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PMID: 210876 Published · ppublish English Journal Article

Severity of coronary atherosclerosis related to lipoprotein concentration.

British medical journal ·Vol. 2 ·No. 6134 ·1978-08-05 ·Pages 388-91

Jenkins PJ, Harper RW, Nestel PJ

Abstract

The influence of individual lipoproteins on the severity of coronary atherosclerosis was studied in 41 patients undergoing coronary angiography. The extent of athero-sclerosis was quantified by a coronary atherosclerosis score (CAS) based on the number and severity of lesions in eight proximal segments of the coronary circulation. The concentration of high-density lipoprotein (HDL) showed a strong inverse association with CAS, which was independent of the effects of age and other lipoproteins. On multivariate analysis concentrations of other lipids--namely, total plasma cholesterol, low-density lipoprotein (LDL) cholesterol, and the combined effect of LDL cholesterol plus very-low-density lipoprotein triglyceride--showed direct, significant correlations with CAS, but these were weaker than that of HDL. This study shows that concentrations of several circulating lipoproteins are related to the severity of coronary atherosclerosis, HDL having an apparent retarding effect. These findings may partly explain the influence of lipoproteins on the development of clinical coronary heart disease.

MeSH Terms
Adult Age Factors Aged Cholesterol/blood Coronary Angiography Coronary Disease/blood,diagnostic imaging Female Humans Lipoproteins, HDL/blood Lipoproteins, LDL/blood Lipoproteins, VLDL/blood Male Middle Aged Triglycerides/blood
Chemicals
Lipoproteins, HDL Lipoproteins, LDL Lipoproteins, VLDL Triglycerides Cholesterol
Authors & Affiliations
3 authors, click to expand affiliations / ORCID
Jenkins P J
Harper R W
Nestel P J
References (13)
13 references, click to expand
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Article Info
Journal
British medical journal
Abbr.
Br Med J
ISSN
0007-1447
Published
1978-08-05
Pages
388-91
Language
English
Region
England
NLM ID
0372673
PMCID
PMC1609066
Subset
IM
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