Relation of High-Density Lipoprotein CholesterolApolipoprotein A-I Ratio to Progression of Coronary Atherosclerosis in Statin-Treated Patients》.pdf
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Relation of High-Density Lipoprotein CholesterolApolipoprotein A-I Ratio to Progression of Coronary Atherosclerosis in Statin-Treated Patients》.pdf
Relation of High-Density Lipoprotein
Cholesterol:Apolipoprotein A-I Ratio to Progression of
Coronary Atherosclerosis in Statin-Treated Patients
a b a a
Preethi Mani, MD , Kiyoko Uno, MD, PhD , Julie St. John, MS , E. Murat Tuzcu, MD ,
Steven E. Nissen, MDa, and Stephen J. Nicholls, MBBS, PhDb,*
High-density lipoprotein cholesterol (HDL-C) and apolipoprotein A-I (apoA-I) levels are
inversely associated with adverse cardiovascular outcomes. Associations between these
HDL-Cerelated measurements and coronary plaque progression have not been studied. We
performed a retrospective analysis of 2,566 statin-treated patients with angiographic
coronary artery disease who underwent serial evaluation of atheroma burden with intra-
vascular ultrasound. Relations between achieved levels of HDL-related measurements with
clinical characteristics and changes in plaque burden were determined. A strong correlation
between HDL-C and apoA-I (r [ 0.80, p <0.001) was observed. HDL-C, apoA-I, and the
HDL-C:apoA-I ratio demonstrated negative correlations with the change in percent
atheroma volume and total atheroma volume (all p £0.001). Increasing levels of achieved
HDL-C:apoA-I (p [ 0.04), but not HDL-C (p [ 0.18) or apoA-I (p [ 0.67), were asso-
ciated with less progression of percent atheroma volume. Similar results were seen for
change in total atheroma volume, with less progression seen with increased HDL-C:apoA-I
(p [ 0.002)
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