Risk Categorization Using New American College of Cardiology/American Heart Association Guidelines for Cholesterol Management and Its Relation to Alirocumab Treatment Following Acute Coronary Syndromes

Matthew T Roe; Qian H Li; Deepak L Bhatt; Vera A Bittner; Rafael Diaz; Shaun G Goodman; Robert A Harrington; J Wouter Jukema; Patricio Lopez-Jaramillo; Renato D Lopes; Michael J Louie; Patrick M Moriarty; Michael Szarek; Robert Vogel; Harvey D White; Andreas M Zeiher; Marie T Baccara-Dinet; Ph Gabriel Steg; Gregory G Schwartz; Pierluigi Tricoci; Kenneth W Mahaffey; Jay M Edelberg; Corinne Hanotin; Guillaume Lecorps; Angele Moryusef; Robert Pordy; William J Sasiela; Jean-Francois Tamby; Philip E Aylward; Heinz Drexel; Peter Sinnaeve; Mirza Dilic; Nina N Gotcheva; Juan-Carlos Prieto; Huo Yong; Ivan Pecin; Zeljko Reiner; Petr Ostadal; Steen Hvitfeldt Poulsen; Margus Viigimaa; Markku S Nieminen; Nicolas Danchin; Vakhtang Chumburidze; Nikolaus Marx; Evangelos Liberopoulos; Pablo Carlos Montenegro Valdovinos; Hung-Fat Tse; Robert Gabor Kiss; Denis Xavier; Doron Zahger; Marco Valgimigli; Takeshi Kimura; Hyo Soo Kim; Sang-Hyun Kim; Sasko Kedev; Andrejs Erglis; Aleksandras Laucevicius; Khalid Yusoff; 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doi:10.1161/CIRCULATIONAHA.119.042551

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Risk Categorization Using New American College of Cardiology/American Heart Association Guidelines for Cholesterol Management and Its Relation to Alirocumab Treatment Following Acute Coronary Syndromes

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Risk Categorization Using New American College of Cardiology/American Heart Association Guidelines for Cholesterol Management and Its Relation to Alirocumab Treatment Following Acute Coronary Syndromes

Matthew T Roe, Qian H Li, Deepak L Bhatt, Vera A Bittner, Rafael Diaz, Shaun G Goodman, Robert A Harrington, J Wouter Jukema, Patricio Lopez-Jaramillo, Renato D Lopes, …

11/05/2019

DOI: https://doi.org/10.1161/CIRCULATIONAHA.119.042551

Abstract

acute coronary syndrome

ADDING EZETIMIBE

alirocumab

BENEFIT

Cardiac & Cardiovascular Systems

CARDIOVASCULAR OUTCOMES

Cardiovascular System & Cardiology

dyslipidemias

EVENTS

guideline

Life Sciences & Biomedicine

PCSK9

Peripheral Vascular Disease

Science & Technology

STATIN THERAPY

BACKGROUND: The 2018 US cholesterol management guidelines recommend additional lipid-lowering therapies for secondary prevention in patients with low-density lipoprotein cholesterol ≥70 mg/dL or non-high-density lipoprotein cholesterol ≥100 mg/dL despite maximum tolerated statin therapy. Such patients are considered at very high risk (VHR) based on a history of >1 major atherosclerotic cardiovascular disease (ASCVD) event or a single ASCVD event and multiple high-risk conditions. We investigated the association of US guideline-defined risk categories with the occurrence of ischemic events after acute coronary syndrome and reduction of those events by alirocumab, a PCSK9 (proprotein convertase subtilisin/kexin type 9) inhibitor. METHODS: In the ODYSSEY OUTCOMES trial (Evaluation of Cardiovascular Outcomes After an Acute Coronary Syndrome During Treatment With Alirocumab), patients with recent acute coronary syndrome and residual dyslipidemia despite optimal statin therapy were randomly assigned to alirocumab or placebo. The primary trial outcome (major adverse cardiovascular events, ie, coronary heart disease death, nonfatal myocardial infarction, ischemic stroke, or hospitalization for unstable angina) was examined according to American College of Cardiology/American Heart Association risk category. RESULTS: Of 18 924 participants followed for a median of 2.8 years, 11 935 (63.1%) were classified as VHR: 4450 (37.3%) had multiple prior ASCVD events and 7485 (62.7%) had 1 major ASCVD event and multiple high-risk conditions. Major adverse cardiovascular events occurred in 14.4% of placebo-treated patients at VHR versus 5.6% of those not at VHR. In the VHR category, major adverse cardiovascular events occurred in 20.4% with multiple prior ASCVD events versus 10.7% with 1 ASCVD event and multiple high-risk conditions. Alirocumab was associated with consistent relative risk reductions in both risk categories (hazard ratio=0.84 for VHR; hazard ratio=0.86 for not VHR; Pinteraction=0.820) and by stratification within the VHR group (hazard ratio=0.86 for multiple prior ASCVD events; hazard ratio=0.82 for 1 major ASCVD event and multiple high-risk conditions; Pinteraction=0.672). The absolute risk reduction for major adverse cardiovascular events with alirocumab was numerically greater (but not statistically different) in the VHR group versus those not at VHR (2.1% versus 0.8%; Pinteraction=0.095) and among patients at VHR with multiple prior ASCVD events versus a single prior ASCVD event (2.4% versus 1.8%; Pinteraction=0.661). CONCLUSIONS: The US guideline criteria identify patients with recent acute coronary syndrome and dyslipidemia who are at VHR for recurrent ischemic events and who may derive a larger absolute benefit from treatment with alirocumab. CLINICAL TRIAL REGISTRATION: URL: https://www.clinicaltrials.gov. Unique identifier: NCT01663402. status: published

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Title: Risk Categorization Using New American College of Cardiology/American Heart Association Guidelines for Cholesterol Management and Its Relation to Alirocumab Treatment Following Acute Coronary Syndromes
Creators: Matthew T Roe - Clinical Research Institute
Qian H Li - Regeneron
Deepak L Bhatt - Brigham and Women's Hospital
Vera A Bittner - University of Alabama at Birmingham
Rafael Diaz - Instituto Cardiovascular de Rosario
Shaun G Goodman - St. Michael's Hospital
Robert A Harrington - Stanford University
J Wouter Jukema - Leiden University Medical Center
Patricio Lopez-Jaramillo - Foscal Hospital
Renato D Lopes - Clinical Research Institute
Michael J Louie - Regeneron
Patrick M Moriarty - University of Kansas Medical Center
Michael Szarek - SUNY Downstate Medical Center
Robert Vogel - University of Colorado Boulder
Harvey D White - Auckland City Hospital
Andreas M Zeiher - Goethe University Frankfurt
Marie T Baccara-Dinet - Sanofi
Ph Gabriel Steg
Gregory G Schwartz - University of Colorado Boulder
Pierluigi Tricoci
Kenneth W Mahaffey
Jay M Edelberg
Corinne Hanotin
Guillaume Lecorps
Angele Moryusef
Robert Pordy
William J Sasiela
Jean-Francois Tamby
Philip E Aylward
Heinz Drexel
Peter Sinnaeve
Mirza Dilic
Nina N Gotcheva
Juan-Carlos Prieto
Huo Yong
Ivan Pecin
Zeljko Reiner
Petr Ostadal
Steen Hvitfeldt Poulsen
Margus Viigimaa
Markku S Nieminen
Nicolas Danchin
Vakhtang Chumburidze
Nikolaus Marx
Evangelos Liberopoulos
Pablo Carlos Montenegro Valdovinos
Hung-Fat Tse
Robert Gabor Kiss
Denis Xavier
Doron Zahger
Marco Valgimigli
Takeshi Kimura
Hyo Soo Kim
Sang-Hyun Kim
Sasko Kedev
Andrejs Erglis
Aleksandras Laucevicius
Khalid Yusoff
Ramos Lopez
Gabriel Arturo Ramos Lopez
Marco Alings
Sigrun Halvorsen
Roger M Correa Flores
Rody G Sy
Andrzej Budaj
Joao Morais
Maria Dorobantu
Yuri Karpov
Arsen D Ristic
Terrance Chua
Jan Murin
Zlatko Fras
Anthony J Dalby
Jose Tunon
H Asita de Silva
Emil Hagstrom
Christian Muller
Chern-En Chiang
Piyamitr Sritara
Sema Guneri
Alexander Parkhomenko
Kausik K Ray
Bernard Chaitman
Sheryl F Kelsey
Anders G Olsson
Jean-Lucien Rouleau
Maarten L Simoons
Karen Alexander
Chiara Meloni
Robert Rosenson
Eric JG Sijbrands
John H Alexander
Luciana Armaganijan
Akshay Bagai
Maria Cecilia Bahit
J Matthew Brennan
Shaun Clifton
Adam D DeVore
Shalonda Deloatch
Sheila Dickey
Keith Dombrowski
Gregory Ducrocq
Zubin Eapen
Patricia Endsley
Arleen Eppinger
Robert W Harrison
Connie Ng Hess
Mark A Hlatky
Joseph Dedrick Jordan
Joshua W Knowles
Bradley J Kolls
David F Kong
Sergio Leonardi
Linda Lillis
David J Maron
Jill Marcus
Robin Mathews
Rajendra H Mehta
Robert J Mentz
Humberto Graner Moreira
Chetan B Patel
Sabrina Bernardez Pereira
Lynn Perkins
Thomas J Povsic
Etienne Puymirat
William Schuyler Jones
Bimal R Shah
Matthew W Sherwood
Kenya Stringfellow
Darin Sujjavanich
Mustafa Toma
Sean FP Van Diepen
Matthew D Wilson
Andrew Tze-Kay Yan
Charlene Trotter
Lilia B Schiavi
Marcelo Garrido
Andres F Alvarisqueta
Sonia A Sassone
Anselmo P Bordonava
Alberto E Alves De Lima
Jorge M Schmidberg
Ernesto A Duronto
Orlando C Caruso
Leonardo P Novaretto
Miguel Angel Hominal
Oscar R Montana
Alberto Caccavo
Oscar A Gomez Vilamajo
Alberto J Lorenzatti
Luis R Cartasegna
Gustavo A Paterlini
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Guillermo D Caime
Marcos Amuchastegui
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Oscar R Codutti
Horacio O Jure
Julio OE Bono
Adrian D Hrabar
Julio A Vallejos
Rodolfo A Ahuad Guerrero
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Horacio G Cestari
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Jorge A Giordano
Silvia S Saavedra
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Philip Roberts-Thomson
Owen Raffel
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Constantine Aroney
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Paul J Garrahy
Gregory Starmer
Mark Sader
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Ronald Dick
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Kurt Huber
Rudolf Berger
Franz Weidinger
Dirk Faes
Kurt Hermans
Bruno Pirenne
Attilio Leone
Etienne Hoffer
Mathias CM Vrolix
Luc De Wolf
Bart Wollaert
Marc Castadot
Karl Dujardin
Christophe Beauloye
Geert Vervoort
Harry Striekwold
Carl Convens
John Roosen
Emanuele Barbato
Marc Claeys
Frank Cools
Ibrahim Terzic
Fahir Barakovic
Zlatko Midzic
Belma Pojskic
Emir Fazlibegovic
Azra Durak-Nalbantic
Dusko Vulic
Adis Muslibegovic
Boris Goronja
Gilmar Reis
Luciano Sousa
Jose C Nicolau
Flavio E Giorgeto
Ricardo P Silva
Lilia Nigro Maia
Rafael Rech
Paulo RF Rossi
Maria Jose AG Cerqueira
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Jose Antonio M Abrantes
Pedro Pimentel Filho
Ana Priscila Soggia
Mayler ON de Santos
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Luiz C Bodanese
Yorghos L Michalaros
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Maria H Vidotti
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Roberto V Botelho
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Dalton B Precoma
Jose C Moura Jorge
Pedro GM de B Silva
Jose A Silveira
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Jose A Marin Neto
Gilson S Feitosa
Luiz Eduardo F Ritt
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Weimar KSB Souza
Helder JL Reis
Leandro Machado
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Fedya P Nikolov
Elena S Velcheva
Maria L Tzekova
Haralambi O Benov
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David Cleveland
Huynh Thao
Iqbal Bata
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Arnoldo Aguirre
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Lan Huang
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Xiaodong Li
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Baiming Qu
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Zuyi Yuan
Ying Guo
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Rohidas Borse
Srihari Das
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Shmuel Fuchs
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Zvi Vered
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Naveh Tov
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Nizar Elias
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Sergio Berti
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Vittorio Ricca
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Koichi Kishi
Ichiro Michishita
Hiroki Uehara
Toshinori Higashikata
Atsushi Hirayama
Keiji Hirooka
Satoru Sakagami
Shuichi Taguchi
Akihiro Koike
Hiroyuki Fujinaga
Shinji Koba
Ken Kozuma
Tomohiro Kawasaki
Yujiro Ono
Masatoshi Shimizu
Yousuke Katsuda
Atsuyuki Wada
Toshiro Shinke
Junya Ako
Kenshi Fujii
Toshiyuki Takahashi
Tomohiro Sakamoto
Yutaka Furukawa
Hiroshi Sugino
Toshiaki Mano
Noriaki Utsu
Kashima Ito
Takuya Haraguchi
Yasunori Ueda
Akira Nishibe
Kazuteru Fujimoto
Motomaru Masutani
Jung Han Yoon
Hun Sik Park
In-Ho Chae
Moo Hyun Kim
Myung Ho Jeong
Seungwoon Rha
Chongjin Kim
Hyo-Soo Kim
Taekjong Hong
Seung-Jea Tahk
Youngkwon Kim
Arija Busmane
Natalija Pontaga
Aldis Strelnieks
Iveta Mintale
Iveta Sime
Zaneta Petrulioniene
Roma Kavaliauskiene
Ruta Jurgaitiene
Gintare Sakalyte
Rimvydas Slapikas
Sigute Norkiene
Nerijus Misonis
Aleksandras Kibarskis
Raimondas Kubilius
Stojko Bojovski
Nensi Lozance
Aleksandar Kjovkaroski
Snezana Doncovska
Tiong Kiam Ong
Sazzli Kasim
Oteh Maskon
Balachandran Kandasamy
Houng B Liew
Wan Mohd Izani Wan Mohamed
Armando Garcia Castillo
Jorge Carrillo Calvillo
Pedro Fajardo Campos
Juan Carlos Nunez Fragoso
Edmundo Alfredo Bayram Llamas
Marco Antonio Alcocer Gamba
Jaime Carranza Madrigal
Luis Gerardo Gonzalez Salas
Enrique Lopez Rosas
Belinda Gonzalez Diaz
Eduardo Salcido Vazquez
Alfredo Nacoud Ackar
Guillermo Antonio Llamas Esperon
Carlos Rodolfo Martinez Sanchez
Maria Guerrero De Leon
Rodrigo Suarez Otero
Guillermo Fanghanel Salmon
Jesus Antonio Perez Rios
Jose Angel Garza Ruiz
Robert W Breedveld
Pieter AM Hoogslag
Harry Suryapranata
Antonius Oomen
Jacobijne J Wiersma
Ruud MA Van Der Wal
Pascalle S Hooft Van Huysduynen-Monraats
Ioannis Karalis
Gerardus JE Verdel
Bart RG Brueren
Roland PTh Troquay
Eric P Viergever
Nadea YY Al-Windy
Gerard L Bartels
Jan H Cornel
Walter RM Hermans
Johannes PR Herrman
Robert J Bos
Reginald GEJ Groutars
Coenraad C Van Der Zwaan
Refik Kaplan
Eelko Ronner
Bjorn E Groenemeijer
Patrick NA Bronzwaer
Anho AH Liem
Bernard JWM Rensing
Marcel JJA Bokern
Remco Nijmeijer
Ferry MRJ Hersbach
Frank F Willems
Antonius TM Gosselink
John Elliott
Gerard Wilkins
Raewyn Fisher
Douglas Scott
Hamish Hart
Ralph Stewart
Scott Harding
Ian Ternouth
Nicholas Fisher
Denise Aitken
Russell Anscombe
Laura Davidson
Tadeusz Tomala
Ottar Nygard
Jon Arne Sparby
Kjell Andersen
Lars Gullestad
Jarle Jortveit
Peter S Munk
Erlend Gyllensten Singsaas
Ulf Hurtig
Jorge R Calderon Ticona
Julio R Durand Velasquez
Sandra A Negron Miguel
Enrique S Sanabria Perez
Jesus M Carrion Chambilla
Carlos A Chavez Ayala
Reynaldo P Castillo Leon
Rolando J Vargas Gonzales
Jose D Hernandez Zuniga
Luis A Camacho Cosavalente
Jorge E Bravo Mannucci
Javier Heredia Landeo
Nassip C Llerena Navarro
Yudy M Roldan Concha
V-ctor E Rodriguez Chavez
Henry A Anchante Hernandez
Carlos A Zea Nunez
Walter Mogrovejo Ramos
Arthur Ferrolino
Rosa Allyn G Sy
Louie Tirador
Generoso Matiga
Raul Martin Coching
Alisa Bernan
Gregorio Rogelio
Dante D Morales
Edgar Tan
Dennis Jose Sulit
Adrian Wlodarczak
Krystyna Jaworska
Grzegorz Skonieczny
Lidia Pawlowicz
Pawel Wojewod
Benita Busz-Papiez
Janusz Bednarski
Aleksander Goch
Pawel Staneta
Elzbieta Dulak
Krzysztof Saminsk
Wlodzimierz Krasowski
Wanda Sudnik
Aleksander Zurakowski
Marcin Skorski
Roman Lysek
Beata Miklaszewicz
Jacek Kubica
Jan Andrzej Lipko
Edyta Kostarska-Srokosz
Marek Piepiorka
Anna Drzewiecka
Ryszard Sciborski
Arkadiusz Stasiewski
Tomasz Blicharski
Leszek Bystryk
Michal Szpajer
Marek Korol
Tomasz Czerski
Ewa Mirek-Bryniarska
Jacek Gniot
Andrzej Lubinski
Jerzy Gorny
Edward Franek
Grzegorz Raczak
Hanna Szwed
Pedro Monteiro
Jose Mesquita Bastos
Helder H Pereira
Dinis Martins
Filipe Seixo
Carlos Mendonca
Ana Botelho
Bogdan Minescu
Octavian Istratoaie
Dan N Tesloianu
Gabriel Cristian
Cristian GC Podoleanu
Mircea CA Constantinescu
Cristina M Bengus
Constantin Militaru
Doina Rosu
Irinel R Parepa
Adrian V Matei
Tom M Alexandru
Ioan Coman
Rodica Stanescu Cioranu
Doina Dimulescu
Yury Shvarts
Olga Orlikova
Zhanna Kobalava
Olga L Barbarash
Valentin Markov
Nadezhda Lyamina
Alexander Gordienko
Konstantin Zrazhevsky
Alexander Y Vishnevsky
Victor Gurevich
Raisa Stryuk
Nikita V Lomakin
Igor Bokarev
Sergey Shalaev
Larisa Khaisheva
Petr Chizhov
Inna Viktorova
Natalya Osokina
Evgenia Akatova
Galina Chumakova
Igor Libov
Mikhail I Voevoda
Tatyana V Tretyakova
Evgeny Baranov
Sergey Shustov
Sergey Yakushin
Ivan Gordeev
Niiaz Khasanov
Olga Reshetko
Tatiana Sotnikova
Olga Molchanova
Konstantin Nikolaev
Liudmila Gapon
Elena Baranova
Zaur Shogenov
Elena Kosmachova
Yuriy Karpov
Anton Povzun
Liudmila Egorova
Vadim V Tyrenko
Igor G Ivanov
Sergey Kanorsky
Dragan Simic
Nikola Ivanovic
Goran Davidovic
Nebojsa Tasic
Milika R Asanin
Stevo Stojic
Svetlana R Apostolovic
Stevan Ilic
Biljana Putnikovic
Aleksandar Stankovic
Aleksandra Arandjelovic
Slavica Radovanovic
Jovan Balinovac
Dragan V Dincic
Petar Seferovic
Slobodan Dodic
Sinisa Dimkovic
Kian-Keong Poh
Hean Yee Ong
Karol Micko
Jan Nociar
Daniel Pella
Peter Fulop
Marian Hranai
Juraj Palka
Juraj Mazur
Ivan Majercak
Andrej Dzupina
Frantisek Fazekas
Jozef Gonsorcik
Viliam Bugan
Juraj Selecky
Gabriel Kamensky
Jaroslava Strbova
Rudolf Smik
Andrej Dukat
Peter Olexa
Ivan Zuran
Janez Poklukar
Natasa Cerni Suligoj
Matija Cevc
Henry P Cyster
Naresh Ranjith
Clive Corbett
Junaid Bayat
Ellen Makoali Makotoko
Ilse E Kapp
Matthys M de V Basson
Hanlie Lottering
Louis J Van Zyl
Peter J Sebastian
Thayabran Pillay
Jan A Saaiman
Patrick J Commerford
Soraya Cassimjee
Iftikhar O Ebrahim
Mahomed Sarvan
Joseph H Mynhardt
Helmuth Reuter
Rajendran Moodley
Manuel Vida
Angel R Cequier Fillat
Vicente Bodi Peris
Francisco Fuentes Jimenez
Francisco Marin
Jose M Cruz Fernandez
Blas Gil-Extremera
Fernando Worner Diz
David Garcia-Dorado
Andres Iniguez
Jose Tunon Fernandez
Jose R Gonzalez-Juanatey
Javier Fernandez Portales
Fernando Civeira Murillo
Laia Matas Pericas
Jose Luis Zamorano
Manuel De Mora Martin
Jordi Bruguera Cortada
Joaquin J Alonso Martin
Jose R De Berrazueta Fernandez
Jose Francisco Diaz Fernandez
Jose Alberto Garcia Lledo
Juan Cosin Sales
Javier Botas Rodriguez
Gabriel Gusi Tragant
Amparo Benedicto
Carlos Gonzalez-Juanatey
Mercedes Camprubi Potau
Ignacio Plaza Perez
Cesar Moris De La Tassa
Pablo Loma-Osorio Rincon
Javier Balaguer Recena
Juan M Escudier
Antonio Coca Payeras
Norberto Alonso Orcajo
Pedro Valdivielso
Godwin Constantine
Ruvaiz Haniffa
Nirmali Tissera
Stanley Amarasekera
Nimali Fernando
Jayanthimala Jayawardena
Wijeyasingam Santharaj
Ruvan Ekanayaka
Sepalika Mendis
Vajira Senaratne
Gnanamoorthy Mayurathan
Thilak Sirisena
Ajantha Rajapaksha
Jagath I Herath
Naomali Amarasena
Stefan Berglund
Gundars Rasmanis
Nils Witt
Georgios Mourtzinis
Peter Nicol
Ole Hansen
Stefano Romeo
Steen Agergaard Jensen
Ingemar Torstensson
Ulf Ahremark
Torbjorn Sundelin
Tiziano Moccetti
Francois Mach
Ronald Binder
Wei-Chuan Tsai
Kwo-Chang Ueng
Wen-Ter Lai
Ming-En Liu
Juey-Jen Hwang
Wei-Hsian Yin
I-Chang Hsieh
Wei Hsiang Lin
Jen-Yuan Kuo
Tsuei-Yuan Huang
Chih-Yuan Fang
Pinij Kaewsuwanna
Wasant Soonfuang
Woravut Jintapakorn
Apichard Sukonthasarn
Nattawut Wongpraparut
Krisada Sastravaha
Nakarin Sansanayudh
Wirash Kehasukcharoen
Dilok Piyayotai
Paiboon Chotnoparatpat
Ahmet Camsari
Hakan Kultursay
Bulent Mutlu
Murat Ersanli
Mustafa Demirtas
Cevat Kirma
Ertan Ural
Lale Koldas
Oleksandr Karpenko
Alexander Prokhorov
Ihor Vakaluyk
Halyna Myshanych
Dmytro Reshotko
Valeriy Batushkin
Leonid Rudenko
Ihor Kovalskyi
Mykola Kushnir
Vira Tseluyko
Yuriy Mostovoy
Mykola Stanislavchuk
Yulian Kyiak
Yuriy Karpenko
Yaroslav Malynovsky
Andriy Klantsa
Oles Kutniy
Ekaterina Amosova
Viktor Tashchuk
Oleh Leshchuk
Mykola Rishko
Mykola Kopytsya
Andriy Yagensky
Mykola Vatutin
Andriy Bagriy
Olga M Barna
Olexiy Ushakov
Georgiy Dzyak
Borys Goloborodko
Anatolii Rudenko
Volodymyr Zheleznyy
Jasper Trevelyan
Azfar Zaman
Kaeng Lee
Andrew Moriarty
Rajesh K Aggarwal
Piers Clifford
Yuk-Ki Wong
Syed MR Iqbal
Eduardas Subkovas
Denise Braganza
David Sarkar
Robert Storey
Huw Griffiths
Sam Mcclure
Rangasamy Muthusamy
John Kurian
Terry Levy
Craig Barr
Honer Kadr
Robert Gerber
Audrius Simaitis
Handrean Soran
Anthony Mathur
Adrian Brodison
Richard Oliver
Telal Mudawi
Timothy Reynolds
David Sharman
Rob Butler
Peter Wilkinson
Gregory YH Lip
Julian Halcox
Gil Vardi
Duccio Baldari
David Brabham
Charles Treasure
Charles Dahl
Bruce Palmer
Alan Wiseman
Abul Khan
Sanjeev Puri
Ann Elizabeth Mohart
Carlos Ince
Enrique Flores
Scott Wright
Shi-Chi Cheng
Michael Rosenberg
William Rogers
Edward Kosinski
Les Forgosh
Jonathan Waltman
Misal Khan
Mohammad Shoukfeh
Georges Dagher
Ira Lieber
Priya Kumar
Cara East
Perry Krichmar
Lindsey White
Thomas Knickelbine
Thomas Haldis
Eve Gillespie
David Suh
Imran Arif
Faiq Akhter
Eric Carlson
Michael D'Urso
Fadi El-Ahdab
William Nelson
Barry Harris
Steven Cohen
Luther Carter
Kenneth Sabatino
Tariq Haddad
Amir Malik
Sunder Rao
Angel Mulkay
Ion Jovin
Kim Klancke
Vinay Malhotra
Sai K Devarapalli
Michael Koren
Harish Chandna
George Dodds
Matthew Janik
Joseph Moran
Andrew Sumner
John Kobayashi
William Davis
Shahram Yazdani
John Pasquini
Maitreya Thakkar
Amarnath Vedere
Wayne Leimbach
James Rider
Narendra Singh
Anil V Shah
Denise Janosik
Carl Pepine
Brett Berman
Joseph Gelormini
Christopher Daniels
Friederike Keating
Nicholas I Kondo
Sanjay Shetty
Winfried Waider
Theodore Takata
Mazen Abu-Fadel
Vipul Shah
Rahul Aggarwal
Mark Izzo
Anil Kumar
Brack Hattler
Chad Link
Anna Bortnick
George Kinzfogl
Arnold Ghitis
John Larry
Edward Teufel
Peter Kuhlman
Brent Mclaurin
Wenwu Zhang
Stephen Thew
Jalal Abbas
Matthew White
Nandkishore Ranadive
Christian Gring
David Henderson
Timothy Schuchard
Naim Farhat
Geoffrey Kline
Sharan Mahal
Jack Whitaker
Shawn Speirs
Rolf Andersen
Nizar Daboul
Phillip Horwitz
George Ponce
Zubair Jafar
Joseph Mcgarvey
Vipul Panchal
Stephen Voyce
Thomas Blok
William Sheldon
Masoud M Azizad
Carsten Schmalfuss
Mark Picone
William Herzog
Jason Lindsey
Rosemary Nowins
Norman Lepor
Mahfouz El Shahawy
Howard Weintraub
Anand Irimpen
Wade May
Thomas Galski
Alan Chu
Freny Mody
Zachary Hodes
Gregory Rose
James Fairlamb
Charles Lambert
Ajit Raisinghani
Antonio Abbate
Marilyn King
Charles Carey
Jaime Gerber
Liwa Younis
Hyeun Tom Park
Mladen Vidovich
Thomas Knutson
Dennis Friedman
Fred Chaleff
Arthur Loussararian
Phillip Rozeman
Carey Kimmelstiel
Kevin Silver
Malcolm Foster
Glen Tonnessen
Mohamadali Amlani
Andreas Wali
Christopher Malozzi
Keattiyoat Wattanakit
Philip J O'Donnell
Dinesh Singal
Naseem Jaffrani
Sridhar Banuru
Daniel Fisher
Mark Xenakis
Neal Perlmutter
Ravi Bhagwat
James Strader
Ayim Akyea-Djamson
Ajay Labroo
Kwan Lee
H John Marais
Edmund Claxton
Martin Berk
Peter Rossi
Parag Joshi
Ajit S Khaira
Greg Kumkumian
Steven Lupovitch
Joshua Purow
Stephen Welka
David Hoffman
Stuart Fischer
Eugene Soroka
Donald Eagerton
Samir Pancholy
Michael Ray
Michael Farrar
Stewart Pollock
William J French
Steve Diamantis
Lawrence Gimple
Mark Neustel
Steven Schwartz
Edward Pereira
Douglas Spriggs
Janet Strain
Anthony Vo
Majed Chane
Jason Hall
Nampalli Vijay
Kapildeo Lotun
F Martin Lester
Ahed Nahhas
Theodore Pope
Paul Nager
Rakesh Vohra
Riyaz Bashir
Hinan Ahmed
Michael Berlowitz
Robert Fishberg
Robert Barrucco
Eric Yang
Michael Radin
Daniel Sporn
Steven Eisenberg
Joel Landzberg
Martin Mcgough
Samir Turk
Michael Schwartz
P Sandy Sundram
Diwakar Jain
Mark Zainea
Carlos Bayron
Ronald Karlsberg
Henry Lui
William Keen
Donald Westerhausen
Sandeep Khurana
Himanshu Agarwal
Jessica Birchem
William Penny
Mark Chang
Sherrill Murphy
Branislav Schifferdecker
John M Gilbert
Gopal Chalavarya
Charles Eaton
John F Schmedtje
Stuart Christenson
Douglas Denham
Alexander Macdonell
Paul Gibson
Aref Rahman
Tammam Al Joundi
Gary Conrad
Purushotham Kotha
Michael Love
Gregory Giesler
Howard Rubenstein
Laura Akright
Justine Krawczyk
Terry Wells
James Welker
Robert Foster
Richard Gilmore
Jay Anderson
Douglas Jacoby
Bill Harris
Geraldine Gardner
Ramprasad Dandillaya
Kishor Vora
John Kostis
John Hunter
David Laxson
Eric Ball
Alan Camp
Renato Lopes - Clinical Research Institute
Flavia Egydio
Anelise Kawakami
Janaina Oliveira
Julianna Wozniak
Alexander Matthews
Caroline Ratky
Janine Valiris
Lisa Berdan
Anita Hepditch
Kirby Quintero
Tyrus Rorick
Melissa Westbrook
Andrea Pascual
Carla Rovito
Madeleine Bezault
Elodie Drouet
Tabassome Simon
Caroline Alsweiler
Anne Luyten
Phil Aylward
Julie Butters
Liddy Griffith
Michelle Shaw
Lena Grunberg
Shahidul Islam
Marie-France Bregeault
Nathalie Bougon
Douglas Faustino
Sylvie Fontecave
Judith Murphy
Melanie Verrier
Veronique Agnetti
Dorthe Andersen
Emmy Badreddine
Mhamed Bekkouche
Cecile Bouancheau
Imane Brigui
Maddy Brocklehurst
Joseph Cianciarulo
Dawn Devaul
Szilvia Domokos
Cecile Gache
Caroline Gobillot
Severine Guillou
Jan Healy
Megan Heath
Gayatri Jaiwal
Carine Javierre
Julien Labeirie
Myriam Monier
Ulises Morales
Asmaa Mrabti
Bicky Mthombeni
Betim Okan
Lucile Smith
Jennifer Sheller
Sebastien Sopena
Valerie Pellan
Fadela Benbernou
Nafissa Bengrait
Maud Lamoureux
Katarina Kralova
Michel Scemama
Raphael Bejuit
Anthony Coulange
Christelle Berthou
Jerome Repincay
Christelle Lorenzato
Alexis Etienne
Valerie Gouet
Virginie Loizeau
Mickael Normand
Anne Ourliac
Christelle Rondel
Antony Adamo
Pascale Beltran
Pauline Barraud
Helene Dubois-Gache
Benjamin Halle
Lamia Metwally
Maxime Mourgues
Marc Sotty
Marion Vincendet
Raluca Cotruta
Chengyue Zhu
Dominique Fournie-Lloret
Christine Morrello
Aurelie Perthuis
Patrick Picault
Isabelle Zobouyan
Publisher: LIPPINCOTT WILLIAMS & WILKINS
Identifiers: 991005956165102656
Academic Unit: Cardiology
Language: English
Resource Type: Journal article