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Atheroscler Suppl ; 10(5): 85-8, 2009 Dec 29.
Article in English | MEDLINE | ID: mdl-20129382

ABSTRACT

Lipoprotein(a) (Lp(a)) is a risk factor for premature coronary artery disease. Lp(a) levels can neither be influenced sufficiently by standard hypolipemic diet nor by drug therapy. Currently, lipid apheresis is the only option to effectively lower Lp(a) levels in patients with elevated Lp(a) and progressive CVD. The lipid-clinic at the Charité University hospital Berlin and other German apheresis centres have longstanding positive experience with this therapeutic regimen. Lately, in Germany lipid apheresis was accepted as the treatment of choice for patients with elevated Lp(a) levels > 60 mg/dl and progressive CVD. At the same time, care providers were obliged to conduct a controlled trial to prove the efficacy of lipid apheresis for this indication. Therefore, we designed a prospective, randomized, controlled trial to prove the hypothesis that lipid apheresis decreases vascular events.


Subject(s)
Blood Component Removal , Cardiovascular Diseases/prevention & control , Hyperlipidemias/drug therapy , Lipoprotein(a)/blood , Randomized Controlled Trials as Topic , Research Design , Biomarkers/blood , Cardiovascular Diseases/blood , Cardiovascular Diseases/etiology , Cardiovascular Diseases/mortality , Evidence-Based Medicine , Germany , Humans , Hyperlipidemias/blood , Hyperlipidemias/complications , Hyperlipidemias/mortality , Prospective Studies , Treatment Outcome , Up-Regulation
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