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November 1, 1993Circulation97 citationsOpen Access

Relation of plasma levels and composition of apolipoprotein B-containing lipoproteins to angiographically defined coronary artery disease in young patients with myocardial infarction.

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PTPer TornvallInterventional CardiologyPBPeter BåvenholmKarolinska University HospitalCLChristian LandouKarolinska University Hospital

Structured PICO

P
Population
64 consecutive young men (< 45 years old) evaluated 4 to 6 months after a myocardial infarction.
O
Outcome
Global coronary atherosclerosis and the number and severity of distinct stenoses evaluated by semiquantitative analysis of 15 proximal coronary segments.surrogate

In young post-myocardial infarction patients, dense triglyceride-rich LDL particles and small cholesteryl ester-rich VLDL particles are associated with the severity of coronary artery disease.

Abstract

BACKGROUND: Hypertriglyceridemia is a common metabolic disturbance in men 1.040 kg/L) was strongly associated with both coronary scores. Compositional analysis of the smallest VLDL particles (VLDL3) and IDL revealed a correlation between the number of cholesteryl ester molecules in small VLDL and global coronary atherosclerosis in hypertriglyceridemic patients. CONCLUSIONS: Global coronary atherosclerosis and distinct stenoses in young postinfarction patients are associated with the number of apolipoprotein B-containing particles in plasma and the concentration of LDL triglyceride. Specifically, dense triglyceride-rich LDL particles and, in hypertriglyceridemic patients, small cholesteryl ester-rich VLDL particles relate to coronary artery disease severity.

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Cite This Study

Tornvall et al. (1993) studied this question.

synapsesocial.com/papers/6a70b9ec8031ec7bb1dc88afhttps://doi.org/10.1161/01.cir.88.5.2180
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Also Consider

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  1. 1Beneficial Effects of Combined Colestipol-Niacin Therapy on Coronary Atherosclerosis and Coronary Venous Bypass Grafts1987 · 1,644 citations
  2. 2Role of Insulin Resistance in Human Disease1988 · 12,195 citations
  3. 3High prevalence of hypertriglyceridaemia and apolipoprotein abnormalities in coronary artery disease.1988 · 107 citations
  4. 4Risk factors for coronary artery disease: a study comparing hypercholesterolaemia and hypertriglyceridaemia in angiographically characterized patients1989 · 20 citations
  5. 5Relation between extent of coronary artery disease and severity of hyperlipoproteinaemia.1975 · 41 citations