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University of Oklahoma Health Sciences Center

Apolipoprotein B in cardiovascular risk assessment

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Author/s: 
Ahmad, maud, Sniderman, Allan D., Hegele, Robert A.
Date Added: 
October 2, 2023
Journal/Publication: 
CMAJ
Publisher: 
CMA
Publication Date: 
August 28, 2023
Issue: 
33
Volume: 
195
Type: 
Meta-analyses, Reviews, and Guidelines
Format: 
Article
DOI (1): 
10.1503/cmaj.230048
PMID (1): 
37640407

RPR Commentary

Apo B may be a more accurate and convenient measure of CAD event risk than LDL cholesterol. James W. Mold, MD, MPH

Abstract

Apolipoprotein (apo) B measurement is a recommended alternative to low-density lipoprotein cholesterol (LDL-C)
The 2021 Canadian Cardiovascular Society guideline on dyslipidemia recommends that physicians may use levels of either non-high-density lipoprotein cholesterol (HDL-C) or apo B instead of LDL-C for screening and targets of treatment.1 Non-HDL-C represents total cholesterol minus cholesterol from HDL particles; apo B represents the total number of atherogenic particles, since 1 apo B molecule is found on each LDL, very low–density lipoprotein, intermediate-density lipoprotein and lipoprotein(a) particle.2

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