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February 1, 1990CirculationOpen Access

Prediction of angiographic change in native human coronary arteries and aortocoronary bypass grafts. Lipid and nonlipid factors.

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Why the study?

What are the lipid and nonlipid risk factors predicting angiographic change in men with previous coronary bypass surgery treated with colestipol plus niacin or placebo?

Population

Men with previous coronary bypass surgery

Comparison

Colestipol plus niacin therapy vs Placebo

Design

Cohort, randomized, placebo-controlled

Follow-up

2 years

Key result

In men with previous coronary bypass surgery, non-HDL cholesterol and HDL apolipoprotein C-III were the predominant predictors of global coronary progression in placebo and drug-treated groups.

Authors

DBDavid H. BlankenhornPAPetar AlaupovicEWE Wickham

Discussion

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Overview

Non-HDL cholesterol and HDL apolipoprotein C-III may predict post-bypass progression; leaves open causal roles and therapeutic targeting in trials.

Study Design

Type

RCT

Randomization

randomized

Structured PICO

What are the lipid and nonlipid risk factors predicting angiographic change in men with previous coronary bypass surgery treated with colestipol plus niacin or placebo?

P
Population
Men with previous coronary bypass surgery treated with colestipol plus niacin or placebo for 2 years.
I
Intervention
Colestipol plus niacin therapy
C
Comparator
Placebo
O
Outcome
Global angiographic change, including both native coronary arteries and bypass grafts after 2 treatment yearssurrogate

Triglyceride-rich lipoproteins, specifically apolipoprotein C-III and non-HDL cholesterol, play an important role in the progression and regression of human atherosclerosis.

Cite This Study

Blankenhorn et al. (1990) conducted an RCT in previous coronary bypass surgery. colestipol plus niacin vs. placebo was evaluated on Global angiographic change, including both native coronary arteries and bypass grafts. In men with previous coronary bypass surgery, non-HDL cholesterol and HDL apolipoprotein C-III were the predominant predictors of global coronary progression in placebo and drug-treated groups.

synapsesocial.com/papers/6a2207441b095894fc4eb459https://doi.org/10.1161/01.cir.81.2.470
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