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Pregled bibliografske jedinice broj: 538569

Low high-density lipoprotein cholesterol as the possible risk factor for stroke


Demarin, Vida; Lisak, Marijana; Morović, Sandra; Čengić, Tomislav
Low high-density lipoprotein cholesterol as the possible risk factor for stroke // Acta clinica Croatica, 49 (2010), 4; 429-439 (recenziran, pregledni rad, stručni)


CROSBI ID: 538569 Za ispravke kontaktirajte CROSBI podršku putem web obrasca

Naslov
Low high-density lipoprotein cholesterol as the possible risk factor for stroke

Autori
Demarin, Vida ; Lisak, Marijana ; Morović, Sandra ; Čengić, Tomislav

Izvornik
Acta clinica Croatica (0353-9466) 49 (2010), 4; 429-439

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, pregledni rad, stručni

Ključne riječi
moždani infarkt; rizični čimbenici; HDL kolesterol
(brain infarction; risk factors; HDL cholesterol)

Sažetak
Recent evidence suggests that lower HDL-cholesterol (HDL-C) may worsen the atherosclerotic process by promoting inflammation and progression from subclinical lesion to clinical event. Carotid intima-media thickness (CIMT) is recognized as a marker of early atherosclerosis and used to predict future vascular events. Among the common lipid parameters, LDL has strongest relation with carotid plaque. Cumulative effect of achieving optimal levels of LDL-C, HDL-C, triglycerides and blood pressure is a reduced risk of recurrent stroke and major cardiovascular events. The protective effect of higher HDL-C is maintained at low levels of LDL-C. Studies have demonstrated a trend toward a higher risk of stroke with lower HDL-C and support HDL-C as an important modifiable stroke risk factor. In patients with recent stroke or transient ischemic attack and no coronary heart disease, only lower baseline HDL-C predicted the risk of recurrent stroke. Substantial amount of residual cardiovascular risk remains in patients treated with statins due to elevated triglycerides and low HDL-C, even when LDL-C is well controlled. Niacin promotes significant increase in HDL-C and reduces cardiovascular risk. By combining niacin with the LDL-lowering therapy of statins, the progression of atherosclerosis is slowed down and residual cardiovascular and risk of stroke is reduced. Non-pharmacological control of serum lipids includes regular physical activity and modification in daily diet. In primary prevention, when HDL-C is below the average and other risk factors are present, a statin added to non-pharmacological therapy is appropriate choice. Fibrate therapy may be appropriate in men with manifest coronary disease with isolated low HDL-C. If HDL-C remains low, with or without high triglyceride levels, a fibrate or niacin may be added.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti



POVEZANOST RADA


Projekti:
134-1340036-0033 - Uloga genetskih markera u razvoju cerebralne aterosklerotske bolesti (Demarin, Vida, MZOS ) ( CroRIS)

Ustanove:
KBC "Sestre Milosrdnice"

Profili:

Avatar Url Sandra Morović (autor)

Avatar Url Vida Demarin (autor)

Avatar Url Marijana Lisak (autor)

Avatar Url Tomislav Čengić (autor)


Citiraj ovu publikaciju:

Demarin, Vida; Lisak, Marijana; Morović, Sandra; Čengić, Tomislav
Low high-density lipoprotein cholesterol as the possible risk factor for stroke // Acta clinica Croatica, 49 (2010), 4; 429-439 (recenziran, pregledni rad, stručni)
Demarin, V., Lisak, M., Morović, S. & Čengić, T. (2010) Low high-density lipoprotein cholesterol as the possible risk factor for stroke. Acta clinica Croatica, 49 (4), 429-439.
@article{article, author = {Demarin, Vida and Lisak, Marijana and Morovi\'{c}, Sandra and \v{C}engi\'{c}, Tomislav}, year = {2010}, pages = {429-439}, keywords = {mo\v{z}dani infarkt, rizi\v{c}ni \v{c}imbenici, HDL kolesterol}, journal = {Acta clinica Croatica}, volume = {49}, number = {4}, issn = {0353-9466}, title = {Low high-density lipoprotein cholesterol as the possible risk factor for stroke}, keyword = {mo\v{z}dani infarkt, rizi\v{c}ni \v{c}imbenici, HDL kolesterol} }
@article{article, author = {Demarin, Vida and Lisak, Marijana and Morovi\'{c}, Sandra and \v{C}engi\'{c}, Tomislav}, year = {2010}, pages = {429-439}, keywords = {brain infarction, risk factors, HDL cholesterol}, journal = {Acta clinica Croatica}, volume = {49}, number = {4}, issn = {0353-9466}, title = {Low high-density lipoprotein cholesterol as the possible risk factor for stroke}, keyword = {brain infarction, risk factors, HDL cholesterol} }

Časopis indeksira:


  • Web of Science Core Collection (WoSCC)
    • Science Citation Index Expanded (SCI-EXP)
    • SCI-EXP, SSCI i/ili A&HCI
  • Scopus
  • MEDLINE





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