1. The effect of lipid-lowering therapy on lipid-related residual risk factors: a prospective study
- Author
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Zhifan Li, Yanan Gao, Qianhong Lu, Zheng Yin, Shuang Zhang, Wenjia Zhang, Yonggang Sui, Yanlu Xu, Jianjun Li, Kefei Dou, Jie Qian, Hong Qiu, and Naqiong Wu
- Subjects
Remnant cholesterol ,Nonhigh-density lipoprotein cholesterol ,Lipid-lowering therapy ,Atherosclerotic cardiovascular disease ,Low-density lipoprotein cholesterol ,Nutritional diseases. Deficiency diseases ,RC620-627 - Abstract
Abstract Background Remnant cholesterol (RC) and nonhigh-density lipoprotein cholesterol (nonHDL-C) are key risk factors for atherosclerotic cardiovascular disease (ASCVD), with apolipoprotein B (apoB) and lipoprotein(a) [Lp(a)] also contributing to its residual risk. However, real-world population-based evidence regarding the impact of current clinical LDL-C-centric lipid-lowering therapy (LLT) on achieving RC and nonHDL-C goals, as well as on modifying residual CVD risk factors is limited. Methods This prospective observational study enrolled 897 CVD patients from September, 2020 to July, 2021. All participants had previously received low-/moderate-intensity LLT and were discharged with either low-/moderate-intensity LLT or high-intensity LLT. After a median follow-up of 3 months, changes in RC, nonHDL-C, and other biomarkers were assessed. Multivariate logistic regression was performed to analyze the impact of the LLT on goal attainment. Results Among all patients, 83.50% transitioned to high-intensity LLT from low or moderate. After follow-up, the high-intensity group saw significantly greater reductions in RC (-20.51% vs. -3.90%, P = 0.025), nonHDL-C (-25.12% vs. 0.00%, P
- Published
- 2024
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