Lipid parameters in patients with acute coronary syndromes versus stable coronary artery disease.

Abstract:

BACKGROUND:Differences in lipid parameters between patients with acute coronary syndromes (ACS) and patients with stable coronary artery disease (CAD) are unclear and are addressed in this study. METHODS:We enrolled 582 patients with angiographically proven stable CAD (of whom 26·9% had diabetes mellitus type 2 (T2DM)) and 182 patients with ACS (of whom 35·8% had T2DM). RESULTS:HDL cholesterol and apolipoprotein A1 levels were significantly lower in patients with ACS than in patients with CAD (46 ± 16 mg/dL vs. 50 ± 16 mg/dL, P < 0·001, and 139 ± 30 mg/dL vs. 155 ± 31 mg/dL, P < 0·001, respectively). Analysis of covariance (ancova) adjusting for age, gender, smoking, BMI, statin therapy, alcohol use, hypertension and diabetic state confirmed an independent impact of ACS on HDL cholesterol and apolipoprotein A1 levels (F = 24·1; P < 0·001). In contrast, total cholesterol, LDL cholesterol, non-HDL cholesterol and apolipoprotein B levels did not differ significantly between patients with ACS and patients with stable CAD. CONCLUSION:HDL cholesterol and apolipoprotein A1 levels are lower in patients with ACS than in patients with stable CAD.

journal_name

Eur J Clin Invest

authors

Vonbank A,Saely CH,Rein P,Drexel H

doi

10.1111/eci.12513

subject

Has Abstract

pub_date

2015-10-01 00:00:00

pages

1092-7

issue

10

eissn

0014-2972

issn

1365-2362

journal_volume

45

pub_type

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