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
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13 references, click to expand
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