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LDL Size and Coronary Risk Predictive value of LDL-particle size Physicians ’ Health Study

LDL Size and Coronary Risk Predictive value of LDL-particle size Physicians ’ Health Study. Relative Risk of M I. * Adjusted RR for total/HDL-cholesterol, plasma apo B level, BMI, diabetes, hypertension, angina and excercice level. At 95 % CI (1.30 - 7.76). 3.18*. 1.

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LDL Size and Coronary Risk Predictive value of LDL-particle size Physicians ’ Health Study

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  1. LDL Size and Coronary RiskPredictive value of LDL-particle sizePhysicians ’ Health Study Relative Risk of M I * Adjusted RR for total/HDL-cholesterol, plasma apo B level, BMI, diabetes, hypertension, angina and excercice level. At 95 % CI (1.30 - 7.76) 3.18* 1 Quintile of LDL diameter Q1 (222 - 250 Å) Q5 (266 - 278 Å)

  2. Les Dyslipidémies • Hyperlipidémies combinées  Chol  TG • Déséquilibre entre  LDL-Chol et  HDL-Chol • Sous-fractions de LDL particulièrement athérogènes • Sous-fractions de HDL peu protectrices • Modifications des apolipoprotéines (adducts, AGE, ALE)  du risque, même pour des concentrations plasmatiques non (ou modérément) augmentées

  3. ACTIONS OF STATINS

  4. Taux de LDL-C vs accidents coronariens dansles principales études sur les statines 4S-P 25 20 15 10 5 0 Prévention secondaire Prévention primaire LIPID-P 4S-S Simvastatine Pravastatine Lovastatine % avec accident coronarien CARE-S CARE-P WOSCOPS-P LIPID-S WOSCOPS-S AFCAPS-S AFCAPS-P 90 110 130 150 170 190 210 LDL-C, mg/dl S = sous statine; P = sous placeboKastelein JJP. Atherosclerosis 1999; 143(suppl 1): S17-S21

  5. * * * Effect of Statin Therapy on hs-CRP Levels at 6 Weeks 6 5 4 3 2 1 0 *p<0.025 vs. Baseline hs-CRP (mg/L) Baseline Prava(40 mg/d) Simva(20 mg/d) Atorva(10 mg/d) Jialal I et al. Circulation 2001;103:1933-1935.

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