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Lipoprotein predictors of the severity of coronary artery disease in men and women.
Open accessAbstract
In this study we examined the relationships between levels of several components of plasma lipoproteins and severity of coronary artery disease in 65 men and 42 women who underwent coronary arteriography for suspected coronary disease. Severity of coronary atherosclerosis was scored as the extent of disease seen at arteriography. Univariate analyses of the relationships between the plasma lipoprotein parameters and score for severity of atherosclerosis revealed a marked difference between men and women. In men, the score for severity of atherosclerosis was strongly related to the low-density lipoprotein (LDL) cholesterol and apolipoprotein B concentrations, whereas in women it was related to the triglyceride concentrations in plasma intermediate-density lipoprotein (IDL) and LDL and to the cholesterol and apolipoprotein B concentrations in IDL. The significance of these correlations was not negated by possible confounding factors such as alcohol intake, diabetes, and treatment with thiazides and beta-adrenergic blockers. Stepwise regression analyses of data adjusted for weight and age indicated that 22% of the variation in the score for severity of atherosclerosis could be accounted for by levels of LDL cholesterol in men. No other lipoprotein parameter could account for any further variation. In contrast, cholesterol did not account for any variation in the score for severity of atherosclerosis in women, whereas plasma triglyceride accounted for 16% of the observed variation in this group. No relationships were found between score for severity of atherosclerosis and high-density lipoprotein cholesterol or plasma apolipoprotein A-I concentrations in either group.(ABSTRACT TRUNCATED AT 250 WORDS)
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“which may also carry more risk for CHD in women than in men.53,54”
From Associations of Glycemic Index and Load With Coronary Heart Disease Events: A Systematic Review and Meta‐Analysis of Prospective Cohorts (2012) · cites this paper as [53]
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Metadata
- Authors
- Reardon, M. F., Nestel, P. J., Craig, I. H., & Harper, R. W.
- ORCID
- Nestel, P J
- Venue
- Circulation
- Published
- 1985-05
- Volume
- 71
- Issue
- 5
- Pages
- 881-888
- ISSN
- 0009-7322 (ISSN-L)
- 1524-4539
- OpenAlex
- W2067434749
- Cited by
- 266
- References
- 41
- Citations by year
- 2024: 1 · 2022: 1 · 2021: 1 · 2020: 2 · 2018: 5 · 2017: 4 · 2016: 7 · 2015: 5 · 2014: 5 · 2013: 7 · 2012: 6
- FWCI
- 14.70
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Circulation (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Lipoproteins and Cardiovascular Health
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Cholesterol and Lipid Metabolism
- Keywords
- coronary artery disease severity, serum lipoproteins, LDL cholesterol, apolipoprotein B, intermediate density lipoprotein, triglycerides, sex differences, coronary artery disease, coronary angiography, HDL cholesterol, apolipoprotein A-I
- MeSH terms
- Adult, Aged, Analysis of Variance, Apolipoproteins B, Apolipoproteins E, Arteriosclerosis, Coronary Disease, Female, Humans, Lipoproteins, Cholesterol, LDL, Male, Middle Aged, Regression Analysis, Risk, Sex Factors, Triglycerides
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