Evidence map›Paper›PMID 33551393›Full record

ArticleJournal of atherosclerosis and thrombosis2021

Small Dense Low-Density Lipoprotein Cholesterol: A Residual Risk for Rapid Progression of Non-Culprit Coronary Lesion in Patients with Acute Coronary Syndrome.

Teruo Sekimoto, Shinji Koba, Hiroyoshi Mori, Rikuo Sakai, Taito Arai, Yuya Yokota, Shunya Sato, Hideaki Tanaka, Ryota Masaki, Yosuke Oishi and 13 more

Open access · diamondAbstract read
In one paragraph

Article in Journal of atherosclerosis and thrombosis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
7.1field-weighted citation impact, top 2% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

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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

23 authors at 2 institutions in 1 country.

Teruo SekimotoDivision of Cardiology, Department of Medicine, Showa University School of Medicine.
Shinji KobaDivision of Cardiology, Department of Medicine, Showa University School of Medicine.
Hiroyoshi MoriDivision of Cardiology, Department of Medicine, Showa University Fujigaoka Hospital.
Rikuo SakaiDivision of Cardiology, Department of Medicine, Showa University School of Medicine.
Taito AraiDivision of Cardiology, Department of Medicine, Showa University School of Medicine.
Yuya YokotaDivision of Cardiology, Department of Medicine, Showa University School of Medicine.
Shunya SatoDivision of Cardiology, Department of Medicine, Showa University School of Medicine.
Hideaki TanakaDivision of Cardiology, Department of Medicine, Showa University School of Medicine.
Ryota MasakiDivision of Cardiology, Department of Medicine, Showa University School of Medicine.
Yosuke OishiDivision of Cardiology, Department of Medicine, Showa University School of Medicine.
Kunihiro OguraDivision of Cardiology, Department of Medicine, Showa University School of Medicine.
Ken AraiDivision of Cardiology, Department of Medicine, Showa University School of Medicine.
Kosuke NomuraDivision of Cardiology, Department of Medicine, Showa University School of Medicine.
Ryota KosakiDivision of Cardiology, Department of Medicine, Showa University School of Medicine.
Koshiro SakaiDivision of Cardiology, Department of Medicine, Showa University School of Medicine.
Hiroaki TsujitaDivision of Cardiology, Department of Medicine, Showa University School of Medicine.
Seita KondoDivision of Cardiology, Department of Medicine, Showa University School of Medicine.
Shigeto TsukamotoDivision of Cardiology, Department of Medicine, Showa University School of Medicine.
Fumiyoshi TsunodaDivision of Cardiology, Department of Medicine, Showa University School of Medicine.
Makoto ShojiDivision of Cardiology, Department of Medicine, Showa University School of Medicine.
Hidenari MatsumotoDivision of Cardiology, Department of Medicine, Showa University School of Medicine.
Yuji HamazakiDivision of Cardiology, Department of Medicine, Showa University School of Medicine.
Toshiro ShinkeDivision of Cardiology, Department of Medicine, Showa University School of Medicine.
Showa University · JPShowa University Fujigaoka Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThis study investigated whether the small dense low-density lipoprotein cholesterol (sd-LDL-c) level is associated with the rapid progression (RP) of non-culprit coronary artery lesions and cardiovascular events (CE) after acute coronary syndrome (ACS).

methodsIn 142 consecutive patients with ACS who underwent primary percutaneous coronary intervention for the culprit lesion, the sd-LDL-c level was measured using a direct homogeneous assay on admission for ACS and at the 10-month follow-up coronary angiography. RP was defined as a progression of any pre-existing coronary stenosis and/or stenosis development in the initially normal coronary artery. CEs were defined as cardiac death, myocardial infarction, stroke, or coronary revascularization.

resultsPatients were divided into two groups based on the presence (n=29) or absence (n=113) of RP after 10 months. The LDL-c and sd-LDL-c levels at baseline were equivalent in both the groups. However, the sd-LDL-c, triglyceride, remnant lipoprotein cholesterol (RL-c), and apoC3 levels at follow-up were significantly higher in the RP group than in the non-RP group. The optimal threshold values of sd-LDL-c, triglyceride, RL-c, and apoC3 for predicting RP according to receiver operating characteristics analysis were 20.9, 113, 5.5, and 9.7 mg/dL, respectively. Only the sd-LDL-c level (≥ 20.9 mg/dL) was significantly associated with incident CEs at 31±17 months (log-rank: 4.123, p=0.043).

conclusionsThe sd-LDL-c level on treatment was significantly associated with RP of non-culprit lesions, resulting in CEs in ACS patients. On-treatment sd-LDL-c is a residual risk and aggressive reduction of sd-LDL-c might be needed to prevent CEs.

Indexed as

Acute Coronary SyndromeAgedBiomarkersCholesterol, LDLCoronary Artery DiseaseCoronary VesselsFemaleFollow-Up StudiesHumansMaleMiddle AgedPrognosisBiomarkersCholesterol, LDLAcute coronary syndromeApolipoprotein C3Rapid progressionSmall dense low-density lipoprotein cholesterolTriglyceride

Identifiers

PMID33551393
PMCPMC8592706
OpenAlexW3128050832

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.