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Lipoprotein(a) and coronary atheroma progression rates during long-term high-intensity statin therapy: Insights from SATURN.

Identifieur interne : 004A27 ( Ncbi/Merge ); précédent : 004A26; suivant : 004A28

Lipoprotein(a) and coronary atheroma progression rates during long-term high-intensity statin therapy: Insights from SATURN.

Auteurs : Rishi Puri [Australie] ; Christie M. Ballantyne [États-Unis] ; Ron C. Hoogeveen [États-Unis] ; Mingyuan Shao [États-Unis] ; Philip Barter [Australie] ; Peter Libby [États-Unis] ; M John Chapman [France] ; Raimund Erbel [Allemagne] ; Benoit J. Arsenault [Canada] ; Joel S. Raichlen [États-Unis] ; Steven E. Nissen [États-Unis] ; Stephen J. Nicholls [Australie]

Source :

RBID : pubmed:28641153

Abstract

Lipoprotein(a) [Lp(a)] is a low-density lipoprotein (LDL)-like particle that associates with major adverse cardiovascular events (MACE). We examined relationships between Lp(a) measurements and changes in coronary atheroma volume following long-term maximally-intensive statin therapy in coronary artery disease patients.

DOI: 10.1016/j.atherosclerosis.2017.06.026
PubMed: 28641153

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Le document en format XML

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<nlm:affiliation>INSERM Dyslipidaemia and Atherosclerosis Research Unit, Pitié-Salpetriere University Hospital, Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>INSERM Dyslipidaemia and Atherosclerosis Research Unit, Pitié-Salpetriere University Hospital, Paris</wicri:regionArea>
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<name sortKey="Erbel, Raimund" sort="Erbel, Raimund" uniqKey="Erbel R" first="Raimund" last="Erbel">Raimund Erbel</name>
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<name sortKey="Raichlen, Joel S" sort="Raichlen, Joel S" uniqKey="Raichlen J" first="Joel S" last="Raichlen">Joel S. Raichlen</name>
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<nlm:affiliation>AstraZeneca, Gaithersburg, MD, United States.</nlm:affiliation>
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<region type="state">Maryland</region>
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<name sortKey="Nissen, Steven E" sort="Nissen, Steven E" uniqKey="Nissen S" first="Steven E" last="Nissen">Steven E. Nissen</name>
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<nlm:affiliation>Cleveland Clinic Coordinating Center for Clinical Research (C5R), Cleveland Clinic, Cleveland, OH, United States.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Cleveland Clinic Coordinating Center for Clinical Research (C5R), Cleveland Clinic, Cleveland, OH</wicri:regionArea>
<placeName>
<region type="state">Ohio</region>
</placeName>
</affiliation>
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<name sortKey="Nicholls, Stephen J" sort="Nicholls, Stephen J" uniqKey="Nicholls S" first="Stephen J" last="Nicholls">Stephen J. Nicholls</name>
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<nlm:affiliation>Cleveland Clinic Coordinating Center for Clinical Research (C5R), Cleveland Clinic, Cleveland, OH, United States; Department of Medicine, University of Adelaide, Adelaide, Australia; South Australian Health and Medical Research Institute, Adelaide, Australia. Electronic address: stephen.nicholls@sahmri.com.</nlm:affiliation>
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<div type="abstract" xml:lang="en">Lipoprotein(a) [Lp(a)] is a low-density lipoprotein (LDL)-like particle that associates with major adverse cardiovascular events (MACE). We examined relationships between Lp(a) measurements and changes in coronary atheroma volume following long-term maximally-intensive statin therapy in coronary artery disease patients.</div>
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<PMID Version="1">28641153</PMID>
<DateCreated>
<Year>2017</Year>
<Month>06</Month>
<Day>22</Day>
</DateCreated>
<DateRevised>
<Year>2017</Year>
<Month>08</Month>
<Day>15</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Electronic">1879-1484</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>263</Volume>
<PubDate>
<Year>2017</Year>
<Month>Aug</Month>
</PubDate>
</JournalIssue>
<Title>Atherosclerosis</Title>
<ISOAbbreviation>Atherosclerosis</ISOAbbreviation>
</Journal>
<ArticleTitle>Lipoprotein(a) and coronary atheroma progression rates during long-term high-intensity statin therapy: Insights from SATURN.</ArticleTitle>
<Pagination>
<MedlinePgn>137-144</MedlinePgn>
</Pagination>
<ELocationID EIdType="pii" ValidYN="Y">S0021-9150(17)30275-7</ELocationID>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.atherosclerosis.2017.06.026</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND & AIMS" NlmCategory="OBJECTIVE">Lipoprotein(a) [Lp(a)] is a low-density lipoprotein (LDL)-like particle that associates with major adverse cardiovascular events (MACE). We examined relationships between Lp(a) measurements and changes in coronary atheroma volume following long-term maximally-intensive statin therapy in coronary artery disease patients.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Study of coronary atheroma by intravascular ultrasound: Effect of Rosuvastatin Versus Atorvastatin (SATURN) used serial intravascular ultrasound measures of coronary atheroma volume in patients treated with rosuvastatin 40 mg or atorvastatin 80 mg for 24 months. Baseline and follow-up Lp(a) levels were measured in 915 of the 1039 SATURN participants, and were correlated with changes in percent atheroma volume (ΔPAV).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Mean age was 57.7 ± 8.6 years, 74% were men, 96% were Caucasian, with statin use prior to study enrolment occurring in 59.3% of participants. Baseline [median (IQR)] LDL-cholesterol (LDL-C) and measured Lp(a) levels (mg/dL) were 114 (99, 137) and 17.4 (7.6, 52.9) respectively; follow-up measures were 60 (47, 77), and 16.5 (6.7, 57.7) (change from baseline: p < 0.001, p = 0.31 respectively). At baseline, there were 676 patients with Lp(a) levels <50 mg/dL [median Lp(a) of 10.9 mg/dL], and 239 patients with Lp(a) levels ≥ 50 mg/dL [median Lp(a) of 83.2 mg/dL]. Quartiles of baseline and follow-up Lp(a) did not associate with ΔPAV. Irrespective of the achieved LDL-C ( 50 mg/dL.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">In coronary artery disease patients prescribed long-term maximally intensive statin therapy with low on-treatment LDL-C levels, measured Lp(a) levels (predominantly below the 50 mg/dL threshold) do not associate with coronary atheroma progression. Alternative biomarkers may thus associate with residual cardiovascular risk in such patients.</AbstractText>
<CopyrightInformation>Copyright © 2017 Elsevier B.V. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y">
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<LastName>Puri</LastName>
<ForeName>Rishi</ForeName>
<Initials>R</Initials>
<AffiliationInfo>
<Affiliation>Cleveland Clinic Coordinating Center for Clinical Research (C5R), Cleveland Clinic, Cleveland, OH, United States; Quebec Heart & Lung Institute, Quebec City, Canada; Department of Medicine, University of Adelaide, Adelaide, Australia.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Ballantyne</LastName>
<ForeName>Christie M</ForeName>
<Initials>CM</Initials>
<AffiliationInfo>
<Affiliation>Section of Cardiovascular Research, Baylor College of Medicine, The Methodist DeBakey Heart and Vascular Center, Houston, TX, United States.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Hoogeveen</LastName>
<ForeName>Ron C</ForeName>
<Initials>RC</Initials>
<AffiliationInfo>
<Affiliation>Section of Cardiovascular Research, Baylor College of Medicine, The Methodist DeBakey Heart and Vascular Center, Houston, TX, United States.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Shao</LastName>
<ForeName>Mingyuan</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>Cleveland Clinic Coordinating Center for Clinical Research (C5R), Cleveland Clinic, Cleveland, OH, United States.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Barter</LastName>
<ForeName>Philip</ForeName>
<Initials>P</Initials>
<AffiliationInfo>
<Affiliation>Centre for Vascular Research, University of New South Wales, Sydney, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Libby</LastName>
<ForeName>Peter</ForeName>
<Initials>P</Initials>
<AffiliationInfo>
<Affiliation>Cardiovascular Division, Brigham and Women's Hospital, Boston, MA, United States.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Chapman</LastName>
<ForeName>M John</ForeName>
<Initials>MJ</Initials>
<AffiliationInfo>
<Affiliation>INSERM Dyslipidaemia and Atherosclerosis Research Unit, Pitié-Salpetriere University Hospital, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Erbel</LastName>
<ForeName>Raimund</ForeName>
<Initials>R</Initials>
<AffiliationInfo>
<Affiliation>West German Heart Center, Essen, Germany.</Affiliation>
</AffiliationInfo>
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<LastName>Arsenault</LastName>
<ForeName>Benoit J</ForeName>
<Initials>BJ</Initials>
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<Affiliation>Quebec Heart & Lung Institute, Quebec City, Canada.</Affiliation>
</AffiliationInfo>
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<LastName>Raichlen</LastName>
<ForeName>Joel S</ForeName>
<Initials>JS</Initials>
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<Affiliation>AstraZeneca, Gaithersburg, MD, United States.</Affiliation>
</AffiliationInfo>
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<ForeName>Steven E</ForeName>
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<Affiliation>Cleveland Clinic Coordinating Center for Clinical Research (C5R), Cleveland Clinic, Cleveland, OH, United States.</Affiliation>
</AffiliationInfo>
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<LastName>Nicholls</LastName>
<ForeName>Stephen J</ForeName>
<Initials>SJ</Initials>
<AffiliationInfo>
<Affiliation>Cleveland Clinic Coordinating Center for Clinical Research (C5R), Cleveland Clinic, Cleveland, OH, United States; Department of Medicine, University of Adelaide, Adelaide, Australia; South Australian Health and Medical Research Institute, Adelaide, Australia. Electronic address: stephen.nicholls@sahmri.com.</Affiliation>
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<PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic">
<Year>2017</Year>
<Month>06</Month>
<Day>15</Day>
</ArticleDate>
</Article>
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<Country>Ireland</Country>
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</MedlineJournalInfo>
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<Keyword MajorTopicYN="N">Atherosclerosis</Keyword>
<Keyword MajorTopicYN="N">IVUS</Keyword>
<Keyword MajorTopicYN="N">Lipoprotein(a)</Keyword>
<Keyword MajorTopicYN="N">Residual risk</Keyword>
<Keyword MajorTopicYN="N">Statins</Keyword>
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<Month>06</Month>
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<ArticleId IdType="pii">S0021-9150(17)30275-7</ArticleId>
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<country>
<li>Allemagne</li>
<li>Australie</li>
<li>Canada</li>
<li>France</li>
<li>États-Unis</li>
</country>
<region>
<li>Maryland</li>
<li>Massachusetts</li>
<li>Nouvelle-Galles du Sud</li>
<li>Ohio</li>
<li>Texas</li>
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<name sortKey="Hoogeveen, Ron C" sort="Hoogeveen, Ron C" uniqKey="Hoogeveen R" first="Ron C" last="Hoogeveen">Ron C. Hoogeveen</name>
<name sortKey="Libby, Peter" sort="Libby, Peter" uniqKey="Libby P" first="Peter" last="Libby">Peter Libby</name>
<name sortKey="Nissen, Steven E" sort="Nissen, Steven E" uniqKey="Nissen S" first="Steven E" last="Nissen">Steven E. Nissen</name>
<name sortKey="Raichlen, Joel S" sort="Raichlen, Joel S" uniqKey="Raichlen J" first="Joel S" last="Raichlen">Joel S. Raichlen</name>
<name sortKey="Shao, Mingyuan" sort="Shao, Mingyuan" uniqKey="Shao M" first="Mingyuan" last="Shao">Mingyuan Shao</name>
</country>
<country name="France">
<region name="Île-de-France">
<name sortKey="Chapman, M John" sort="Chapman, M John" uniqKey="Chapman M" first="M John" last="Chapman">M John Chapman</name>
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<country name="Allemagne">
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<name sortKey="Erbel, Raimund" sort="Erbel, Raimund" uniqKey="Erbel R" first="Raimund" last="Erbel">Raimund Erbel</name>
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<country name="Canada">
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<name sortKey="Arsenault, Benoit J" sort="Arsenault, Benoit J" uniqKey="Arsenault B" first="Benoit J" last="Arsenault">Benoit J. Arsenault</name>
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</country>
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