Emerging LDL therapies: Mipomersen-antisense oligonucleotide therapy in the management of hypercholesterolemiaPeter P Toth
CGH Medical Center, Sterling, IL 61081 and Department of Family and Community Medicine, University of Illinois School of Medicine, Peoria, IL 61605 USA Electronic address
J Clin Lipidol 7:S6-S10. 2013
..Available data regarding the efficacy, safety and tolerability of mipomersen, including results at up to 104 weeks of therapy, support the use of mipomersen for the treatment of FH...
The impact of serum lipids on risk for microangiopathy in patients with type 2 diabetes mellitusPeter P Toth
CGH Medical Center, 101 East Miller Rd, Sterling, IL, 61081, USA
Cardiovasc Diabetol 11:109. 2012
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Prevalence of lipid abnormalities in the United States: the National Health and Nutrition Examination Survey 2003-2006Peter P Toth
Department of Family and Community Medicine, University of Illinois School of Medicine, Peoria, IL, USA
J Clin Lipidol 6:325-30. 2012
..Despite national lipid guidelines, the prevalence of these abnormal lipid parameters alone or in combination (mixed dyslipidemia) is not well recognized...
Epicardial steatosis, insulin resistance, and coronary artery diseasePeter P Toth
CGH Medical Center, 101 East Miller Road, Sterling, IL 61081, USA
Heart Fail Clin 8:671-8. 2012
..This article explores such associations from biochemical and structural standpoints, focusing on changes in epicardial adiposity...
Effective management of the type 2 diabetes patient with cardiovascular and renal disease: secondary prevention strategies after a myocardial infarctionPeter P Toth
Preventive Cardiology, CGH Medical Center, Sterling, IL 61081, USA
Curr Diabetes Rev 8:219-28. 2012
..This comprehensive approach helps to maximize both the likelihood of reaching treatment targets for blood glucose, blood pressure, and serum lipids, and reducing the long-term risk of diabetes-related morbidity and mortality...
Changes in prescription patterns before and after reporting of the Ezetimibe and Simvastatin in Hypercholesterolemia Enhances Atherosclerosis Regression trial (ENHANCE) results and expected effects on low-density lipoprotein-cholesterol reductionPeter P Toth
CGH Medical Center and University of Illinois College of Medicine, 101 East Miller Road, Sterling, IL 61081, USA
J Clin Lipidol 6:180-91. 2012
..Recent trends suggest a decreased use of ezetimibe/simvastatin combination and coadministered ezetimibe plus statin therapies...
Niacin extended-release/simvastatin combination therapy produces larger favorable changes in high-density lipoprotein particles than atorvastatin monotherapyPeter P Toth
Department of Family and Community Medicine, University of Illinois College of Medicine, Peoria, CGH Medical Center, 101 East Miller Road, Sterling, IL 61081, USA
Vasc Health Risk Manag 8:39-44. 2012
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Niacin and fibrate use among patients with high triglycerides and low high-density lipoprotein cholesterolPeter P Toth
Sterling Rock Falls Clinic, Sterling, IL 61081, USA
Curr Med Res Opin 25:1355-63. 2009
..Niacin and fibrates have been shown in clinical trials to be effective as adjunctive therapy for these lipid abnormalities...
SPARCL: the glimmer of statins for stroke risk reductionAnnemarie Armani
Sterling Rock Falls Clinic, 101 East Miller Road, Sterling, IL 61081, USA
Curr Atheroscler Rep 9:347-51. 2007
..Patients with a history of stroke should be treated much more aggressively with statin therapy in order to more optimally reduce risk for stroke recurrence...
When high is low: raising low levels of high-density lipoprotein cholesterolPeter P Toth
Preventive Cardiology, Sterling Rock Falls Clinic, Ltd, 101 East Miller Road, Sterling, IL 61081, USA
Curr Cardiol Rep 10:488-96. 2008
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Ezetimibe therapy: mechanism of action and clinical updateBinh An P Phan
Division of Cardiology, Loyola University Medical Center, Maywood, IL, USA
Vasc Health Risk Manag 8:415-27. 2012
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The role of statins in managing diabetic dyslipidemiaPeter P Toth
Sterling Rock Falls Clinic, Ltd, Sterling, Illinois, USA
J Fam Pract 59:S23-9. 2010
..Strategies must be implemented to improve the quality of care for these patients who are at high risk for a primary or secondary CV event...
Novel therapies for increasing serum levels of HDLPeter P Toth
Sterling Rock Falls Clinic, Ltd, 101 East Miller Road, Sterling, IL 61081, USA
Endocrinol Metab Clin North Am 38:151-70. 2009
..This article discusses the development of newer treatments targeted at raising HDL-C and HDL particle numbers to reduce residual risk in patients at risk for CHD...
Drug therapy for hypertriglyceridemia: fibrates and omega-3 fatty acidsPeter P Toth
Sterling Rock Falls Clinic, 101 East Miller Road, Sterling, IL 61081, USA
Curr Atheroscler Rep 11:71-9. 2009
..A variety of prospective, placebo-controlled clinical trials have also shown that these agents significantly impact risk for multiple cardiovascular end points...
An urgent matter-identifying your patients' cardiovascular risk and improving their outcomes. CommentaryPeter P Toth
Department of Family and Community Medicine, University of Illinois School of Medicine, Peoria, USA
J Fam Pract 58:S41-3. 2009
..Unfortunately, for most patients, CHD is not diagnosed during routine screening. Rather, the diagnosis of CHD often is made only after symptoms occur, or when the patient is evaluated incidentally for another health problem...
High-dose statin therapy: benefits and safety in aggressive lipid loweringPeter P Toth
Department of Family and Community Medicine, University of Illinois School of Medicine, Peoria, Illinois, USA
J Fam Pract 57:S29-36. 2008
High-density lipoproteins: marker of cardiovascular risk and therapeutic targetPeter P Toth
Sterling Rock Falls Clinic, 101 East Miller Road, Sterling, IL 61081, USA
J Clin Lipidol 4:359-64. 2010
..These drugs exploit a diverse range of mechanisms with potential for beneficially impacting the development and progression of atherosclerotic disease...
Cholesterol absorption blockade with ezetimibePeter P Toth
Director of Preventive Cardiology, Sterling Rock Falls Clinic, Illinois, University of Illnois School of Medicine, Peoria, 61081, USA
Curr Drug Targets Cardiovasc Haematol Disord 5:455-62. 2005
..Ezetimibe is indicated in the management of hyperlipidemia, familial hypercholesterolemia, and sitosterolemia and significantly increases the percentage of patients able to reach their lipid-lowering goals...
Fibrate therapy in the management of diabetic dyslipidemia: there is no ACCORD to be foundPeter P Toth
Sterling Rock Falls Clinic, 101 East Miller Road, Sterling, IL 61081, USA
Curr Atheroscler Rep 12:331-5. 2010
..The Action to Control Cardiovascular Risk in Diabetes (ACCORD) trial suggests that the addition of fenofibrate to ongoing statin therapy in patients with type 2 diabetes mellitus offers limited benefit...
Dyslipidemia treatment of patients with diabetes mellitus in a US managed care plan: a retrospective database analysisPeter P Toth
Sterling Rock Falls Clinic, Sterling, IL, USA
Cardiovasc Diabetol 8:26. 2009
..To evaluate real-world pharmacologic treatment of mixed dyslipidemia in patients with diabetes mellitus (DM)...
Lipid therapy utilization rates in a managed-care mixed dyslipidemia populationPeter P Toth
Sterling Rock Falls Clinic, 101 E Miller Road, Sterling IL 61081, USA, University of Illinois College of Medicine Peoria, IL, USA and Southern Illinois University School of Medicine Springfield, Illinois
J Clin Lipidol 2:365-74. 2008
..National clinical treatment guidelines recommend pharmacologic treatment in addition to therapeutic lifestyle modifications in patients with mixed dyslipidemia and multiple risk factors for coronary heart disease (CHD)...
Simvastatin plus ezetimibe: combination therapy for the management of dyslipidaemiaPeter P Toth
Sterling Rock Falls Clinic, Sterling, Illinois, USA
Expert Opin Pharmacother 6:131-9. 2005
..This combination increases the likelihood of therapeutic success in patients with dyslipidaemia...
Pharmacomodulation of high-density lipoprotein metabolism as a therapeutic intervention for atherosclerotic diseasePeter P Toth
Sterling Rock Falls Clinic, 101 East Miller Road, Sterling, IL 61081, USA
Curr Cardiol Rep 12:481-7. 2010
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Drug treatment of hyperlipidaemia: a guide to the rational use of lipid-lowering drugsPeter P Toth
Preventive Cardiology, Sterling Rock Falls Clinic, Sterling, Illinois 61081, USA
Drugs 70:1363-79. 2010
..Fibrates, niacin and omega-3 fish oils are efficacious therapies for reducing serum triglycerides. Combinations of these drugs are frequently required for normalizing mixed forms of dyslipidaemia...
CETP Inhibition: does the future look promising?Peter P Toth
Director of Preventive Cardiology, Sterling Rock Falls Clinic, IL 61081, USA
Curr Cardiol Rep 13:559-65. 2011
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The CARDS trial: diabetic patients dealt a winning handAnnemarie Armani
Sterling Rock Falls Clinic, 101 East Miller Road, Sterling, IL 61081, USA
Curr Atheroscler Rep 8:429-32. 2006
..Benefit emerged within 1 year of initiating therapy...
New insights in the treatment of dyslipidemia: a focus on cardiovascular event reduction and the anti-atherosclerotic effects of atorvastatinPeter P Toth
Sterling Rock Falls Clinic, Sterling, IL 61081, USA
Curr Atheroscler Rep 7:335-43. 2005
..Additional studies with atorvastatin are underway to further explore the extent to which statins can provide cardiovascular benefits...
Reducing cardiovascular risk by targeting high-density lipoprotein cholesterolPeter P Toth
Sterling Rock Falls Clinic, 101 East Miller Road, Sterling, IL 61081, USA
Curr Atheroscler Rep 9:81-8. 2007
..Combining new HDL cholesterol-elevating agents with existing LDL cholesterol-lowering agents may improve the cardiovascular risk reductions currently attainable...
Cardiology patient page. The "good cholesterol": high-density lipoproteinPeter P Toth
University of Illinois School of Medicine, Peoria, USA
Circulation 111:e89-91. 2005
The potential role of prasugrel in secondary prevention of ischemic events in patients with acute coronary syndromesPeter P Toth
Department of Family and Community Medicine, University of Illinois School of Medicine, Peoria, IL, USA
Postgrad Med 121:59-72. 2009
..Patients with a history of transient ischemic attack or stroke should not receive prasugrel + aspirin because of increased risk of events...
Antisense therapy and emerging applications for the management of dyslipidemiaPeter P Toth
Department of Preventive Cardiology, CGH Medical Center, Sterling, IL, USA
J Clin Lipidol 5:441-9. 2011
..One alternative approach, antisense therapy, may offer an effective and well-tolerated option for patients not satisfactorily responsive to or intolerant to standard pharmacologic dyslipidemia therapies...
Should we target HDL cholesterol level in lowering cardiovascular risk?Peter P Toth
Preventive Cardiology, Sterling Rock Falls Clinic, Sterling, IL 61081, USA
Pol Arch Med Wewn 119:667-72. 2009
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Lipoprotein-associated phospholipase A2: role in atherosclerosis and utility as a cardiovascular biomarkerPeter P Toth
Sterling Rock Falls Clinic, 101 East Miller Road, Sterling, IL 61081, USA
Expert Rev Cardiovasc Ther 8:425-38. 2010
..In addition to substantially inhibiting Lp-PLA(2), darapladib reduces the progression of the necrotic core volume of coronary artery atheromatous plaque...
Expert commentary: gastrointestinally active lipid-lowering drug safetyPeter P Toth
Sterling Rock Falls Clinic, Ltd, Sterling, Illinois 61081, USA
Am J Cardiol 99:56C-58C. 2007
Linagliptin: a new DPP-4 inhibitor for the treatment of type 2 diabetes mellitusPeter P Toth
Sterling Rock Falls Clinic, Sterling, IL 61081, USA
Postgrad Med 123:46-53. 2011
..6% to 0.8%, with a safety profile comparable with placebo. This article provides a review of linagliptin clinical data for primary care physicians treating patients with type 2 diabetes mellitus...
Commonly used muscle relaxant therapies for acute low back pain: a review of carisoprodol, cyclobenzaprine hydrochloride, and metaxalonePeter P Toth
Department of Family and Community Medicine, University of Illinois School of Medicine, Peoria, USA
Clin Ther 26:1355-67. 2004
..Low back pain is a leading reason for primary care visits. Many treatment options are available, but some lack scientific support...
Is the future of statins aligned with new novel lipid modulation therapies?Binh An P Phan
Loyola University Chicago Stritch School of Medicine, Loyola University Medical Center, 2160 S First Avenue, Bldg 110, Rm 6221, Maywood, IL 60153, USA
Curr Atheroscler Rep 15:300. 2013
..Although statin therapy is the current recommended primary treatment for dyslipidemia, emerging novel agents may become adjuvant therapies in the treatment of atherosclerotic heart disease...
Practical management of anticoagulants in family medicine after orthopedic surgeryPeter P Toth
CGH Medical Center, Sterling, IL 61081, USA
Postgrad Med 124:206-14. 2012
..This article examines the clinical evidence for benefits of the new oral anticoagulants, discusses caveats regarding their appropriate use, and provides some guidance regarding bleeding management with these agents...
Pleiotropic effects of angiotensin receptor blockers: addressing comorbidities by optimizing hypertension therapyPeter P Toth
Department of Preventive Cardiology, Sterling Rock Falls Clinic, Sterling, IL 61081, USA
J Clin Hypertens (Greenwich) 13:42-51. 2011
..This review also identifies some potentially important differences in the mechanism of action between ARBs and angiotensin-converting enzyme inhibitors that may have clinical significance in the management of vascular diseases...
An urgent matter-identifying your patients' cardiovascular risk and improving their outcomes. Atherosclerosis: the underlying diseasePeter P Toth
Department of Family and Community Medicine, University of Illinois School of Medicine, Peoria, USA
J Fam Pract 58:S19-25. 2009
..The text and figures that follow will review new developments in our understanding of the pathogenesis of atherosclerosis and new ways that changes in atherosclerotic plaque size and volume can be measured...
Clinical characterization and molecular mechanisms of statin myopathyPeter P Toth
Sterling Rock Falls Clinic, Ltd, 101 East Miller Road, Sterling, IL 61081, USA
Expert Rev Cardiovasc Ther 6:955-69. 2008
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High-density lipoprotein as a therapeutic target: clinical evidence and treatment strategiesPeter P Toth
Sterling Rock Falls Clinic, Sterling, Illinois 61081 1252, USA
Am J Cardiol 96:50K-58K; discussion 34K-35K. 2005
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Thienopyridine therapy and risk for cardiovascular events in secondary preventionPeter P Toth
Sterling Rock Falls Clinic, Sterling, IL 61081, USA
Curr Atheroscler Rep 11:364-70. 2009
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Therapeutic interventions targeted at the augmentation of reverse cholesterol transportPeter P Toth
Sterling Rock Falls Clinic, Sterling, Illinois 61081, USA
Curr Opin Cardiol 19:374-9. 2004
..This review summarizes the pathway of RCT and the currently available means by which investigators are attempting to modulate HDL levels and increase rates of RCT...
Drug safety evaluation of rosuvastatinPeter P Toth
University of Illinois College of Medicine, CGH Medical Center, Sterling, Peoria, IL, USA
Expert Opin Drug Saf 10:969-86. 2011
..Care must be taken to reduce the dose of rosuvastatin in patients of Asian ancestry or with stage IV chronic kidney disease (severe renal insufficiency), as well as patients being treated with protease inhibitors or cyclosporine...