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>21 aut.</sZ>
</inist:fA14>
<country>Pays-Bas</country>
<placeName><settlement type="city">Amsterdam</settlement>
<region nuts="2" type="province">Hollande-Septentrionale</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Kees Hovingh, G" sort="Kees Hovingh, G" uniqKey="Kees Hovingh G" first="G." last="Kees Hovingh">G. Kees Hovingh</name>
<affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Department of Vascular Medicine, Academic Medical Center</s1>
<s2>Amsterdam</s2>
<s3>NLD</s3>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>21 aut.</sZ>
</inist:fA14>
<country>Pays-Bas</country>
<placeName><settlement type="city">Amsterdam</settlement>
<region nuts="2" type="province">Hollande-Septentrionale</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Mora, Samia" sort="Mora, Samia" uniqKey="Mora S" first="Samia" last="Mora">Samia Mora</name>
<affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Center for Cardiovascular Disease Prevention, Brigham and Women's Hospital</s1>
<s2>Boston, MA</s2>
<s3>USA</s3>
<sZ>4 aut.</sZ>
<sZ>20 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Boston, MA</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Pedersen, Terje R" sort="Pedersen, Terje R" uniqKey="Pedersen T" first="Terje R." last="Pedersen">Terje R. Pedersen</name>
<affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Center of Preventive Medicine, Oslo University Hospital, Ulleval and University of Oslo</s1>
<s3>NOR</s3>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>Norvège</country>
<wicri:noRegion>Center of Preventive Medicine, Oslo University Hospital, Ulleval and University of Oslo</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Larosa, John C" sort="Larosa, John C" uniqKey="Larosa J" first="John C." last="Larosa">John C. Larosa</name>
<affiliation wicri:level="1"><inist:fA14 i1="05"><s1>State University of New York Health Science Center</s1>
<s2>Brooklyn, NY</s2>
<s3>USA</s3>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>State University of New York Health Science Center</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Welch, K M A" sort="Welch, K M A" uniqKey="Welch K" first="K. M. A." last="Welch">K. M. A. Welch</name>
<affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Rosalind Franklin University of Medicine and Science</s1>
<s2>North Chicago, IL</s2>
<s3>USA</s3>
<sZ>7 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Rosalind Franklin University of Medicine and Science</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Amarenco, Pierre" sort="Amarenco, Pierre" uniqKey="Amarenco P" first="Pierre" last="Amarenco">Pierre Amarenco</name>
<affiliation wicri:level="3"><inist:fA14 i1="07"><s1>Department of Neurology and Stroke Center, Bichat University Hospital</s1>
<s2>Paris</s2>
<s3>FRA</s3>
<sZ>8 aut.</sZ>
</inist:fA14>
<country>France</country>
<placeName><region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Demicco, David A" sort="Demicco, David A" uniqKey="Demicco D" first="David A." last="Demicco">David A. Demicco</name>
<affiliation wicri:level="1"><inist:fA14 i1="08"><s1>Global Pharmaceuticals Pfizer</s1>
<s2>New York, NY</s2>
<s3>USA</s3>
<sZ>9 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Global Pharmaceuticals Pfizer</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Tonkin, Andrew M" sort="Tonkin, Andrew M" uniqKey="Tonkin A" first="Andrew M." last="Tonkin">Andrew M. Tonkin</name>
<affiliation wicri:level="3"><inist:fA14 i1="09"><s1>Department of Epidemiology and Preventive Medicine, Monash University</s1>
<s2>Melbourne</s2>
<s3>AUS</s3>
<sZ>10 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<placeName><settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Sullivan, David R" sort="Sullivan, David R" uniqKey="Sullivan D" first="David R." last="Sullivan">David R. Sullivan</name>
<affiliation wicri:level="4"><inist:fA14 i1="10"><s1>Department of Biochemistry and Lipid Clinic, Royal Prince Alfred Hospital, University of Sydney</s1>
<s2>Sydney</s2>
<s3>AUS</s3>
<sZ>11 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<placeName><settlement type="city">Sydney</settlement>
<region type="état">Nouvelle-Galles du Sud</region>
<settlement type="city">Sydney</settlement>
</placeName>
<orgName type="university">Université de Sydney</orgName>
</affiliation>
</author>
<author><name sortKey="Kirby, Adrienne" sort="Kirby, Adrienne" uniqKey="Kirby A" first="Adrienne" last="Kirby">Adrienne Kirby</name>
<affiliation wicri:level="4"><inist:fA14 i1="11"><s1>NHMRC Clinical Trials Centre, University of Sydney</s1>
<s2>Sydney</s2>
<s3>AUS</s3>
<sZ>12 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<placeName><settlement type="city">Sydney</settlement>
<region type="état">Nouvelle-Galles du Sud</region>
<settlement type="city">Sydney</settlement>
</placeName>
<orgName type="university">Université de Sydney</orgName>
</affiliation>
</author>
<author><name sortKey="Colhoun, Helen M" sort="Colhoun, Helen M" uniqKey="Colhoun H" first="Helen M." last="Colhoun">Helen M. Colhoun</name>
<affiliation wicri:level="1"><inist:fA14 i1="12"><s1>Medical Research Institute, University of Dundee</s1>
<s2>Dundee</s2>
<s3>GBR</s3>
<sZ>13 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
<wicri:noRegion>Dundee</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Hitman, Graham A" sort="Hitman, Graham A" uniqKey="Hitman G" first="Graham A." last="Hitman">Graham A. Hitman</name>
<affiliation wicri:level="4"><inist:fA14 i1="13"><s1>Centre for Diabetes, Barts and The London School of Medicine and Dentistry, Queen Mary University of London</s1>
<s2>London</s2>
<s3>GBR</s3>
<sZ>14 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
<placeName><settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
<settlement type="city">Londres</settlement>
</placeName>
<orgName type="university">Université de Londres</orgName>
</affiliation>
</author>
<author><name sortKey="Betteridge, D John" sort="Betteridge, D John" uniqKey="Betteridge D" first="D. John" last="Betteridge">D. John Betteridge</name>
<affiliation wicri:level="3"><inist:fA14 i1="14"><s1>Department of Medicine, Royal Free and University College Medical School</s1>
<s2>London</s2>
<s3>GBR</s3>
<sZ>15 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
<placeName><settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Durrington, Paul N" sort="Durrington, Paul N" uniqKey="Durrington P" first="Paul N." last="Durrington">Paul N. Durrington</name>
<affiliation wicri:level="4"><inist:fA14 i1="15"><s1>School of Biomedicine, University of Manchester</s1>
<s2>Manchester</s2>
<s3>GBR</s3>
<sZ>16 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
<placeName><settlement type="city">Manchester</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Manchester</region>
<settlement type="city">Manchester</settlement>
</placeName>
<orgName type="university">Université de Manchester</orgName>
</affiliation>
</author>
<author><name sortKey="Clearfield, Michael B" sort="Clearfield, Michael B" uniqKey="Clearfield M" first="Michael B." last="Clearfield">Michael B. Clearfield</name>
<affiliation wicri:level="1"><inist:fA14 i1="16"><s1>Touro University</s1>
<s2>Mare Island, CA</s2>
<s3>USA</s3>
<sZ>17 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Touro University</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Downs, John R" sort="Downs, John R" uniqKey="Downs J" first="John R." last="Downs">John R. Downs</name>
<affiliation wicri:level="1"><inist:fA14 i1="17"><s1>Department of Medicine, University of Texas Health Science Center, and VERDICT, South Texas Veterans Health Care System</s1>
<s2>San Antonio, TX</s2>
<s3>USA</s3>
<sZ>18 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>San Antonio, TX</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Gotto, Antonio M Jr" sort="Gotto, Antonio M Jr" uniqKey="Gotto A" first="Antonio M. Jr" last="Gotto">Antonio M. Jr Gotto</name>
<affiliation wicri:level="1"><inist:fA14 i1="18"><s1>Weill Cornell Medical College</s1>
<s2>New York, NY</s2>
<s3>USA</s3>
<sZ>19 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Weill Cornell Medical College</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ridker, Paul M" sort="Ridker, Paul M" uniqKey="Ridker P" first="Paul M." last="Ridker">Paul M. Ridker</name>
<affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Center for Cardiovascular Disease Prevention, Brigham and Women's Hospital</s1>
<s2>Boston, MA</s2>
<s3>USA</s3>
<sZ>4 aut.</sZ>
<sZ>20 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Boston, MA</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Kastelein, John J P" sort="Kastelein, John J P" uniqKey="Kastelein J" first="John J. P." last="Kastelein">John J. P. Kastelein</name>
<affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Department of Vascular Medicine, Academic Medical Center</s1>
<s2>Amsterdam</s2>
<s3>NLD</s3>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>21 aut.</sZ>
</inist:fA14>
<country>Pays-Bas</country>
<placeName><settlement type="city">Amsterdam</settlement>
<region nuts="2" type="province">Hollande-Septentrionale</region>
</placeName>
</affiliation>
</author>
</analytic>
<series><title level="j" type="main">Circulation : (New York, N.Y.)</title>
<title level="j" type="abbreviated">Circulation : (N. Y. N.Y.)</title>
<idno type="ISSN">0009-7322</idno>
<imprint><date when="2013">2013</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><title level="j" type="main">Circulation : (New York, N.Y.)</title>
<title level="j" type="abbreviated">Circulation : (N. Y. N.Y.)</title>
<idno type="ISSN">0009-7322</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Angina, Unstable (epidemiology)</term>
<term>Angina, Unstable (prevention & control)</term>
<term>Antilipemic agent</term>
<term>Apolipoprotein A</term>
<term>Apolipoprotein A-I (blood)</term>
<term>Cardiology</term>
<term>Cardiovascular Diseases (blood)</term>
<term>Cardiovascular Diseases (drug therapy)</term>
<term>Cardiovascular Diseases (epidemiology)</term>
<term>Cardiovascular Diseases (prevention & control)</term>
<term>Cardiovascular disease</term>
<term>Change</term>
<term>Cholesterol HDL</term>
<term>Cholesterol, HDL (blood)</term>
<term>Cholesterol, LDL (blood)</term>
<term>Circulatory system</term>
<term>Clinical Trials as Topic (statistics & numerical data)</term>
<term>Evidence-based medicine</term>
<term>Follow-Up Studies</term>
<term>Heart Failure (epidemiology)</term>
<term>Heart Failure (prevention & control)</term>
<term>Human</term>
<term>Humans</term>
<term>Hydroxymethylglutaryl-CoA Reductase Inhibitors (pharmacology)</term>
<term>Hydroxymethylglutaryl-CoA Reductase Inhibitors (therapeutic use)</term>
<term>Hypercholesterolemia</term>
<term>Level</term>
<term>Lipids</term>
<term>Lipoprotein HDL</term>
<term>Metaanalysis</term>
<term>Myocardial Infarction (epidemiology)</term>
<term>Myocardial Infarction (prevention & control)</term>
<term>Patient</term>
<term>Peripheral Arterial Disease (epidemiology)</term>
<term>Peripheral Arterial Disease (prevention & control)</term>
<term>Phlebology</term>
<term>Proportional Hazards Models</term>
<term>Risk</term>
<term>Risk Factors</term>
<term>Risk Reduction Behavior</term>
<term>Risk factor</term>
<term>Statin derivative</term>
<term>Stroke (epidemiology)</term>
<term>Stroke (prevention & control)</term>
<term>Treatment</term>
<term>Treatment Outcome</term>
<term>Triglycerides (blood)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Accident vasculaire cérébral ()</term>
<term>Accident vasculaire cérébral (épidémiologie)</term>
<term>Angor instable ()</term>
<term>Angor instable (épidémiologie)</term>
<term>Apolipoprotéine A-I (sang)</term>
<term>Cholestérol HDL (sang)</term>
<term>Cholestérol LDL (sang)</term>
<term>Comportement de réduction des risques</term>
<term>Défaillance cardiaque ()</term>
<term>Défaillance cardiaque (épidémiologie)</term>
<term>Essais cliniques comme sujet ()</term>
<term>Facteurs de risque</term>
<term>Humains</term>
<term>Infarctus du myocarde ()</term>
<term>Infarctus du myocarde (épidémiologie)</term>
<term>Inhibiteurs de l'hydroxyméthylglutaryl-CoA réductase (pharmacologie)</term>
<term>Inhibiteurs de l'hydroxyméthylglutaryl-CoA réductase (usage thérapeutique)</term>
<term>Maladie artérielle périphérique ()</term>
<term>Maladie artérielle périphérique (épidémiologie)</term>
<term>Maladies cardiovasculaires ()</term>
<term>Maladies cardiovasculaires (sang)</term>
<term>Maladies cardiovasculaires (traitement médicamenteux)</term>
<term>Maladies cardiovasculaires (épidémiologie)</term>
<term>Modèles de hasards proportionnels</term>
<term>Résultat thérapeutique</term>
<term>Triglycéride (sang)</term>
<term>Études de suivi</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="blood" xml:lang="en"><term>Apolipoprotein A-I</term>
<term>Cholesterol, HDL</term>
<term>Cholesterol, LDL</term>
<term>Triglycerides</term>
</keywords>
<keywords scheme="MESH" qualifier="blood" xml:lang="en"><term>Cardiovascular Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Cardiovascular Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Angina, Unstable</term>
<term>Cardiovascular Diseases</term>
<term>Heart Failure</term>
<term>Myocardial Infarction</term>
<term>Peripheral Arterial Disease</term>
<term>Stroke</term>
</keywords>
<keywords scheme="MESH" qualifier="pharmacologie" xml:lang="fr"><term>Inhibiteurs de l'hydroxyméthylglutaryl-CoA réductase</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="pharmacology" xml:lang="en"><term>Hydroxymethylglutaryl-CoA Reductase Inhibitors</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Angina, Unstable</term>
<term>Cardiovascular Diseases</term>
<term>Heart Failure</term>
<term>Myocardial Infarction</term>
<term>Peripheral Arterial Disease</term>
<term>Stroke</term>
</keywords>
<keywords scheme="MESH" qualifier="sang" xml:lang="fr"><term>Apolipoprotéine A-I</term>
<term>Cholestérol HDL</term>
<term>Cholestérol LDL</term>
<term>Maladies cardiovasculaires</term>
<term>Triglycéride</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Clinical Trials as Topic</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Hydroxymethylglutaryl-CoA Reductase Inhibitors</term>
</keywords>
<keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Maladies cardiovasculaires</term>
</keywords>
<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Inhibiteurs de l'hydroxyméthylglutaryl-CoA réductase</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Accident vasculaire cérébral</term>
<term>Angor instable</term>
<term>Défaillance cardiaque</term>
<term>Infarctus du myocarde</term>
<term>Maladie artérielle périphérique</term>
<term>Maladies cardiovasculaires</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Follow-Up Studies</term>
<term>Humans</term>
<term>Proportional Hazards Models</term>
<term>Risk Factors</term>
<term>Risk Reduction Behavior</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Accident vasculaire cérébral</term>
<term>Angor instable</term>
<term>Comportement de réduction des risques</term>
<term>Défaillance cardiaque</term>
<term>Essais cliniques comme sujet</term>
<term>Facteurs de risque</term>
<term>Humains</term>
<term>Hypercholestérolémie</term>
<term>Infarctus du myocarde</term>
<term>Maladie artérielle périphérique</term>
<term>Maladies cardiovasculaires</term>
<term>Modèles de hasards proportionnels</term>
<term>Niveau</term>
<term>Changement</term>
<term>Lipoprotéine HDL</term>
<term>Cholestérol HDL</term>
<term>Apolipoprotéine A</term>
<term>Facteur risque</term>
<term>Risque</term>
<term>Pathologie de l'appareil circulatoire</term>
<term>Dérivé de la statine</term>
<term>Résultat thérapeutique</term>
<term>Traitement</term>
<term>Homme</term>
<term>Malade</term>
<term>Métaanalyse</term>
<term>Médecine factuelle</term>
<term>Appareil circulatoire</term>
<term>Cardiologie</term>
<term>Phlébologie</term>
<term>Lipide</term>
<term>Hypolipémiant</term>
<term>Maladie cardiovasculaire</term>
<term>Études de suivi</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Background-It is unclear whether levels of high-density lipoprotein cholesterol (HDL-C) or apolipoprotein A-I (apoA-I) remain inversely associated with cardiovascular risk among patients who achieve very low levels of low-density lipoprotein cholesterol on statin therapy. It is also unknown whether a rise in HDL-C or apoA-I after initiation of statin therapy is associated with a reduced cardiovascular risk. Methods and Results-We performed a meta-analysis of 8 statin trials in which lipids and apolipoproteins were determined in all study participants at baseline and at 1-year follow-up. Individual patient data were obtained for 38 153 trial participants allocated to statin therapy, of whom 5387 suffered a major cardiovascular event. HDL-C levels were associated with a reduced risk of major cardiovascular events (adjusted hazard ratio [HR], 0.83; 95% confidence interval [CI], 0.81-0.86 per 1 standard deviation increment), as were apoA-I levels (HR, 0.79; 95% CI, 0.72-0.82). This association was also observed among patients achieving on-statin low-density lipoprotein cholesterol levels <50 mg/dL. An increase of HDL-C was not associated with reduced cardiovascular risk (HR, 0.98; 95% CI, 0.94-1.01 per 1 standard deviation increment), whereas a rise in apoA-1 was (HR, 0.93; 95% CI, 0.90-0.97).</div>
</front>
</TEI>
<affiliations><list><country><li>Australie</li>
<li>France</li>
<li>Norvège</li>
<li>Pays-Bas</li>
<li>Royaume-Uni</li>
<li>États-Unis</li>
</country>
<region><li>Angleterre</li>
<li>Grand Londres</li>
<li>Grand Manchester</li>
<li>Hollande-Septentrionale</li>
<li>Nouvelle-Galles du Sud</li>
<li>Victoria (État)</li>
<li>Île-de-France</li>
</region>
<settlement><li>Amsterdam</li>
<li>Londres</li>
<li>Manchester</li>
<li>Melbourne</li>
<li>Paris</li>
<li>Sydney</li>
</settlement>
<orgName><li>Université de Londres</li>
<li>Université de Manchester</li>
<li>Université de Sydney</li>
</orgName>
</list>
<tree><country name="Pays-Bas"><region name="Hollande-Septentrionale"><name sortKey="Boekholdt, S Matthijs" sort="Boekholdt, S Matthijs" uniqKey="Boekholdt S" first="S. Matthijs" last="Boekholdt">S. Matthijs Boekholdt</name>
</region>
<name sortKey="Arsenault, Benoit J" sort="Arsenault, Benoit J" uniqKey="Arsenault B" first="Benoit J." last="Arsenault">Benoit J. Arsenault</name>
<name sortKey="Kastelein, John J P" sort="Kastelein, John J P" uniqKey="Kastelein J" first="John J. P." last="Kastelein">John J. P. Kastelein</name>
<name sortKey="Kees Hovingh, G" sort="Kees Hovingh, G" uniqKey="Kees Hovingh G" first="G." last="Kees Hovingh">G. Kees Hovingh</name>
</country>
<country name="États-Unis"><noRegion><name sortKey="Mora, Samia" sort="Mora, Samia" uniqKey="Mora S" first="Samia" last="Mora">Samia Mora</name>
</noRegion>
<name sortKey="Clearfield, Michael B" sort="Clearfield, Michael B" uniqKey="Clearfield M" first="Michael B." last="Clearfield">Michael B. Clearfield</name>
<name sortKey="Demicco, David A" sort="Demicco, David A" uniqKey="Demicco D" first="David A." last="Demicco">David A. Demicco</name>
<name sortKey="Downs, John R" sort="Downs, John R" uniqKey="Downs J" first="John R." last="Downs">John R. Downs</name>
<name sortKey="Gotto, Antonio M Jr" sort="Gotto, Antonio M Jr" uniqKey="Gotto A" first="Antonio M. Jr" last="Gotto">Antonio M. Jr Gotto</name>
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<country name="Australie"><region name="Victoria (État)"><name sortKey="Tonkin, Andrew M" sort="Tonkin, Andrew M" uniqKey="Tonkin A" first="Andrew M." last="Tonkin">Andrew M. Tonkin</name>
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<country name="Royaume-Uni"><noRegion><name sortKey="Colhoun, Helen M" sort="Colhoun, Helen M" uniqKey="Colhoun H" first="Helen M." last="Colhoun">Helen M. Colhoun</name>
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<name sortKey="Hitman, Graham A" sort="Hitman, Graham A" uniqKey="Hitman G" first="Graham A." last="Hitman">Graham A. Hitman</name>
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