A Review of Time Courses and Predictors of Lipid Changes with Fenofibric Acid-Statin Combination

被引:19
作者
Filippatos, Theodosios D. [1 ]
机构
[1] Univ Ioannina, Sch Med, Dept Internal Med, GR-45110 Ioannina, Greece
关键词
Fenofibric acid; Fibrate; Statin; Simvastatin; Atorvastatin; Rosuvastatin; Triglycerides; High-density lipoprotein cholesterol; DENSITY-LIPOPROTEIN CHOLESTEROL; CORONARY-HEART-DISEASE; TYPE-2; DIABETES-MELLITUS; FIBRATE-INDUCED INCREASE; MODERATE-DOSE STATIN; PAN-EUROPEAN SURVEY; METABOLIC SYNDROME; MIXED DYSLIPIDEMIA; OBESE-PATIENTS; PHOSPHOLIPASE A(2);
D O I
10.1007/s10557-012-6394-0
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Fibrates activate peroxisome proliferator activated receptor alpha and exert beneficial effects on triglycerides, high-density lipoprotein cholesterol, and low density lipoprotein subspecies. Fenofibric acid (FA) has been studied in a large number of patients with mixed dyslipidemia, combined with a low- or moderate-dose statin. The combination of FA with simvastatin, atorvastatin and rosuvastatin resulted in greater improvement of the overall lipid profile compared with the corresponding statin dose. The long-term efficacy of FA combined with low- or moderate- dose statin has been demonstrated in a wide range of patients, including patients with type 2 diabetes mellitus, metabolic syndrome, or elderly subjects. The FA and statin combination seems to be a reasonable option to further reduce cardiovascular risk in high-risk populations, although trials examining cardiovascular disease events are missing.
引用
收藏
页码:245 / 255
页数:11
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