Estimation of LDL cholesterol based on the Friedewald formula and on apo B levels

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Συγγραφείς

Bairaktari, E.
Hatzidimou, K.
Tzallas, C.
Vini, M.
Katsaraki, A.
Tselepis, A.
Elisaf, M.
Tsolas, O.

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peer reviewed

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Clin Biochem

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Έκδοση βιβλίου

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Περιγραφή

Objectives: The plasma apolipoprotein B (apo B) concentrations have been considered to be a more accurate representation of atherogenic particles and it has been proposed that the formula LDL-C (mmol/L) = 0.41TC - 0.32TG + 1.70apo B - 0.27 is reliable for the estimation of LDL-C (Clin Chem 1997; 43: 308-15). We undertook the present study to investigate the reliability of this formula in a large number of hyperlipidemic patients. Design and methods: 1) The Friedewald formula (LDL-F) and the apo B-based formula (LDL-B) were compared with the P-quantification reference procedure in 130 individuals with a wide range of total cholesterol CTC) and triglyceride CTG) levels, and 2) the LDL-C levels obtained by the Friedewald formula were compared with those calculated by the apo B-based formula in 1010 individuals attending our outpatient lipid clinic. Results: The LDL-F and the LDL-B formulae for LDL-C estimation were found to be in good agreement with the beta -quantification (r = 0.96 and 0.97, respectively). The bias of each method plotted as a function of TG (up to 4.52 mmol/L) was found positive for the LDL-F, whereas the LDL-B was independent of the concentrations of TG. When a large number of individuals were examined, a good correlation between the two equations was found (n = 1010, r = 0.98). The difference between the two methods was not correlated with serum TG levels. However, it was correlated to serum TC, and apo B levels. Conclusions: The LDL-B formula is a more reliable and accurate method than the LDL-F formula, especially at To levels >2.26 mmol/L, although it underestimates LDL-C concentrations. Furthermore, this equation can be used in hypertriglyceridemic patients CTG >4.52 mmol/L) in whom the Friedewald equation is inaccurate. Copyright (C) 2000 The Canadian Society of Clinical Chemists.

Περιγραφή

Λέξεις-κλειδιά

ldl-cholesterol measurement, friedewald formula, apolipoprotein b, density-lipoprotein cholesterol, apolipoprotein-a-i, myocardial-infarction, heart-disease, framingham, plasma, risk, men

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http://ac.els-cdn.com/S0009912000001624/1-s2.0-S0009912000001624-main.pdf?_tid=1695aacd6cf4029f2b18baa3c9b2152b&acdnat=1333110950_ed60ca5f3cf455e8e178d5f797b40028

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en

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Γενική Περιγραφή / Σχόλια

Ίδρυμα και Σχολή/Τμήμα του υποβάλλοντος

Πανεπιστήμιο Ιωαννίνων. Σχολή Θετικών Επιστημών. Τμήμα Χημείας

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