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Prediction of angiographic change in native human coronary arteries and aortocoronary bypass grafts. Lipid and nonlipid factors.
Open accessAbstract
A within-group risk factor analysis was conducted to predict angiographic change in the Cholesterol Lowering Atherosclerosis Study, a randomized, placebo-controlled trial of colestipol plus niacin therapy in men with previous coronary bypass surgery. Global angiographic change, including both native coronary arteries and bypass grafts after 2 treatment years, was the end point. Risk factors included on-trial clinical measures, plasma lipids, lipoproteins, and apolipoproteins. Univariate analysis indicated that risk factors previously observed by others in epidemiologic investigation of ischemic heart disease--total cholesterol, LDL cholesterol, non-HDL cholesterol, triglycerides, apolipoprotein B, and diastolic blood pressure--had significant effects in the placebo-treated group. Univariate analysis indicated significant effects of apolipoprotein C-III in drug- and placebo-treated groups. Multivariate analysis indicated the predominant risk factor predicting the probability of global coronary progression was non-HDL cholesterol in placebo-treated subjects and the content of apolipoprotein C-III in high density lipoproteins of drug-treated subjects. Both drug- and placebo-treated group findings point to an important role for triglyceride-rich lipoproteins in progression and regression of human atherosclerosis.
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“The value of non-HDL-C in CVD risk assessment was first proposed by Frost and Havel in 1998, 61 and this relationship has now been confirmed in many studies. [203]3][204][205][206][207][208][209][210][211][212][213][214][215][216]”
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Metadata
- Authors
- Blankenhorn, D. H., Alaupovic, P., Wickham, E., Chin, H. P., & Azen, S. P.
- Affiliations
- University of Southern California (US)
- ORCID
- Alaupovic, P
- Venue
- Circulation
- Published
- 1990-02
- Volume
- 81
- Issue
- 2
- Pages
- 470-476
- ISSN
- 0009-7322 (ISSN-L)
- 1524-4539
- OpenAlex
- W2092138949
- Cited by
- 278
- References
- 32
- Citations by year
- 2026: 1 · 2025: 1 · 2021: 2 · 2020: 1 · 2019: 2 · 2018: 1 · 2017: 8 · 2016: 3 · 2015: 3 · 2014: 5 · 2013: 6 · 2012: 6
- FWCI
- 22.83
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Circulation (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Oklahoma Medical Research Foundation
- National Institutes of Health (5p01hl023619-10)
- National Heart, Lung, and Blood Institute (HL 23619)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Lipoproteins and Cardiovascular Health
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Cholesterol and Lipid Metabolism
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Keywords
- coronary artery disease progression, aortocoronary bypass graft, native coronary arteries, colestipol, nicotinic acid, cholesterol-lowering therapy, risk factors, non-HDL cholesterol, apolipoprotein C-III, HDL cholesterol, triglyceride-rich lipoproteins, apolipoprotein B, LDL cholesterol, triglycerides, diastolic blood pressure, atherosclerosis regression
- MeSH terms
- Coronary Artery Bypass, Apolipoproteins, Apolipoproteins C, Colestipol, Coronary Artery Disease, Humans, Lipids, Male, Middle Aged, Niacin, Recurrence, Multivariate Analysis, Randomized Controlled Trials as Topic, Coronary Angiography, Apolipoprotein C-III
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