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Residual risk and HDL-cholesterol
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Is There a Therapeutic Need
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Selecting ‘promising’ candidates
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HDL(-c) is ‘a mixed bag
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Many ways to increase HDL-c
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OutlineHDL-c and CV-protection
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Quantity versus Quality
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HDL Increases Cholesterol Flux
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Static versus Dynamic
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HDL protection beyond RCT
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HDL Improves Endothelial Function
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HDL: carrier or carrier-‘platform‘ ?
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Summary Iprotective mechanisms
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Epidemiology versus Genetics LDL vs HDL
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Summary IIEpidemiology vs Genetics
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‘Negative’ HDLc trials Revisited
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AIM HIGH
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AIM-HIGH
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ILLUMINATE
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Reasons for adverse outcome Torcetrapib
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Off-target effects of Torcetrapib
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Dal-OUTCOMES Trial
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Why did dalcetrapib fail
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Other CETP-Inhibitors
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Future
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Lessons HDLc-increasing trials
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Therapies on the Horizon
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Targeting cholesterol ‘flux’ by increasing ApoA-I
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Indications for ‘apo-AI/HDL infusables’
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Take Home:
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