Evidence map›Paper›PMID 38402557›Full record

ArticleClinical cardiology2024

A higher non-HDL-C/HDL-C ratio was associated with an increased risk of progression of nonculprit coronary lesion in patients with acute coronary syndrome undergoing percutaneous coronary intervention.

Jiamin Liu, Li Zhao, Yazhou Zhang, Lili Wang, Qianqian Feng, Jing Cui, Wenhong Zhang, Jianyong Zheng, Dan Wang, Fengjiao Zhao and 2 more

Open access · goldAbstract read
In one paragraph

Article in Clinical cardiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
6.3field-weighted citation impact, top 3% 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

10 citing papers in PubMed, 11 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

12 authors at 2 institutions in 1 country.

Jiamin LiuThe Second School of Clinical Medicine, Southern Medical University, Guangzhou, China.ORCID https://orcid.org/0009-0006-2086-8167
Li ZhaoDepartment of Cardiology, Sixth Medical Center of PLA General Hospital, Beijing, China.
Yazhou ZhangThe Fourth Affiliated Hospital of Inner Mongolia Medical University, Baotou, China.
Lili WangDepartment of Cardiology, Sixth Medical Center of PLA General Hospital, Beijing, China.
Qianqian FengDepartment of Cardiology, Sixth Medical Center of PLA General Hospital, Beijing, China.
Jing CuiDepartment of Cardiology, Sixth Medical Center of PLA General Hospital, Beijing, China.
Wenhong ZhangDepartment of Cardiology, Sixth Medical Center of PLA General Hospital, Beijing, China.
Jianyong ZhengDepartment of Cardiology, Sixth Medical Center of PLA General Hospital, Beijing, China.
Dan WangDepartment of Cardiology, Sixth Medical Center of PLA General Hospital, Beijing, China.
Fengjiao ZhaoDepartment of Cardiology, Sixth Medical Center of PLA General Hospital, Beijing, China.
Jiangchun HeDepartment of Cardiology, Sixth Medical Center of PLA General Hospital, Beijing, China.
Yu ChenThe Second School of Clinical Medicine, Southern Medical University, Guangzhou, China.ORCID http://orcid.org/0000-0001-7959-2691
Chinese PLA General Hospital · CNJingning County People's Hospital · CN

Funding

Innovation and Cultivation Fund of the Sixth Medical Center of Chinese PLA General Hospital CXPY201925
6 · The paper itself

Abstract

backgroundThe ratio of nonhigh-density lipoprotein cholesterol (non-HDL-C) to high-density lipoprotein cholesterol (HDL-C) has been shown associated with various metabolic diseases and atherosclerosis in primary prevention. However, there is limited evidence on the relationship between the non-HDL-C/HDL-C ratio and progression of nonculprit coronary lesion (NCCL) after percutaneous coronary intervention (PCI). HYPOTHESIS: Our study aimed to investigate the potential association between the non-HDL-C/HDL-C ratio and NCCL progression in patients with acute coronary syndrome (ACS) undergoing PCI.

methodsWe conducted a retrospective analysis of ACS patients who underwent coronary angiography twice at a single center from 2016 to 2022. Lipid measurements, demographic, clinical, and other laboratory data were collected from electronic medical records. NCCLs were evaluated using quantitative coronary angiography. The primary outcome was the progression of NCCL. Patients were categorized based on NCCL progression and tertiles of the non-HDL-C/HDL-C ratio. Associations were analyzed using univariate and multivariate logistic regression analysis.

resultsThe study included 329 ACS patients who underwent PCI, with a median follow-up angiography of 1.09 years. We found NCCL progression in 95 (28.9%) patients with acceptable low-density lipoprotein cholesterol control (median: 1.81 mmol/L). Patients in the top tertile of the non-HDL-C/HDL-C ratio had a higher risk of NCCL progression. After adjusting for potential confounding factors, the non-HDL-C/HDL-C ratio remained a significant predictor for NCCL progression (adjusted odds ratio: 1.45; 95% confidence interval: 1.14-1.86; p < 0.05).

conclusionsThe non-HDL-C/HDL-C ratio predicts NCCL progression in ACS patients following PCI, providing a valuable tool for risk assessment and enhancing secondary prevention of atherosclerotic cardiovascular disease.

Indexed as

Acute Coronary SyndromeAtherosclerosisPercutaneous Coronary InterventionCholesterolCoronary AngiographyHumansLipoproteinsRetrospective StudiesCholesterolLipoproteinsacute coronary syndromenonculprit lesion progressionnon-HDL-C/HDL-C ratiopercutaneous coronary intervention

Identifiers

PMID38402557
PMCPMC10894525
OpenAlexW4392144250

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Registered trials

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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.