Title |
Lipoprotein ratios: Physiological significance and clinical usefulness in cardiovascular prevention
|
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Published in |
Vascular Health and Risk Management, September 2009
|
DOI | 10.2147/vhrm.s6269 |
Pubmed ID | |
Authors |
Jesús Millán, Xavier Pintó, Anna Muñoz, Manuel Zúñiga, Joan Rubiés-Prat, Luis Felipe Pallardo, Luis Masana, Alipio Mangas, Antonio Hernández-Mijares, Pedro González-Santos, Juan F Ascaso, Juan Pedro-Botet |
Abstract |
Low-density lipoprotein (LDL) cholesterol concentration has been the prime index of cardiovascular disease risk and the main target for therapy. However, several lipoprotein ratios or "atherogenic indices" have been defined in an attempt to optimize the predictive capacity of the lipid profile. In this review, we summarize their pathophysiological aspects, and highlight the rationale for using these lipoprotein ratios as cardiovascular risk factors in clinical practice, specifying their cut-off risk levels and a target for lipid-lowering therapy. Total/high-density lipoprotein (HDL) cholesterol and LDL/HDL cholesterol ratios are risk indicators with greater predictive value than isolated parameters used independently, particularly LDL. Future recommendations regarding the diagnosis and treatment of dyslipidemia, including instruments for calculating cardiovascular risk or action guidelines, should include the lipoprotein ratios with greater predictive power which, in view of the evidence-based results, are none other than those which include HDL cholesterol. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 2 | 18% |
Brazil | 2 | 18% |
Australia | 1 | 9% |
Ireland | 1 | 9% |
Spain | 1 | 9% |
Unknown | 4 | 36% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 9 | 82% |
Scientists | 1 | 9% |
Practitioners (doctors, other healthcare professionals) | 1 | 9% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Brazil | 3 | <1% |
Mexico | 2 | <1% |
India | 1 | <1% |
Spain | 1 | <1% |
Bosnia and Herzegovina | 1 | <1% |
United States | 1 | <1% |
Unknown | 562 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 81 | 14% |
Student > Ph. D. Student | 72 | 13% |
Student > Master | 72 | 13% |
Researcher | 61 | 11% |
Other | 42 | 7% |
Other | 121 | 21% |
Unknown | 122 | 21% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 160 | 28% |
Agricultural and Biological Sciences | 68 | 12% |
Biochemistry, Genetics and Molecular Biology | 59 | 10% |
Nursing and Health Professions | 39 | 7% |
Sports and Recreations | 28 | 5% |
Other | 66 | 12% |
Unknown | 151 | 26% |