The DOI matches its Crossref record; 20 of the 20 references it cites were found in a registry or an index.
Hypertriglyceridemia: a contraindication to the use of bile acid binding resins.
Abstract
Bile acid binding resins are indicated for treatment of elevated plasma low-density lipoprotein cholesterol concentrations. In normoglyceridemic patients, plasma concentrations of low-density lipoprotein cholesterol and total cholesterol are closely linked, and for this reason resin treatment of elevated total cholesterol levels in these patients is rational and warranted. Hypertriglyceridemic patients may also have elevated total cholesterol concentrations, and several such patients have been treated with resin. However, resin therapy in these patients is hazardous, since the elevated cholesterol level mainly results from increased plasma concentrations of very-low-density lipoproteins or chylomicrons rather than low-density lipoproteins. In these patients, resin treatment has either no effect or an adverse effect on plasma triglyceride and cholesterol concentrations. The data presented show that fewer than 5 percent of patients whose total plasma triglyceride concentration exceeded 500 mg/dl had elevated low-density lipoprotein cholesterol concentrations, irrespective of total plasma cholesterol concentrations, and no patient whose plasma triglyceride concentration exceeded 1,000 mg/dl had elevated low-density lipoprotein cholesterol levels. Treatment with bile acid binding resins in hypercholesterolemic patients is contraindicated in the presence of hypertriglyceridemia.
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Patients with normal baseline triglyceride levels experience minimal triglyceride increases with bile acid sequestrant therapy, but those with moderate hypertriglyceridemia (triglycerides >200 mg/dl) may experience substantial further elevation.
“Patients with normal baseline triglyceride levels experience minimal triglyceride increases with bile acid sequestrant therapy, but those with moderate hypertriglyceridemia (triglycerides Ͼ 200 mg/dl) may experience substantial further elevation (113).”
From Evaluation and Treatment of Hypertriglyceridemia: An Endocrine Society Clinical Practice Guideline (2012) · cites this paper as [113]
Bile acid sequestrants (cholestyramine, colestipol, colesevelam) can worsen hypertriglyceridemia.
“Bile acid sequestrants (cholestyramine, colestipol, colesevelam) can worsen hypertriglyceridemia and are contraindicated in patients with severe hypertriglyceridemia (Ͼ1000 mg/dl) and in patients with dysbetalipoproteinemia.”
From Evaluation and Treatment of Hypertriglyceridemia: An Endocrine Society Clinical Practice Guideline (2012) · cites this paper as [113]
Citations
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Research works printed but not linked: 2
- 1984, 251, 351
- 1985, 253, 2080
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Evaluation and Treatment of Hypertriglyceridemia: An Endocrine Society Clinical Practice Guideline
Berglund, L., Brunzell, J. D., Goldberg, A. C., Goldberg, I. J., Sacks, F., Murad, M. H., & Stalenhoef, A. F. H. (2012) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2011-3213 · Cited by 887
“Patients with normal baseline triglyceride levels experience minimal triglyceride increases with bile acid sequestrant therapy, but those with moderate hypertriglyceridemia (triglycerides 200 mg/dl) may experience substantial further elevation (113).”
Targeting fatty acid metabolism to improve glucose metabolism
Stinkens, R., Goossens, G. H., Jocken, J. W. E., & Blaak, E. E. (2015) · Obesity Reviews · doi:10.1111/obr.12298 · Cited by 183
Maki, K. C., Bays, H. E., & Dicklin, M. R. (2012) · Journal of Clinical Lipidology · doi:10.1016/j.jacl.2012.04.003 · Cited by 83
Metadata
- Authors
- Crouse, J. R.
- Affiliations
- Atrium Health Wake Forest Baptist (US)
- Corresponding author
- Crouse, John R.
- Venue
- The American Journal of Medicine
- Publisher
- Elsevier BV
- Published
- 1987-08
- Volume
- 83
- Issue
- 2
- Pages
- 243-248
- ISSN
- 0002-9343 (ISSN-L)
- OpenAlex
- W2148563587
- Cited by
- 130
- References
- 20
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 1 · 2022: 3 · 2021: 1 · 2020: 1 · 2019: 1 · 2018: 1 · 2017: 5 · 2016: 3 · 2015: 7 · 2014: 4 · 2013: 8 · 2012: 5
- FWCI
- 5.95
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The American Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Heart, Lung, and Blood Institute (HL-01472, HL 14164)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Lipoproteins and Cardiovascular Health
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Lipid metabolism and disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Cholesterol and Lipid Metabolism
- Keywords
- hypertriglyceridemia, bile acid sequestrants, LDL cholesterol, total cholesterol, VLDL, chylomicrons, hypercholesterolemia, contraindications, lipid-lowering therapy
- MeSH terms
- Cholesterol, Cholestyramine Resin, Colestipol, Drug Evaluation, Female, Humans, Hypercholesterolemia, Hyperlipidemias, Cholesterol, HDL, Cholesterol, LDL, Male, Middle Aged, Polyamines, Time Factors, Triglycerides
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