Residual cardiovascular risk is tracked by apolipoprotein B in coronary patients with elevated serum triglyceride levels : the ESC EORP EUROASPIRE IV survey
- Author
- Jaana Leiviskä, Jouko Sundvall, Matti Jauhiainen, Kornelia Kotseva, Jaakko Tuomilehto, Gui De Backer (UGent) , Lâle Tokgözoğlu, Zeljko Reiner and Dirk De Bacquer (UGent)
- Organization
- Abstract
- Background and aims Based on data from the EUROASPIRE IV survey, we aimed at assessing the possible residual risk tracked by serum apolipoprotein B in coronary patients with elevated serum triglycerides. Methods All samples from the total EUROASPIRE IV survey (n = 7998) with low serum total cholesterol (<4.5 mmol/L) and high serum triglycerides (>= 1.7 mmol/L) were used to analyse apolipoprotein A-I (apoA-I) and apolipoprotein B (apoB) concentrations (n = 938). We selected a similar number of participants (n = 938) with low total cholesterol and with low triglycerides (<1.0 mmol/L). In addition, phospholipid transfer protein (PLTP) and cholesteryl ester transfer protein (CETP) as well as paraoxonase-1 (PON-1), angiopoietin-like (ANGPTL)-3 and ANGPTL-8 were analysed in randomly selected participants. Results Despite the lower low-density lipoprotein cholesterol (LDL-C) concentration in the patients with TG >= 1.7 mmol/L (1.89 +/- 0.44 mmol/L) than those with TG < 1.0 mmol/L (1.99 +/- 0.43 mmol/L), p < 0.0001), serum total cholesterol, apoB, and HbA1c were all significantly (p < 0.0001) higher in patients with TG >= 1.7 mmol/L. In addition, high-density lipoprotein cholesterol (HDL-C), apoA-I, and CETP activity were significantly lower (p < 0.001) in these patients. The prevalence of obesity and diabetes was higher in the participants with TG >= 1.7 mmol/L than in those with TG < 1.0 mmol/L (52.6 % vs 21.9 % and 41.3 % vs. 20.0 %). Conclusions Statin treatment is mainly decreasing serum LDL-C concentration, but apoB measurements with excess serum triglycerides carried by apoB-containing lipoproteins could provide more specific information about the risk assessment of cardiovascular disease in atherogenic dyslipidemia.
- Keywords
- Triglycerides, Apolipoprotein B, LDL-C, Cardiovascular disease, HEART-DISEASE, NONFASTING TRIGLYCERIDES, REMNANT CHOLESTEROL, MANAGEMENT, ANGPTL3, LDL, DYSLIPIDEMIA, ASSOCIATION, PREVENTION, STILL
Downloads
-
(...).pdf
- full text (Published version)
- |
- UGent only
- |
- |
- 1.05 MB
Citation
Please use this url to cite or link to this publication: http://hdl.handle.net/1854/LU-01KFG3SET3G7T9GQ8T03HREXJ7
- MLA
- Leiviskä, Jaana, et al. “Residual Cardiovascular Risk Is Tracked by Apolipoprotein B in Coronary Patients with Elevated Serum Triglyceride Levels : The ESC EORP EUROASPIRE IV Survey.” CLINICA CHIMICA ACTA, vol. 579, 2026, doi:10.1016/j.cca.2025.120653.
- APA
- Leiviskä, J., Sundvall, J., Jauhiainen, M., Kotseva, K., Tuomilehto, J., De Backer, G., … De Bacquer, D. (2026). Residual cardiovascular risk is tracked by apolipoprotein B in coronary patients with elevated serum triglyceride levels : the ESC EORP EUROASPIRE IV survey. CLINICA CHIMICA ACTA, 579. https://doi.org/10.1016/j.cca.2025.120653
- Chicago author-date
- Leiviskä, Jaana, Jouko Sundvall, Matti Jauhiainen, Kornelia Kotseva, Jaakko Tuomilehto, Gui De Backer, Lâle Tokgözoğlu, Zeljko Reiner, and Dirk De Bacquer. 2026. “Residual Cardiovascular Risk Is Tracked by Apolipoprotein B in Coronary Patients with Elevated Serum Triglyceride Levels : The ESC EORP EUROASPIRE IV Survey.” CLINICA CHIMICA ACTA 579. https://doi.org/10.1016/j.cca.2025.120653.
- Chicago author-date (all authors)
- Leiviskä, Jaana, Jouko Sundvall, Matti Jauhiainen, Kornelia Kotseva, Jaakko Tuomilehto, Gui De Backer, Lâle Tokgözoğlu, Zeljko Reiner, and Dirk De Bacquer. 2026. “Residual Cardiovascular Risk Is Tracked by Apolipoprotein B in Coronary Patients with Elevated Serum Triglyceride Levels : The ESC EORP EUROASPIRE IV Survey.” CLINICA CHIMICA ACTA 579. doi:10.1016/j.cca.2025.120653.
- Vancouver
- 1.Leiviskä J, Sundvall J, Jauhiainen M, Kotseva K, Tuomilehto J, De Backer G, et al. Residual cardiovascular risk is tracked by apolipoprotein B in coronary patients with elevated serum triglyceride levels : the ESC EORP EUROASPIRE IV survey. CLINICA CHIMICA ACTA. 2026;579.
- IEEE
- [1]J. Leiviskä et al., “Residual cardiovascular risk is tracked by apolipoprotein B in coronary patients with elevated serum triglyceride levels : the ESC EORP EUROASPIRE IV survey,” CLINICA CHIMICA ACTA, vol. 579, 2026.
@article{01KFG3SET3G7T9GQ8T03HREXJ7,
abstract = {{Background and aims Based on data from the EUROASPIRE IV survey, we aimed at assessing the possible residual risk tracked by serum apolipoprotein B in coronary patients with elevated serum triglycerides. Methods All samples from the total EUROASPIRE IV survey (n = 7998) with low serum total cholesterol (<4.5 mmol/L) and high serum triglycerides (>= 1.7 mmol/L) were used to analyse apolipoprotein A-I (apoA-I) and apolipoprotein B (apoB) concentrations (n = 938). We selected a similar number of participants (n = 938) with low total cholesterol and with low triglycerides (<1.0 mmol/L). In addition, phospholipid transfer protein (PLTP) and cholesteryl ester transfer protein (CETP) as well as paraoxonase-1 (PON-1), angiopoietin-like (ANGPTL)-3 and ANGPTL-8 were analysed in randomly selected participants. Results Despite the lower low-density lipoprotein cholesterol (LDL-C) concentration in the patients with TG >= 1.7 mmol/L (1.89 +/- 0.44 mmol/L) than those with TG < 1.0 mmol/L (1.99 +/- 0.43 mmol/L), p < 0.0001), serum total cholesterol, apoB, and HbA1c were all significantly (p < 0.0001) higher in patients with TG >= 1.7 mmol/L. In addition, high-density lipoprotein cholesterol (HDL-C), apoA-I, and CETP activity were significantly lower (p < 0.001) in these patients. The prevalence of obesity and diabetes was higher in the participants with TG >= 1.7 mmol/L than in those with TG < 1.0 mmol/L (52.6 % vs 21.9 % and 41.3 % vs. 20.0 %). Conclusions Statin treatment is mainly decreasing serum LDL-C concentration, but apoB measurements with excess serum triglycerides carried by apoB-containing lipoproteins could provide more specific information about the risk assessment of cardiovascular disease in atherogenic dyslipidemia.}},
articleno = {{120653}},
author = {{Leiviskä, Jaana and Sundvall, Jouko and Jauhiainen, Matti and Kotseva, Kornelia and Tuomilehto, Jaakko and De Backer, Gui and Tokgözoğlu, Lâle and Reiner, Zeljko and De Bacquer, Dirk}},
issn = {{0009-8981}},
journal = {{CLINICA CHIMICA ACTA}},
keywords = {{Triglycerides,Apolipoprotein B,LDL-C,Cardiovascular disease,HEART-DISEASE,NONFASTING TRIGLYCERIDES,REMNANT CHOLESTEROL,MANAGEMENT,ANGPTL3,LDL,DYSLIPIDEMIA,ASSOCIATION,PREVENTION,STILL}},
language = {{eng}},
pages = {{6}},
title = {{Residual cardiovascular risk is tracked by apolipoprotein B in coronary patients with elevated serum triglyceride levels : the ESC EORP EUROASPIRE IV survey}},
url = {{http://doi.org/10.1016/j.cca.2025.120653}},
volume = {{579}},
year = {{2026}},
}
- Altmetric
- View in Altmetric
- Web of Science
- Times cited: