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参与苯扎贝特预防心肌梗死(BIP)研究的患者的基线特征。

Baseline characteristics of patients participating in the Bezafibrate Infarction Prevention (BIP) Study.

作者信息

Goldbourt U, Brunner D, Behar S, Reicher-Reiss H

机构信息

Neufeld Cardiac Research Institute, Sheba Medical Center, Tel Hashomer, Israel.

出版信息

Eur Heart J. 1998 Jul;19 Suppl H:H42-7.

PMID:9717065
Abstract

Low high density lipoprotein (HDL) cholesterol, elevated triglycerides, or a combination of both, carries an increased risk of coronary heart disease (CHD). The benefit of therapy that increases serum HDL cholesterol concentrations and lowers triglyceride concentrations on the reduced incidence of myocardial infarctions and mortality has not been unequivocally demonstrated in healthy persons or patients with CHD. The Bezafibrate Infarction Prevention (BIP) study randomized men and women, with CHD and with total serum cholesterol 180 - 250 mg. dl-1, low density lipoprotein (LDL) cholesterol < or = 180 mg. dl-1 (< or = 160 mg. dl-1 below age 50 years), HDL cholesterol < or = 45mg. dl-1 and triglycerides < or = 300 mg. dl-1, to bezafibrate retard (400 mg once daily) or placebo. In addition to its effect on the lipids, this drug significantly lower plasma fibrinogen. The demographic, clinical and biochemical characteristics and existing cardiovascular therapy at baseline of 3122 patients randomized onto the study are presented here. A comparison is made with other on-going or recently published secondary prevention studies of lipid modification in CHD patients.

摘要

低高密度脂蛋白(HDL)胆固醇、甘油三酯升高或两者兼而有之,会增加患冠心病(CHD)的风险。在健康人或冠心病患者中,提高血清HDL胆固醇浓度并降低甘油三酯浓度的治疗对降低心肌梗死发生率和死亡率的益处尚未得到明确证实。苯扎贝特预防心肌梗死(BIP)研究将患有冠心病、总血清胆固醇为180 - 250mg·dl⁻¹、低密度脂蛋白(LDL)胆固醇≤180mg·dl⁻¹(50岁以下≤160mg·dl⁻¹)、HDL胆固醇≤45mg·dl⁻¹且甘油三酯≤300mg·dl⁻¹的男性和女性随机分为苯扎贝特缓释片组(每日一次400mg)或安慰剂组。除了对脂质的影响外,这种药物还能显著降低血浆纤维蛋白原。本文介绍了随机纳入该研究的3122例患者的人口统计学、临床和生化特征以及基线时现有的心血管治疗情况。并与其他正在进行的或最近发表的冠心病患者脂质修饰二级预防研究进行了比较。

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