Journals / The anatolian journal of family medicine (Online) / 2021 / Cilt: 4 - Sayı: 1

Evaluation of Anti-Inflammatory Effect of Pitavastatin with Monocyte Count to HDL Cholesterol Ratio in Patients with Coronary Artery Disease

Pages
13–16
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Conclusion: This study concluded that pitavastatin improved serum lipid levels but did not decrease MHR.

📌 3 Key Takeaways

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Objective & Hypothesis:Objectives: Monocyte count to high-density lipoprotein cholesterol ratio (MHR) was proposed as a novel in- flammation marker.
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Key Findings & Data:Hospital registries between October 2018 and April 2019 were retrospectively reviewed.
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Conclusion & Impact:Conclusion: This study concluded that pitavastatin improved serum lipid levels but did not decrease MHR.
🔬Design:Review & Systematic Survey
📍Scope:2018 Verileri
⚙️Variables:Domain Parameters

Özet

Objectives: Monocyte count to high-density lipoprotein cholesterol ratio (MHR) was proposed as a novel in- flammation marker. Statins have some anti-inflammatory pleiotropic effects as well as lipid-lowering effects. This study aims to examine the effect of lipid-lowering therapy with pitavastatin on MHR in patients with coronary heart disease. Methods: This was a descriptive study, single-center study. Hospital registries between October 2018 and April 2019 were retrospectively reviewed. Eligible patients were those who had both stable coronary artery disease and hypercholesterolemia of low-density lipoprotein cholesterol (LDL-C) >100 mg/dL and started to take treatment (pitavastatin, 4 mg/day). Pre-and post-treatment complete blood count values and lipid pa- rameters were evaluated, and MHR was calculated. Results: This study enrolled 150 patients. Pitavastatin (4 mg/day) was administered throughout median 3.0 (1.0-7.0) months. Mean total cholesterol level declined from 235.2±52.3 mg/dl to 186.9±48.8 mg/dl (p<0.001). Mean triglyceride level declined from 167.2±75.0 mg/dl to 152.8±66.7 mg/dl and mean LDL-C level declined from 153.9±45.0 mg/dl to 109.0±41.2 mg/dl (p=0.020 and p<0.001, respectively). Moreover, pre-treatment MHR declined from 1.4 (0.4-4.0) to post-treatment MHR 1.3 (0.5-3.4) (p=0.263). Conclusion: This study concluded that pitavastatin improved serum lipid levels but did not decrease MHR.

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Cite This Article

GÜNAY, Ş., ÇALIŞKAN, S. (2021). Evaluation of Anti-Inflammatory Effect of Pitavastatin with Monocyte Count to HDL Cholesterol Ratio in Patients with Coronary Artery Disease. The anatolian journal of family medicine (Online), Cilt: 4 - Sayı: 1, 13–16. https://ajindex.com/articles/364986

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References (13)

  1. Namara K, Alzubaidi H, Jackson JK. Cardiovascular disease as a leading cause of death: how are pharmacists getting in- volved? Integr Pharm Res Pract 2019;8:1–11
  2. Ancuta P, Wang J, Gabuzda D. CD16+ monocytes produce IL-6, CCL2, and matrix metalloproteinase-9 upon interac- tion with CX3CL1- expressing endothelial cells. J Leukoc Biol 2006;80:1156e1164
  3. Hansson GK. Inflammatory mechanisms in atherosclerosis. J Thromb Haemost 2009;7:328–31
  4. Hessler JR, Robertson AL, Chisolm GM. LDL-induced cyto- toxicity and its inhibition by HDL in human vascular smooth muscle and endothelial cells in culture. Atherosclerosis 1979;32:213–29
  5. Li XP, Zhao SP, Zhang XY, Liu L, Gao M, Zhou QC. Protective effect of high density lipoprotein on endothelium-dependent vasodilatation. Int J Cardiol 2000;73:231–6
  6. Cholesterol Treatment Trialists’ (CTT) Collaborators. Efficacy and safety of cholesterol-lowering treatment: prospective meta-analysis of data from 90056 participants in 14 ran- domised trials of statins. Lancet 2005;366:1267–78
  7. Tsunoda R, Sakamoto T, Kojima S, Ogata Y, Kitagawa A, Ogawa H. Recurrence of angina pectoris after percutaneous coronary intervention is reduced by statins in Japanese patients. J Car- diol 2011;58:208–15
  8. Davignon J. Beneficial cardiovascular pleiotropic effects of statins. Circulation 2004;109(23 suppl 1):III39–43
  9. Waters DD. Exploring new indications for statins beyond ath- erosclerosis: successes and setbacks. J Cardiol 2010;55:155– 62
  10. Miura S, Saku K. Effects of statin and lipoprotein metabolism in heart failure. J Cardiol 2010;55:287–90
  11. Sasaki J, Ikeda Y, Kuribayashi T, Kajiwara K, Biro S, Yamamoto K, et al. A 52-week, randomized, open-label, parallelgroup comparison of the tolerability and effects of pitavastatin and atorvastatin on high-density lipoprotein cholesterol levels and glucose metabolism in Japanese patients with elevated levels of low-density lipoprotein cholesterol and glucose in- tolerance. Clin Ther 2008;30:1089–101
  12. Watanabe T, Kawasaki M, Tanaka R, Ono K, Kako N, Saeki M, et al. Anti-inflammatory and morphologic effects of pitavastatin on carotid arteries and thoracic aorta evaluated by integrated backscatter trans-esophageal ultrasound and PET/CT: a pro- spective randomized comparative study with pravastatin (EPICENTRE study). Cardiovasc Ultrasound 2015;13:17
  13. Ganjali S, Gotto AM Jr, Ruscica M, Atkin SL, Butler AE, Ban- ach M, et al. Monocyte-to-HDL-cholesterol ratio as a prog- nos