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Effects of Dalcetrapib in Patients with a Recent Acute Coronary Syndrome
Ist Teil von
The New England journal of medicine, 2012-11, Vol.367 (22), p.2089-2099
Ort / Verlag
Waltham, MA: Massachusetts Medical Society
Erscheinungsjahr
2012
Link zum Volltext
Quelle
MEDLINE
Beschreibungen/Notizen
Dalcetrapib, an inhibitor of cholesteryl ester transfer protein, raises HDL cholesterol levels. In this clinical trial involving patients with an acute coronary syndrome, dalcetrapib had no beneficial effect on clinical outcomes, despite raising HDL cholesterol levels.
High-density lipoproteins (HDLs) participate in the process of cellular cholesterol efflux and may have additional protective effects against atherothrombosis.
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An inverse association between levels of HDL cholesterol and incident events of coronary heart disease has been shown in observational studies
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,
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and persists in most post hoc analyses and meta-analyses of trials of statin therapy for patients with cardiovascular risk factors, chronic cardiovascular disease, or recent acute coronary syndrome.
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–
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However, it remains uncertain whether pharmacologic intervention that raises HDL cholesterol levels results in decreased cardiovascular risk.
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–
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Moreover, changes in HDL cholesterol levels may not reflect changes in the . . .