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Effect of Alirocumab on Lipoprotein(a) and Cardiovascular Risk After Acute Coronary Syndrome
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- Bittner, Vera A.; Szarek, Michael; Aylward, Philip E.; Bhatt, Deepak L.; Diaz, Rafael; Edelberg, Jay M.; Fras, Zlatko; Goodman, Shaun G.; Halvorsen, Sigrun; Hanotin, Corinne; Harrington, Robert A.; Jukema, J. Wouter; Loizeau, Virginie; Moriarty, Patrick M.; Moryusef, Angele; Pordy, Robert; Roe, Matthew T.; Sinnaeve, Peter; Tsimikas, Sotirios; Vogel, Robert; White, Harvey D.; Zahger, Doron; Zeiher, Andreas M.; Steg, Gabriel; Schwartz, Gregory G.; Aylward, Philip E.; Drexel, Heinz; Sinnaeve, Peter; Dilic, Mirza; Lopes, Renato D.; Gotcheva, Nina N.; Goodman, Shaun G.; Prieto, Juan-Carlos; Yong, Huo; Lopez-Jaramillo, Patricio; Pecin, Ivan; Reiner, Zeljko; Ostadal, Petr; Poulsen, Steen Hvitfeldt; Viigimaa, Margus; Nieminen, Markku S.; Danchin, Nicolas; Chumburidze, Vakhtang; Marx, Nikolaus; Liberopoulos, Evangelos; Montenegro Valdovinos, Pablo Carlos; Tse, Hung-Fat; Kiss, Robert Gabor; Xavier, Denis; Zahger, Doron; Valgimigli, Marco; Kimura, Takeshi; Kim, Hyo Soo; Kim, Sang-Hyun; Erglis, Andrejs; Laucevicius, Aleksandras; Kedev, Sasko; Yusoff, Khalid; Ramos Lopez, Gabriel Arturo; Alings, Marco; Halvorsen, Sigrun; Correa Flores, Roger M.; Sy, Rody G.; Budaj, Andrzej; Morais, Joao; Dorobantu, Maria; Karpov, Yuri; Ristic, Arsen D.; Chua, Terrance; Murin, Jan; Fras, Zlatko; Dalby, Anthony J.; Tunon, Jose; de Silva, H. Asita; Hagstrom, Emil; Muller, Christian; Chiang, Chern-En; Sritara, Piyamitr; Guneri, Sema; Parkhomenko, Alexander; Ray, Kausik K.; Moriarty, Patrick M.; Vogel, Robert; Chaitman, Bernard; Kelsey, Sheryl F.; Olsson, Anders G.; Rouleau, Jean-Lucien; Simoons, Maarten L.; Alexander, Karen; Meloni, Chiara; Rosenson, Robert; Sijbrands, Eric J. G.; Alexander, John H.; Armaganijan, Luciana; Bagai, Akshay; Bahit, Maria Cecilia; Brennan, J. Matthew; Clifton, Shaun; DeVore, Adam D.; Deloatch, Shalonda; Dickey, Sheila; Dombrowski, Keith; Ducrocq, Gregory; Eapen, Zubin; Endsley, Patricia; Eppinger, Arleen; Hess, Connie Ng; Hlatky, Mark A.; Jordan, Joseph Dedrick; Knowles, Joshua W.; Kolls, Bradley J.; Kong, David F.; Leonardi, Sergio; Lillis, Linda; Lopes, Renato D.; Maron, David J.; Marcus, Jill; Mathews, Robin; Mehta, Rajendra H.; Mentz, Robert J.; Moreira, Humberto Graner; Patel, Chetan B.; Pereira, Sabrina Bernardez; Perkins, Lynn; Povsic, Thomas J.; Puymirat, Etienne; Jones, William Schuyler; Shah, Bimal R.; Sherwood, Matthew W.; Stringfellow, Kenya; Sujjavanich, Darin; Toma, Mustafa; Trotter, Charlene; van Diepen, Sean F. P.; Wilson, Matthew D.; Yan, Andrew Tze-Kay; Schiavi, Lilia B.; Garrido, Marcelo; Alvarisqueta, Andres F.; Sassone, Sonia A.; Bordonava, Anselmo P.; Alves De Lima, Alberto E.; Schmidberg, Jorge M.; Duronto, Ernesto A.; Caruso, Orlando C.; Novaretto, Leonardo P.; Angel Hominal, Miguel; Montana, Oscar R.; Caccavo, Alberto; Gomez Vilamajo, Oscar A.; Lorenzatti, Alberto J.; Cartasegna, Luis R.; Paterlini, Gustavo A.; Mackinnon, Ignacio J.; Caime, Guillermo D.; Amuchastegui, Marcos; Codutti, Oscar R.; Jure, Horacio O.; Bono, Julio O. E.; Hrabar, Adrian D.; Vallejos, Julio A.; Ahuad Guerrero, Rodolfo A.; Novoa, Federico; Patocchi, Cristian A.; Zaidman, Cesar J.; Giuliano, Maria E.; Dran, Ricardo D.; Vico, Marisa L.; Carnero, Gabriela S.; Guzman, Pablo N.; Medrano Allende, Juan C.; Garcia Brasca, Daniela F.; Bustamante Labarta, Miguel H.; Nani, Sebastian; Blumberg, Eduardo D. S.; Colombo, Hugo R.; Liberman, Alberto; Luciardi, Hector L.; Waisman, Gabriel D.; Berli, Mario A.; Garcia Duran, Ruben O.; Cestari, Horacio G.; Luquez, Hugo A.; Giordano, Jorge A.; Saavedra, Silvia S.; Waites, Jonathon H.; Collins, Nicholas; Soward, Allan; Hii, Chris L. S.; Shaw, James; Arstall, Margaret A.; Horowitz, John; Rogers, James F.; Colquhoun, David; Flores, Romulo E. Oqueli; Roberts-Thomson, Philip; Raffel, Owen; Lehman, Sam J.; Coverdale, Steven G. M.; Garrahy, Paul J.; Starmer, Gregory; Sader, Mark; Carroll, Patrick A.; Zweiker, Robert; Hoppe, Uta; Huber, Kurt; Berger, Rudolf; Weidinger, Franz; Faes, Dirk; Hermans, Kurt; Pirenne, Bruno; Leone, Attilio; Hoffer, Etienne; Vrolix, Mathias C. M.; De Wolf, Luc; Wollaert, Bart; Castadot, Marc; Dujardin, Karl; Beauloye, Christophe; Vervoort, Geert; Striekwold, Harry; Convens, Carl; Roosen, John; Barbato, Emanuele; Claeys, Marc; Cools, Frank; Terzic, Ibrahim; Barakovic, Fahir; Midzic, Zlatko; Pojskic, Belma; Fazlibegovic, Emir; Durak-Nalbantic, Azra; Vulic, Dusko; Muslibegovic, Adis; Reis, Gilmar; Sousa, Luciano; Nicolau, Jose C.; Giorgeto, Flavio E.; Silva, Ricardo P.; Maia, Lilia Nigro; Rech, Rafael; Rossi, Paulo R. F.; Cerqueira, Maria Jose A. G.; Duda, Norberto; Kalil, Renato; Kormann, Adrian; Abrantes, Jose Antonio M.; Pimentel Filho, Pedro; Soggia, Ana Priscila; de Santos, Mayler O. N.; Neuenschwander, Fernando; Bodanese, Luiz C.; Michalaros, Yorghos L.; Eliaschewitz, Freddy G.; Vidotti, Maria H.; Leaes, Paulo E.; Botelho, Roberto V.; Kaiser, Sergio; Fernandes Manenti, Euler Roberto F.; Precoma, Dalton B.; Moura Jorge, Jose C.; Silva, Pedro G. M. de B.; Silveira, Jose A.; Saporito, Wladimir; Marin Neto, Jose A.; Feitosa, Gilson S.; Ritt, Luiz Eduardo F.; de Souza, Juliana A.; Costa, Fernando; Souza, Weimar K. S. B.; Reis, Helder J. L.; Lopes, Renato D.; Machado, Leandro; Aidar Ayoub, Jose Carlos; Todorov, Georgi V.; Nikolov, Fedya P.; Velcheva, Elena S.; Tzekova, Maria L.; Benov, Haralambi O.; Petranov, Stanislav L.; Tumbev, Haralin S.; Shehova-Yankova, Nina S.; Markov, Dimitar T.; Raev, Dimitar H.; Mollov, Mihail N.; Kichukov, Kostadin N.; Ilieva-Pandeva, Katya A.; Gotcheva, Nina N.; Ivanova, Raya; Mincheva, Valentina M.; Lazov, Petar V.; Dimov, Bojidar I.; Senaratne, Manohara; Stone, James; Kornder, Jan; Pearce, Stephen; Dion, Danielle; Savard, Daniel; Pesant, Yves; Pandey, Amritanshu; Robinson, Simon; Gosselin, Gilbert; Vizel, Saul; Hoag, Gordon; Bourgeois, Ronald; Morisset, Anne; Sabbah, Eric; Sussex, Bruce; Kouz, Simon; MacDonald, Paul; Diaz, Ariel; Michaud, Nicolas; Fell, David; Leung, Raymond; Vuurmans, Tycho; Lai, Christopher; Nigro, Frank; Davies, Richard; Nogareda, Gustavo; Vijayaraghavan, Ram; Ducas, John; Lepage, Serge; Mehta, Shamir; Cha, James; Dupuis, Robert; Fong, Peter; Rodes-Cabau, Josep; Fadlallah, Hussein; Cleveland, David; Huynh, Thao; Bata, Iqbal; Hameed, Adnan; Pincetti, Cristian; Potthoff, Sergio; Acevedo, Monica; Aguirre, Arnoldo; Vejar, Margarita; Yanez, Mario; Araneda, Guillermo; Fernandez, Mauricio; Perez, Luis; Varleta, Paola; Florenzano, Fernando; Huidobro, Laura; Raffo, Carlos A.; Olivares, Claudia; Chen, Jiyan; Dong, Yugang; Huang, Weijian; Wang, Jianzhong; Huang, Shi'An; Yao, Zhuhua; Cui, Lan; Lin, Wenhua; Sun, Yuemin; Wang, Jingfeng; Li, Jianping; Zhang, Xuelian; Zhu, Hong; Chen, Dandan; Huang, Lan; Dong, Shaohong; Su, Guohai; Xu, Biao; Su, Xi; Cheng, Xiaoshu; Lin, Jinxiu; Zong, Wenxia; Li, Huanming; Feng, Yi; Xu, Dingli; Yang, Xinchun; Ke, Yuannan; Lin, Xuefeng; Zhang, Zheng; Zheng, Zeqi; Luo, Zhurong; Chen, Yundai; Ding, Chunhua; Zheng, Yang; Li, Xiaodong; Peng, Daoquan; Li, Ying; Wei, Meng; Liu, Shaowen; Yu, Yihua; Qu, Baiming; Jiang, Weihong; Zhou, Yujie; Zhao, Xingsheng; Yuan, Zuyi; Guo, Ying; Xu, Xiping; Shi, Xubo; Ge, Junbo; Fu, Guosheng; Bai, Feng; Fang, Weiyi; Shou, Xiling; Yang, Xiangjun; Wang, Jian'An; Jaramillo, Nicolas; Vallejo, Gregorio Sanchez; Botia, Diana C. Luna; Lopez, Rodrigo Botero; De Salazar, Dora I. Molina; Bonfanti, Alberto J. Cadena; Higuera, Juan Diego; Silva, Sandra I. Barrera; Lozada, Henry J. Garcia; Arroyo, Julian A. Coronel; Mendoza, Jose L. Accini; Ruiz, Ricardo L. Fernandez; Fernandez, Angela M.; Jatin, Fernando G. Manzur; Herazo, Aristides Sotomayor; Parada, Jeffrey Castellanos; Triana, Miguel A. Urina; Spinar, Jindrich; Horak, David; Stasek, Josef; Alan, David; Machova, Vilma; Linhart, Ales; Novotny, Vojtech; Kaucak, Vladimir; Rokyta, Richard; Naplava, Robert; Coufal, Zdenek; Adamkova, Vera; Podpera, Ivo; Zizka, Jiri; Motovska, Zuzana; Marusincova, Ivana; Svab, Premysl; Heinc, Petr; Kuchar, Jiri; Povolny, Petr; Raungaard, Bent; Clemmensen, Peter; Bang, Lia E.; May, Ole; Bottcher, Morten; Hove, Jens D.; Frost, Lars; Gislason, Gunnar; Larsen, John; Johansen, Peter Betton; Hald, Flemming; Jeppesen, Jorgen; Nielsen, Tonny; Kristensen, Kjeld S.; Walichiewicz, Piotr Maria; Lomholdt, Jens D.; Klausen, Ib C.; Nielsen, Peter Kaiser; Davidsen, Flemming; Videbaek, Lars; Soots, Mai; Vahula, Veiko; Hedman, Anu; Soopold, sllar; Martsin, Kaja; Taskinen, Marja-Riitta; Porthan, Kimmo; Airaksinen, Juhani K.; Juonala, Markus; Kiviniemi, Tuomas; Vikman, Saila; Posio, Pirjo; Taurio, Jyrki; Huikuri, Heikki; Kaikkonen, Kari; Coste, Pierre; Ferrari, Emile; Morel, Olivier; Montalescot, Gilles; Barone-Rochette, Gilles; Mansourati, Jacques; Cottin, Yves; Steg, Philippe Gabriel; Leclercq, Florence; Belhassane, Abdelkader; Delarche, Nicolas; Boccara, Franck; Paganelli, Franck; Clerc, Jerome; Schiele, Francois; Aboyans, Victor; Probst, Vincent; Berland, Jacques; Lefevre, Thierry; Khintibidze, Irakli; Shaburishvili, Tamaz; Pagava, Zurab; Ghlonti, Ramaz; Lominadze, Zaza; Khabeishvili, George; Hemetsberger, Rayyan; Rauch-Kroehnert, Ursula; Stratmann, Matthias; Appel, Karl-Friedrich; Schmidt, Ekkehard; Omran, Heyder; Stellbrink, Christoph; Dorsel, Thomas; Lianopoulos, Emmanouil; Marx, Roger; Zirlik, Andreas; Schellenberg, Detlev; Heitzer, Thomas; Laufs, Ulrich; Marx, Nikolaus; Gielen, Stephan; Winkelmann, Bernhard; Behrens, Steffen; Sydow, Karsten; Simonis, Gregor; Muenzel, Thomas; Werner, Nikos; Leggewie, Stefan; Boecker, Dirk; Braun-Dullaeus, Ruediger; Toursarkissian, Nicole; Jeserich, Michael; Weissbrodt, Matthias; Schaeufele, Tim; Weil, Joachim; Voeller, Heinz; Waltenberger, Johannes; Natour, Mohammed; Steiner, Stephan; Heidenreich, Lothar; Gremmler, Uwe; Killat, Holger; Patsilinakos, Sotiris; Kartalis, Athanasios; Manolis, Athanassios; Sionis, Dimitrios; Liberopoulos, Evangelos; Skoumas, Ioannis; Athyros, Vasilios; Parthenakis, P. I. Frangkiskos; Hahalis, P. I. Georgios; Lekakis, John; Xatzitolios, Apostolos; Fausto Ovando, Sergio R.; Montenegro Valdovinos, Pablo Carlos; Arango Benecke, Juan L.; Rodriguez De Leon, Edgar R.; Yan, Bryan P. Y.; Siu, David C. W.; Turi, Tibor; Merkely, Bela; Kiss, Robert Gabor; Ungi, Imre; Lupkovics, Geza; Nagy, Lajos; Katona, Andras; Edes, Istvan; Muller, Gabor; Horvath, Ivan; Kapin, Tibor; Falukozy, Jozsef; Kumbla, Mukund; Sandhu, Manjinder; Annam, Sharath; Proddutur, Naveen Reddy; Premchand, Rajendra K.; Mahajan, Ajaykumar; Abhyanakar, Atul D.; Kerkar, Prafulla; Govinda, Ravishankar A.; Oomman, Abraham; Sinha, Dhurjati; Patil, Sachin N.; Kahali, Dhiman; Sawhney, Jitendra; Joshi, Abhijeet B.; Chaudhary, Sanjeev; Harkut, Pankaj; Guha, Santanu; Porwal, Sanjay; Jujjuru, Srimannarayana; Pothineni, Ramesh B.; Monteiro, Minguel R.; Khan, Aziz; Iyengar, Shamanna S.; Grewal, Jasprakash Singh; Chopda, Manoj; Fulwani, Mahesh C.; Patange, Aparna; Chopra, Vijay K.; Goyal, Naresh K.; Shinde, Rituparna; Manakshe, Gajendra V.; Patki, Nitin; Sethi, Sumeet; Munusamy, Vengatesh; Karna, Sunil; Adhyapak, Srilakshmi; Pandurangi, Ulhas; Mathur, Rishabh; Kalashetti, Suhas; Bhagwat, Ajit; Raghuraman, Bagirath; Yerra, Shiv Kumar; Bhansali, Prasant; Borse, Rohidas; Das, Srihari; Abdullakutty, Jabir; Saathe, Shireesh; Palimkar, Priya; Atar, Shaul; Shechter, Michael; Mosseri, Morris; Arbel, Yaron; Lotan, Chaim; Rosenschein, Uri; Katz, Amos; Henkin, Yaakov; Francis, Adi; Klutstein, Marc; Nikolsky, Eugenia; Turgeman, Yoav; Halabi, Majdi; Kornowski, Ran; Jonas, Michael; Amir, Offer; Rozenman, Yoseph; Fuchs, Shmuel; Hussein, Osamah; Gavish, Dov; Vered, Zvi; Caraco, Yoseph; Elias, Mazen; Tov, Naveh; Piovaccari, Giancarlo; De Pellegrin, Annamaria; Guardigli, Gabriele; Licciardello, Giovanni; Auguadro, Carla; Cuccia, Claudio; Salvioni, Alessandro; Musumeci, Giuseppe; Calabro, Paolo; Novo, Salvatore; Faggiano, Pompilio; De Cesare, Nicoletta B.; Berti, Sergio; Cavallini, Claudio; Puccioni, Enrico; Galvani, Marcello; Tespili, Maurizio; Piatti, Piermarco; Palvarini, Michela; De Luca, Giuseppe; Violini, Roberto; De Leo, Alessandro; Filardi, Pasquale Perrone; Ferratini, Maurizio; Dai, Kazuoki; Kamiya, Haruo; Ando, Kenji; Takeda, Yoshihiro; Morino, Yoshihiro; Hata, Yoshiki; Kimura, Kazuo; Kishi, Koichi; Michishita, Ichiro; Uehara, Hiroki; Higashikata, Toshinori; Hirayama, Atsushi; Hirooka, Keiji; Sakagami, Satoru; Taguchi, Shuichi; Koike, Akihiro; Fujinaga, Hiroyuki; Koba, Shinji; Kozuma, Ken; Kawasaki, Tomohiro; Ono, Yujiro; Shimizu, Masatoshi; Katsuda, Yousuke; Wada, Atsuyuki; Shinke, Toshiro; Ako, Junya; Fujii, Kenshi; Takahashi, Toshiyuki; Sakamoto, Tomohiro; Furukawa, Yutaka; Sugino, Hiroshi; Mano, Toshiaki; Utsu, Noriaki; Ito, Kashima; Haraguchi, Takuya; Ueda, Yasunori; Nishibe, Akira; Fujimoto, Kazuteru; Yoon, Jung Han; Park, Hun Sik; Chae, In-Ho; Kim, Moo Hyun; Jeong, Myung Ho; Rha, Seungwoon; Kim, Chongjin; Hong, Taekjong; Busmane, Arija; Pontaga, Natalija; Strelnieks, Aldis; Mintale, Iveta; Sime, Iveta; Petrulioniene, Zaneta; Kavaliauskiene, Roma; Jurgaitiene, Ruta; Sakalyte, Gintare; Slapikas, Rimvydas; Norkiene, Sigute; Misonis, Nerijus; Kibarskis, Aleksandras; Kubilius, Raimondas; Bojovski, Stojko; Lozance, Nensi; Kjovkaroski, Aleksandar; Doncovska, Snezana; Ong, Tiong Kiam; Kasim, Sazzli; Maskon, Oteh; Kandasamy, Balachandran; Liew, Houng B.; Mohamed, Wan Mohd Izani Wan; Garcia Castillo, Armando; Carrillo Calvillo, Jorge; Fajardo Campos, Pedro; Nunez Fragoso, Juan Carlos; Bayram Llamas, Edmundo Alfredo; Alcocer Gamba, Marco Antonio; Carranza Madrigal, Jaime; Gonzalez Salas, Luis Gerardo; Lopez Rosas, Enrique; Gonzalez Diaz, Belinda; Salcido Vazquez, Eduardo; Nacoud Ackar, Alfredo; Llamas Esperon, Guillermo Antonio; Martinez Sanchez, Carlos Rodolfo; Guerrero De Leon, Maria; Suarez Otero, Rodrigo; Fanghanel Salmon, Guillermo; Perez Rios, Jesus Antonio; Garza Ruiz, Jose Angel; Breedveld, Robert W.; Hoogslag, Pieter A. M.; Suryapranata, Harry; Oomen, Antonius; Wiersma, Jacobijne J.; Van Der Wal, Ruud M. A.; Van Huysduynen-Monraats, Pascalle S. Hooft; Karalis, Ioannis; Verdel, Gerardus J. E.; Brueren, Bart R. G.; Troquay, Roland P. Th; Viergever, Eric P.; Al-Windy, Nadea Y. Y.; Bartels, Gerard L.; Cornel, Jan H.; Hermans, Walter R. M.; Herrman, Johannes P. R.; Bos, Robert J.; Groutars, Reginald G. E. J.; Van Der Zwaan, Coenraad C.; Kaplan, Refik; Ronner, Eelko; Groenemeijer, Bjorn E.; Bronzwaer, Patrick N. A.; Liem, Anho A. H.; Rensing, Bernard J. W. M.; Bokern, Marcel J. J. A.; Nijmeijer, Remco; Hersbach, Ferry M. R. J.; Willems, Frank F.; Gosselink, Antonius T. M.; Elliott, John; Wilkins, Gerard; Fisher, Raewyn; Scott, Douglas; Hart, Hamish; Stewart, Ralph; Harding, Scott; Ternouth, Ian; Fisher, Nicholas; Aitken, Denise; Anscombe, Russell; Tomala, Tadeusz; Nygard, Ottar; Sparby, Jon Arne; Andersen, Kjell; Gullestad, Lars; Jortveit, Jarle; Munk, Peter S.; Hurtig, Ulf; Ticona, Jorge R. Calderon; Velasquez, Julio R. Durand; Miguel, Sandra A. Negron; Perez, Enrique S. Sanabria; Chambilla, Jesus M. Carrion; Ayala, Carlos A. Chavez; Leon, Reynaldo P. Castillo; Gonzales, Rolando J. Vargas; Zuniga, Jose D. Hernandez; Cosavalente, Luis A. Camacho; Mannucci, Jorge E. Bravo; Navarro, Nassip C. Llerena; Concha, Yudy M. Roldan; Chavez, V-ctor E. Rodriguez; Hernandez, Henry A. Anchante; Nunez, Carlos A. Zea; Ferrolino, Arthur; Sy, Rosa Allyn G.; Tirador, Louie; Matiga, Generoso; Coching, Raul Martin; Bernan, Alisa; Rogelio, Gregorio; Morales, Dante D.; Tan, Edgar; Wlodarczak, Adrian; Jaworska, Krystyna; Skonieczny, Grzegorz; Pawlowicz, Lidia; Wojewoda, Pawel; Busz-Papiez, Benita; Bednarski, Janusz; Goch, Aleksander; Staneta, Pawel; Dulak, Elzbieta; Saminski, Krzysztof; Krasowski, Wlodzimierz; Sudnik, Wanda; Zurakowski, Aleksander; Skorski, Marcin; Lysek, Roman; Miklaszewicz, Beata; Kubica, Jacek; Lipko, Jan Andrzej; Kostarska-Srokosz, Edyta; Piepiorka, Marek; Drzewiecka, Anna; Sciborski, Ryszard; Stasiewski, Arkadiusz; Blicharski, Tomasz; Bystryk, Leszek; Szpajer, Michal; Korol, Marek; Czerski, Tomasz; Mirek-Bryniarska, Ewa; Gniot, Jacek; Lubinski, Andrzej; Gorny, Jerzy; Franek, Edward; Monteiro, Pedro; Bastos, Jose Mesquita; Pereira, Helder H.; Martins, Dinis; Seixo, Filipe; Mendonca, Carlos; Botelho, Ana; Minescu, Bogdan; Istratoaie, Octavian; Tesloianu, Dan N.; Cristian, Gabriel; Podoleanu, Cristian G. C.; Constantinescu, Mircea C. 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- Issue Date
- Jan-2020
- Publisher
- Elsevier BV
- Keywords
- acute coronary syndromes; alirocumab; low-density lipoprotein cholesterol; major adverse cardiovascular events; proprotein convertase subtilisin/kexin type 9 inhibition
- Citation
- Journal of the American College of Cardiology, v.75, no.2, pp 133 - 144
- Pages
- 12
- Indexed
- SCIE
SCOPUS
- Journal Title
- Journal of the American College of Cardiology
- Volume
- 75
- Number
- 2
- Start Page
- 133
- End Page
- 144
- ISSN
- 0735-1097
1558-3597
- Abstract
- Background Lipoprotein(a) concentration is associated with cardiovascular events. Alirocumab, a proprotein convertase subtilisin/kexin type 9 inhibitor, lowers lipoprotein(a) and low-density lipoprotein cholesterol (LDL-C). Objectives A pre-specified analysis of the placebo-controlled ODYSSEY Outcomes trial in patients with recent acute coronary syndrome (ACS) determined whether alirocumab-induced changes in lipoprotein(a) and LDL-C independently predicted major adverse cardiovascular events (MACE). Methods One to 12 months after ACS, 18,924 patients on high-intensity statin therapy were randomized to alirocumab or placebo and followed for 2.8 years (median). Lipoprotein(a) was measured at randomization and 4 and 12 months thereafter. The primary MACE outcome was coronary heart disease death, nonfatal myocardial infarction, ischemic stroke, or hospitalization for unstable angina. Results Baseline lipoprotein(a) levels (median: 21.2 mg/dl; interquartile range [IQR]: 6.7 to 59.6 mg/dl) and LDL-C [corrected for cholesterol content in lipoprotein(a)] predicted MACE. Alirocumab reduced lipoprotein(a) by 5.0 mg/dl (IQR: 0 to 13.5 mg/dl), corrected LDL-C by 51.1 mg/dl (IQR: 33.7 to 67.2 mg/dl), and reduced the risk of MACE (hazard ratio [HR]: 0.85; 95% confidence interval [CI]: 0.78 to 0.93). Alirocumab-induced reductions of lipoprotein(a) and corrected LDL-C independently predicted lower risk of MACE, after adjustment for baseline concentrations of both lipoproteins and demographic and clinical characteristics. A 1-mg/dl reduction in lipoprotein(a) with alirocumab was associated with a HR of 0.994 (95% CI: 0.990 to 0.999; p = 0.0081). Conclusions Baseline lipoprotein(a) and corrected LDL-C levels and their reductions by alirocumab predicted the risk of MACE after recent ACS. Lipoprotein(a) lowering by alirocumab is an independent contributor to MACE reduction, which suggests that lipoprotein(a) should be an independent treatment target after ACS. (ODYSSEY Outcomes: Evaluation of Cardiovascular Outcomes After an Acute Coronary Syndrome During Treatment With Alirocumab; NCT01663402)
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Related Researcher
- Rha, Seung Woon
- Guro Hospital (Department of Cardiology, Guro Hospital)