Ezetimibe potential in cardiology practice

Vascular wall infiltration with lipoproteins, in particular with low-density lipoprotein (LDL) cholesterol (LDLCH), plays an important role in atherosclerosis pathogenesis. Elevated LDL-CH levels are associated with increased risk of coronary heart disease (CHD). Based on the evidence from experimen...

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Main Authors: A. A. Lyakishev, A. E. Semenova, S. V. Miklishanskaya, V. V. Kukharchuk
Format: Article
Language:Russian
Published: «SILICEA-POLIGRAF» LLC 1970-01-01
Series:Кардиоваскулярная терапия и профилактика
Subjects:
Online Access:https://cardiovascular.elpub.ru/jour/article/view/2167
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author A. A. Lyakishev
A. E. Semenova
S. V. Miklishanskaya
V. V. Kukharchuk
author_facet A. A. Lyakishev
A. E. Semenova
S. V. Miklishanskaya
V. V. Kukharchuk
author_sort A. A. Lyakishev
collection DOAJ
description Vascular wall infiltration with lipoproteins, in particular with low-density lipoprotein (LDL) cholesterol (LDLCH), plays an important role in atherosclerosis pathogenesis. Elevated LDL-CH levels are associated with increased risk of coronary heart disease (CHD). Based on the evidence from experimental and clinical studies, there is a direct link between LDL-CH reduction and decreased incidence of cardiovascular events. Statins are medications of choice for LDL-CH reduction; however, statin monotherapy does not always result in target LDLCH level achievement, due to pharmaco-genetic factors and adverse effects of the therapeutically effective statin doses. In these clinical situations, a combination of low-dose statins with other lipid-lowering agents is effective. Recently, high effectiveness of statin combination with ezetimibe (inhibitor of intestine CH absorption) has been demonstrated. It is explained by targeting both mechanisms which determine blood CH levels (intestine absorption and hepatic synthesis), with a substantial reduction in LDL-CH levels as a result.
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spelling doaj.art-8fc8733d8c154984a478c989ef38c5852023-03-13T07:23:09Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01251970-01-019786891876Ezetimibe potential in cardiology practiceA. A. Lyakishev0A. E. Semenova1S. V. Miklishanskaya2V. V. Kukharchuk3Институт клинической кардиологии им. А.Л.Мясникова Российского кардиологического научнопроизводственного комплекса МЗ РФ. МоскваИнститут клинической кардиологии им. А.Л.Мясникова Российского кардиологического научнопроизводственного комплекса МЗ РФ. МоскваИнститут клинической кардиологии им. А.Л.Мясникова Российского кардиологического научнопроизводственного комплекса МЗ РФ. МоскваИнститут клинической кардиологии им. А.Л.Мясникова Российского кардиологического научнопроизводственного комплекса МЗ РФ. МоскваVascular wall infiltration with lipoproteins, in particular with low-density lipoprotein (LDL) cholesterol (LDLCH), plays an important role in atherosclerosis pathogenesis. Elevated LDL-CH levels are associated with increased risk of coronary heart disease (CHD). Based on the evidence from experimental and clinical studies, there is a direct link between LDL-CH reduction and decreased incidence of cardiovascular events. Statins are medications of choice for LDL-CH reduction; however, statin monotherapy does not always result in target LDLCH level achievement, due to pharmaco-genetic factors and adverse effects of the therapeutically effective statin doses. In these clinical situations, a combination of low-dose statins with other lipid-lowering agents is effective. Recently, high effectiveness of statin combination with ezetimibe (inhibitor of intestine CH absorption) has been demonstrated. It is explained by targeting both mechanisms which determine blood CH levels (intestine absorption and hepatic synthesis), with a substantial reduction in LDL-CH levels as a result.https://cardiovascular.elpub.ru/jour/article/view/2167атеросклерозгиперлипидемиястатиныэзетимиб
spellingShingle A. A. Lyakishev
A. E. Semenova
S. V. Miklishanskaya
V. V. Kukharchuk
Ezetimibe potential in cardiology practice
Кардиоваскулярная терапия и профилактика
атеросклероз
гиперлипидемия
статины
эзетимиб
title Ezetimibe potential in cardiology practice
title_full Ezetimibe potential in cardiology practice
title_fullStr Ezetimibe potential in cardiology practice
title_full_unstemmed Ezetimibe potential in cardiology practice
title_short Ezetimibe potential in cardiology practice
title_sort ezetimibe potential in cardiology practice
topic атеросклероз
гиперлипидемия
статины
эзетимиб
url https://cardiovascular.elpub.ru/jour/article/view/2167
work_keys_str_mv AT aalyakishev ezetimibepotentialincardiologypractice
AT aesemenova ezetimibepotentialincardiologypractice
AT svmiklishanskaya ezetimibepotentialincardiologypractice
AT vvkukharchuk ezetimibepotentialincardiologypractice