Evidence map›Paper›PMID 21531743›Full record

ReviewEuropean heart journal2011

Triglyceride-rich lipoproteins and high-density lipoprotein cholesterol in patients at high risk of cardiovascular disease: evidence and guidance for management.

M John Chapman, Henry N Ginsberg, Pierre Amarenco, Felicita Andreotti, Jan Borén, Alberico L Catapano, Olivier S Descamps, Edward Fisher, Petri T Kovanen, Jan Albert Kuivenhoven and 10 more

Open access · hybridAbstract readReview
In one paragraph

Review in European heart journal, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 456 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
456citing papers in PubMed, 5 pooled it
58.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

456 citing papers in PubMed, 5 syntheses or guidelines pooled it, 1,219 citations in OpenAlex.

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  3. FMolecular biology reports · 2023
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396 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors at 16 institutions in 13 countries.

M John ChapmanEuropean Atherosclerosis Society, INSERM UMR-S939, Pitié-Salpetriere University Hospital, Paris 75651, France. john.chapman@upmc.fr
Henry N Ginsberg
Pierre Amarenco
Felicita Andreotti
Jan Borén
Alberico L Catapano
Olivier S Descamps
Edward Fisher
Petri T Kovanen
Jan Albert Kuivenhoven
Philippe Lesnik
Luis Masana
Børge G Nordestgaard
Kausik K Ray
Zeljko Reiner
Marja-Riitta Taskinen
Lale Tokgözoglu
Anne Tybjærg-Hansen
Gerald F Watts
European Atherosclerosis Society Consensus Panel
Inserm · FRUniversity of Copenhagen · DKColumbia University · USHacettepe University · TRHôpital Bichat-Claude-Bernard · FRHôpital de Jolimont · BENew York University · USSt George's, University of London · GBUniversidad Rovira i Virgili · ESUniversità Cattolica del Sacro Cuore · ITUniversity Hospital Centre Zagreb · HRUniversity of Amsterdam · NLUniversity of Gothenburg · SEUniversity of Milan · ITUniversity of Western Australia · AUWihuri Research Institute · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Even at low-density lipoprotein cholesterol (LDL-C) goal, patients with cardiometabolic abnormalities remain at high risk of cardiovascular events. This paper aims (i) to critically appraise evidence for elevated levels of triglyceride-rich lipoproteins (TRLs) and low levels of high-density lipoprotein cholesterol (HDL-C) as cardiovascular risk factors, and (ii) to advise on therapeutic strategies for management. Current evidence supports a causal association between elevated TRL and their remnants, low HDL-C, and cardiovascular risk. This interpretation is based on mechanistic and genetic studies for TRL and remnants, together with the epidemiological data suggestive of the association for circulating triglycerides and cardiovascular disease. For HDL, epidemiological, mechanistic, and clinical intervention data are consistent with the view that low HDL-C contributes to elevated cardiovascular risk; genetic evidence is unclear however, potentially reflecting the complexity of HDL metabolism. The Panel believes that therapeutic targeting of elevated triglycerides (≥ 1.7 mmol/L or 150 mg/dL), a marker of TRL and their remnants, and/or low HDL-C (<1.0 mmol/L or 40 mg/dL) may provide further benefit. The first step should be lifestyle interventions together with consideration of compliance with pharmacotherapy and secondary causes of dyslipidaemia. If inadequately corrected, adding niacin or a fibrate, or intensifying LDL-C lowering therapy may be considered. Treatment decisions regarding statin combination therapy should take into account relevant safety concerns, i.e. the risk of elevation of blood glucose, uric acid or liver enzymes with niacin, and myopathy, increased serum creatinine and cholelithiasis with fibrates. These recommendations will facilitate reduction in the substantial cardiovascular risk that persists in patients with cardiometabolic abnormalities at LDL-C goal.

Indexed as

Cardiovascular DiseasesCholesterol, HDLClinical Trials as TopicDyslipidemiasFatty Acids, Omega-3Fibric AcidsForecastingHumansHydroxymethylglutaryl-CoA Reductase InhibitorsHypolipidemic AgentsLife StyleLipid MetabolismLipoproteinsNiacinRisk FactorsTriglyceridesCholesterol, HDLFatty Acids, Omega-3Fibric AcidsHydroxymethylglutaryl-CoA Reductase InhibitorsHypolipidemic AgentsLipoproteinslipoprotein triglycerideNiacinTriglycerides

Identifiers

PMID21531743
PMCPMC3105250
OpenAlexW2124481954

What OpenQuestion holds

Texttitle and abstract
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.