High density lipoprotein: guardian of the vascular system?

Abstract:

:The role of low-density lipoprotein in the development of coronary heart disease (CHD) is well recognised. There is also growing evidence that high-density lipoprotein cholesterol (HDL-C) is a powerful inverse predictor for premature CHD and that maintaining a high HDL-C level may guard against atherosclerosis. Patients with low HDL-C levels often also have central obesity, insulin resistance and other features of the metabolic syndrome. This syndrome is both increasingly common and strongly implicated in the growing worldwide epidemic of type 2 diabetes. HDL-C may be increased by lifestyle changes, e.g. weight loss, physical activity and smoking cessation. Pharmacological agents such as fibrates, niacin and statins have also been shown significantly to elevate HDL-C. Although current guidelines are beginning to recognise the protective role of HDL-C level in preventing coronary events, HDL-C should be adopted soon as a target for intervention in its own right.

journal_name

Int J Clin Pract

authors

Packard C,Nunn A,Hobbs R,Future Forum Editorial Board.

subject

Has Abstract

pub_date

2002-12-01 00:00:00

pages

761-71

issue

10

eissn

1368-5031

issn

1742-1241

journal_volume

56

pub_type

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