Evidence map›Paper›PMID 27788233›Full record

ArticlePloS one2016

The Predictive Role of Serum Triglyceride to High-Density Lipoprotein Cholesterol Ratio According to Renal Function in Patients with Acute Myocardial Infarction.

Jin Sug Kim, Weon Kim, Jong Shin Woo, Tae Won Lee, Chun Gyoo Ihm, Yang Gyoon Kim, Joo Young Moon, Sang Ho Lee, Myung Ho Jeong, Kyung Hwan Jeong and 1 more

Abstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Jin Sug KimDepartment of Medicine, Graduate School, Kyung Hee University, Seoul, Republic of Korea.
Weon KimDivision of Cardiology, Department of Internal Medicine, School of Medicine, Kyung Hee University, Seoul, Republic of Korea.
Jong Shin WooDivision of Cardiology, Department of Internal Medicine, School of Medicine, Kyung Hee University, Seoul, Republic of Korea.
Tae Won LeeDivision of Nephrology, Department of Internal Medicine, School of Medicine, Kyung Hee University, Seoul, Republic of Korea.
Chun Gyoo IhmDivision of Nephrology, Department of Internal Medicine, School of Medicine, Kyung Hee University, Seoul, Republic of Korea.
Yang Gyoon KimDivision of Nephrology, Department of Internal Medicine, School of Medicine, Kyung Hee University, Seoul, Republic of Korea.
Joo Young MoonDivision of Nephrology, Department of Internal Medicine, School of Medicine, Kyung Hee University, Seoul, Republic of Korea.
Sang Ho LeeDivision of Nephrology, Department of Internal Medicine, School of Medicine, Kyung Hee University, Seoul, Republic of Korea.
Myung Ho JeongDivision of Cardiology, Department of Medicine, Chonnam National University Hospital, Gwangju, Republic of Korea.
Kyung Hwan JeongDivision of Nephrology, Department of Internal Medicine, School of Medicine, Kyung Hee University, Seoul, Republic of Korea.
Korea Acute Myocardial Infarction Registry Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveA high serum triglyceride to high-density lipoprotein cholesterol (TG/HDL-C) ratio has been reported as an independent predictor for cardiovascular events in the general population. However, the prognostic value of this ratio in patients with renal dysfunction is unclear. We examined the association of the TG/HDL-C ratio with major adverse cardiovascular events (MACEs) according to renal function in patients with acute myocardial infarction (AMI).

methodThis study was based on the Korea Acute Myocardial Infarction Registry database. Of 13,897 patients who were diagnosed with AMI, the study population included the 7,016 patients with available TG/HDL-C ratio data. Patients were stratified into three groups according to their estimated glomerular filtration rate (eGFR), and the TG/HDL-C ratio was categorized into tertiles. We investigated 12-month MACEs, which included cardiac death, myocardial infarction, and repeated percutaneous coronary intervention or coronary artery bypass grafting.

resultsDuring the 12-month follow up period, 593 patients experienced MACEs. There was a significant association between the TG/HDL-C ratio and MACEs (p<0.001) in the entire study cohort. Having a TG/HDL-C ratio value in the highest tertile of TG/HDL-C ratio was an independent factor associated with increased risk of MACEs (hazard ratio [HR], 1.56; 95% confidence interval [CI], 1.26-1.93; p<0.001). Then we performed subgroup analyses according to renal function. In patients with normal renal function (eGFR ≥ 90 ml/min/1.73m2) and mild renal dysfunction (eGFR ≥ 60 to < 90ml/min/1.73m2), a higher TG/HDL-C ratio was significantly associated with increased risk of MACEs (HR, 1.64; 95% CI, 1.04-2.60; p = 0.035; and HR, 1.56; 95% CI, 1.14-2.12; p = 0.005, respectively). However, in patients with moderate renal dysfunction (eGFR < 60 ml/min/1.73m2), TG/HDL-C ratio lost its predictive value on the risk of MACEs (HR, 1.23; 95% CI, 0.82-1.83; p = 0.317).

conclusionsIn patients with AMI, TG/HDL-C ratio is a useful independent predictor of 12-month MACEs. However, this ratio does not have predictive power in patients with moderate renal dysfunction.

Indexed as

Acute DiseaseAgedCholesterol, HDLFemaleHumansKidneyMaleMiddle AgedMyocardial InfarctionPrognosisTriglyceridesCholesterol, HDLTriglycerides

Identifiers

PMID27788233
PMCPMC5082929

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.