Please use this identifier to cite or link to this item: https://olympias.lib.uoi.gr/jspui/handle/123456789/23694
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dc.contributor.authorAthyros, V. G.en
dc.contributor.authorGanotakis, E.en
dc.contributor.authorKolovou, G. D.en
dc.contributor.authorNicolaou, V.en
dc.contributor.authorAchimastos, A.en
dc.contributor.authorBilianou, E.en
dc.contributor.authorAlexandrides, T.en
dc.contributor.authorKaragiannis, A.en
dc.contributor.authorPaletas, K.en
dc.contributor.authorLiberopoulos, E. N.en
dc.contributor.authorTziomalos, K.en
dc.contributor.authorPetridis, D.en
dc.contributor.authorKakafika, A.en
dc.contributor.authorElisaf, M. S.en
dc.contributor.authorMikhailidis, D. P.en
dc.date.accessioned2015-11-24T19:35:18Z-
dc.date.available2015-11-24T19:35:18Z-
dc.identifier.issn1875-6212-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/23694-
dc.rightsDefault Licence-
dc.subjectAgeden
dc.subjectCardiovascular Diseases/etiology/*prevention & controlen
dc.subjectCholesterol, LDL/blood/*drug effectsen
dc.subjectFemaleen
dc.subjectFollow-Up Studiesen
dc.subjectHeptanoic Acids/*therapeutic useen
dc.subjectHumansen
dc.subjectHydroxymethylglutaryl-CoA Reductase Inhibitors/therapeutic useen
dc.subjectMaleen
dc.subjectMetabolic Syndrome X/complications/*drug therapyen
dc.subjectMiddle Ageden
dc.subjectProspective Studiesen
dc.subjectPyrroles/*therapeutic useen
dc.subjectRisk Factorsen
dc.subjectSex Factorsen
dc.titleAssessing the treatment effect in metabolic syndrome without perceptible diabetes (ATTEMPT): a prospective-randomized study in middle aged men and womenen
heal.typejournalArticle-
heal.type.enJournal articleen
heal.type.elΆρθρο Περιοδικούel
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/21476961-
heal.languageen-
heal.accesscampus-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.publicationDate2011-
heal.abstractAIM: To assess the reduction in estimated cardiovascular disease (e-CVD) risk after multifactorial treatment for 6 months and follow this change during the next 3-years. PATIENTS-METHODS: This prospective, randomized, target driven study included 1,123 subjects (512/611 men/women, aged 45-65 years) with metabolic syndrome (MetS) without diabetes or CVD referred to specialist outpatient clinics. Patients were randomized to two treatment groups: group A with low density lipoprotein cholesterol (LDL-C) target of < 100 mg/dl and group B with a target of < 130 mg/dl. Atorvastatin was used in both groups on top of optimal multifactorial treatment, (quinapril, amlodipine, hydrochlorothiazide for hypertension, metformin for impaired fasting glucose, and orlistat for obesity). The e-CVD risk was calculated using the Framingham, the PROCAM and Reynold's equations. RESULTS: Reductions in e-CVD risk at 6 months were > 50%in all patients, but were superior in group A and in women. Reductions were even greater during the next 3-years and were mainly attributed to changes in lipid profile. Actual CVD events were 1 in group A and 13 in group B; p=0.0012. CONCLUSIONS: Attaining the treatment target of LDL-C < 100 mg/dl within multifactorial treatment of MetS by expert clinics, is achievable and beneficial even in patients without diabetes or known CVD. This induces a considerable e-CVD risk reduction in MetS patients. Actual CVD events were negligible, suggesting that e-CVD risk overestimates actual CVD risk in MetS, at least in patients achieving LDL-C < 100 mg/dl [ClinicalTrials.gov ID: NCT00416741].en
heal.journalNameCurr Vasc Pharmacolen
heal.journalTypepeer-reviewed-
heal.fullTextAvailabilityTRUE-
Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά) - ΙΑΤ

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