Evidence map›Paper›PMID 29512093›Full record

Observational studyCardiology journal2019

Predictive and protective role of high-density lipoprotein cholesterol in acute myocardial infarction.

Jin Sup Park, Kwang Soo Cha, Hye Won Lee, Jun-Hyok Oh, Jung Hyun Choi, Han Cheol Lee, Taek Jong Hong, Myung Ho Jeong, Shung Chull Chae, Young Jo Kim

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Cardiology journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact, top 60% of its field
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

17 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. The impact of lipid metabolism on ferroptosis in myocardial ischemia-reperfusion injury.Apoptosis : an international journal on programmed cell death · 2025
    Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. [Atherogenic index and its association with acute coronary ischemic syndrome mortality].Revista medica del Instituto Mexicano del Seguro Social · 2023
    Observational
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
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

10 authors at 4 institutions in 1 country.

Jin Sup ParkDepartment of Cardiology, Pusan National University Hospital, Busan, South Korea.
Kwang Soo ChaDepartment of Cardiology, Pusan National University Hospital, Busan, South Korea. chakws1@hanmail.net.
Hye Won LeeDepartment of Cardiology, Pusan National University Hospital, Busan, South Korea.
Jun-Hyok OhDepartment of Cardiology, Pusan National University Hospital, Busan, South Korea.
Jung Hyun ChoiDepartment of Cardiology, Pusan National University Hospital, Busan, South Korea.
Han Cheol LeeDepartment of Cardiology, Pusan National University Hospital, Busan, South Korea.
Taek Jong HongDepartment of Cardiology, Pusan National University Hospital, Busan, South Korea.
Myung Ho JeongDepartment of Cardiology, Chonnam National University Hospital, Gwangju, South Korea.
Shung Chull ChaeDepartment of Cardiology, Kyungpook National University Hospital, Daegu, South Korea.
Young Jo KimDepartment of Cardiology, Yeungnam University Hospital, Daegu, South Korea.
Pusan National University Hospital · KRChonnam National University Hospital · KRKyungpook National University Hospital · KRYeungnam University Medical Center · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt is unclear whether high-density lipoprotein cholesterol (HDL-C) level predicts cardiovascular events and has a protective effect in patients with acute myocardial infarction (AMI) undergo- ing percutaneous coronary intervention (PCI) and statin treatment.

methodsA total of 15,290 AMI patients receiving statins were selected from the Korean Myocardial Infarction Registry. Baseline HDL-C level was used to identify patients with low (group A), normal (group B), and high (group C) HDL-C levels according to the Adult Treatment Panel III criteria. Clinical outcomes were compared in propensity-adjusted and matched cohorts. The primary endpoint was a composite of cardiovascular death and recurrent myocardial infarction.

resultsAt the median follow-up of 11.5 months, the primary endpoint occurred in 2.7% (112/4098), 1.4% (54/3910), and 1.2% (8/661) of patients in groups A, B, and C, respectively. In the propensity- -adjusted cohort, low HDL-C level increased the risk of primary endpoint (hazard ratio [HR] 1.755, 95% confidence interval [CI] 1.274-2.417, p = 0.001), whereas high HDL-C level did not reduce this risk (HR 0.562, 95% CI 0.275-1.146, p = 0.113). In the propensity-matched cohort, low HDL-C level increased the risk of primary endpoint (HR 1.716, 95% CI 1.210-2.434, p = 0.002), whereas high HDL-C level reduced this risk (HR 0.449, 95% CI 0.214-0.946, p = 0.035).

conclusionsIn AMI patients treated with PCI and statins, low HDL-C level increases the risk of cardiovascular death and recurrent myocardial infarction, whereas high HDL-C level likely reduces the risk of cardiovascular events, especially for ST-elevation myocardial infarction.

Indexed as

Propensity ScoreRegistriesBiomarkersCause of DeathCholesterol, HDLFemaleFollow-Up StudiesHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMaleMiddle AgedPercutaneous Coronary InterventionPrognosisProspective StudiesRepublic of KoreaRisk FactorsBiomarkersCholesterol, HDLHydroxymethylglutaryl-CoA Reductase Inhibitorsacute myocardial infarctioncardiovascular eventshigh-density lipoprotein cholesterolstatin

Identifiers

PMID29512093
PMCPMC8086654
OpenAlexW2791505974

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.