8 results match your criteria: "Baylor College of Medicine and The Methodist DeBakey Heart and Vascular Center[Affiliation]"

C-reactive protein levels and plaque regression with evolocumab: Insights from GLAGOV.

Am J Prev Cardiol

September 2020

Monash Cardiovascular Research Centre, Victorian Heart Institute, Monash University, Melbourne, Australia.

Article Synopsis
  • High sensitivity C-reactive protein (hsCRP) levels can predict plaque progression and cardiovascular risks in patients taking statins, while PCSK9 inhibitors like evolocumab further lower LDL cholesterol and improve heart health.
  • A clinical trial (GLAGOV) assessed the effects of evolocumab versus placebo over 78 weeks on coronary atherosclerosis in statin-treated patients, observing various levels of hsCRP.
  • Results showed no significant differences in plaque regression or composition among patients with different hsCRP levels, suggesting that inflammation does not impact the effectiveness of evolocumab in promoting plaque regression.
View Article and Find Full Text PDF

Background: Incremental low-density lipoprotein (LDL) cholesterol lowering with the proprotein convertase subtilisin kexin type 9 inhibitor evolocumab regresses coronary atherosclerosis in statin-treated patients.

Objectives: The purpose of this study was to evaluate the effect of adding evolocumab to statin therapy on coronary plaque composition.

Methods: A total of 968 statin-treated coronary artery disease patients underwent serial coronary intravascular ultrasound imaging at baseline and following 76 weeks of treatment with placebo or evolocumab 420 mg monthly.

View Article and Find Full Text PDF

Background: Bromodomain and extra-terminal (BET) proteins regulate transcription of lipoprotein and inflammatory factors implicated in atherosclerosis. The impact of BET inhibition on atherosclerosis progression is unknown.

Methods: ASSURE was a double-blind, randomized, multicenter trial in which 323 patients with angiographic coronary disease and low high-density lipoprotein cholesterol (HDL-C) levels were randomized in a 3:1 fashion to treatment with the BET protein inhibitor RVX-208 200 mg or placebo for 26 weeks.

View Article and Find Full Text PDF

Background: The aim of this analysis was to examine the effects of icosapent ethyl (eicosapentaenoic acid ethyl ester, IPE) on high-sensitivity C-reactive protein (hsCRP) and lipid parameters in patients with metabolic syndrome, with and without stable statin therapy.

Methods: This post hoc exploratory analysis evaluated patients with metabolic syndrome treated with IPE 4 grams/day, IPE 2 grams/day, or placebo in phase 3, randomized, placebo-controlled studies entitled: MARINE [triglyceride (TG) levels ≥500 and ≤2000 mg/dL] and ANCHOR [TG levels ≥200 and <500 mg/dL, despite low-density lipoprotein cholesterol (LDL-C) control with stable statin therapy].

Results: Compared with placebo in patients with metabolic syndrome in MARINE (n=204) and ANCHOR (n=645), at the approved dose of 4 grams/day, IPE significantly lowered hsCRP levels 40.

View Article and Find Full Text PDF

AMR101 is an ω-3 fatty acid agent containing ≥96% pure icosapent-ethyl, the ethyl ester of eicosapentaenoic acid. The efficacy and safety of AMR101 were evaluated in this phase 3, multicenter, placebo-controlled, randomized, double-blinded, 12-week clinical trial (ANCHOR) in high-risk statin-treated patients with residually high triglyceride (TG) levels (≥200 and <500 mg/dl) despite low-density lipoprotein (LDL) cholesterol control (≥40 and <100 mg/dl). Patients (n = 702) on a stable diet were randomized to AMR101 4 or 2 g/day or placebo.

View Article and Find Full Text PDF

If volume flow was measured at each end of an arterial segment with no branches, any instantaneous differences would indicate that volume was increasing or decreasing transiently within the segment. This concept could provide an alternative method to assess the mechanical properties or distensibility of an artery noninvasively using ultrasound. The goal of this study was to determine the feasibility of using Doppler measurements of pulsatile velocity (opposed to flow) at two sites to estimate the volume pulsations of the intervening arterial segment.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to compare levels of LDL cholesterol, non-HDL cholesterol, and apolipoprotein B before and after starting statin therapy.
  • The MERCURY II trial involved patients at high risk for heart disease, examining the effects of different statin treatments on cholesterol levels over 16 weeks.
  • Results showed that, to achieve the ideal apoB level during statin therapy, patients often needed to maintain lower levels of non-HDL and LDL cholesterol than typically recommended, indicating a potential need for more aggressive treatment goals.
View Article and Find Full Text PDF