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lüll Effects of ezetimibe add-on therapy for high-risk patients with dyslipidemia Yamaoka-Tojo M; Tojo T; Kosugi R; Hatakeyama Y; Yoshida Y; Machida Y; Aoyama N; Masuda T; Izumi TLipids Health Dis 2009[Oct]; 8 (ä): 41BACKGROUND: Ezetimibe (Zetia) is a potent inhibitor of cholesterol absorption that has been approved for the treatment of hypercholesterolemia. Statin, an inhibitor of cholesterol synthesis, is the first-choice drug to reduce low-density lipoprotein-cholesterol (LDL-C) for patients with hypercholesterolemia, due to its strong effect to lower the circulating LDL-C levels. Because a high dose of statins cause concern about rhabdomyolysis, it is sometimes difficult to achieve the guideline-recommended levels of LDL-C in high-risk patients with hypercholesterolemia treated with statin monotherapy. Ezetimibe has been reported to reduce LDL-C safely with both monotherapy and combination therapy with statins. RESULTS: To investigate the effect of ezetimibe as "add-on" therapy to statin on hypercholesterolemia, we examined biomarkers and vascular endothelial function in 14 patients with hypercholesterolemia before and after the 22-week ezetimibe add-on therapy. Ezetimibe add-on therapy reduced LDL-C by 24% compared with baseline (p < 0.005), with 13 patients (93%) reaching their LDL cholesterol goals. Of the Ezetimibe add-on therapy significantly improved not only LDL-C, high-density lipoprotein-cholesterol (HDL-C), and apolipoprotein (apo)B levels, but also reduced levels of triglyceride (TG), the ratio of LDL/HDL-C, the ratio of apoB/apoA-I, and a biomarker for oxidative stress (d-ROMs). Furthermore, ezetimibe add-on therapy improved vascular endothelial function in high-risk patients with hypercholesterolemia. CONCLUSION: In conclusion, ezetimibe as add-on therapy to statin might be a therapeutic good option for high-risk patients with atherosclerosis.|Aged[MESH]|Anticholesteremic Agents/*therapeutic use[MESH]|Apolipoprotein A-I/blood[MESH]|Apolipoproteins B/blood[MESH]|Azetidines/*therapeutic use[MESH]|Cholesterol, HDL/blood[MESH]|Cholesterol, LDL/blood[MESH]|Dyslipidemias/*drug therapy[MESH]|Ezetimibe[MESH]|Female[MESH]|Humans[MESH]|Hypercholesterolemia/*drug therapy[MESH]|Male[MESH]|Middle Aged[MESH]|Prospective Studies[MESH] |