Evidence map›Paper›PMID 40495134›Full record

ArticleLipids in health and disease2025

Concordant and discordant roles of remnant cholesterol and hs-CRP in cardiovascular disease; gender stratified analysis.

Farzam Kamrani, Ali Rezaee, Leila Bigdeloo, Amin Naseh Mojdehi, Susan Darroudi, Mohammad Hossein Talebkhah, Fatemeh Hadian, Aryan Hajian, Reyhane Alizadeh, Hedieh Alimi and 3 more

Abstract read
In one paragraph

Article in Lipids in health and disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

  1. Article
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  3. Review
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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

13 authors.

Farzam Kamrani *Department of Nutrition, Mashhad University of Medical Sciences, Mashhad, Iran.
Ali Rezaee *Student Research Committee, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.
Leila BigdelooVascular and Endovascular Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Amin Naseh MojdehiVascular and Endovascular Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Susan DarroudiVascular and Endovascular Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Mohammad Hossein TalebkhahFaculty of Medicine, Islamic Azad University of Mashhad, Mashhad, Iran.
Fatemeh HadianDepartment of Traditional Medicine, Faculty of Traditional Medicine, Tabriz University of Medical, Tabriz, Iran.
Aryan HajianFaculty of Life Sciences: Food, Nutrition and Health, University of Bayreuth, Kulmbach, Germany.
Reyhane AlizadehDepartment of Biochemistry and Biophysics, Faculty of Sciences, Mashhad Branch, Islamic Azad University, Mashhad, Iran.
Hedieh AlimiVascular and Endovascular Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Habibollah EsmailyDepartment of Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
Majid Ghayour-MobarhanMetabolic Syndrome Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. GhayourM@mums.ac.ir.
Mohsen MoohebatiDepartment of Cardiovascular, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. mouhebatim@mums.a.cir.

Funding

Mashhad University of Medical Sciences 4030900
6 · The paper itself

Abstract

introductionEvidence has found that high-sensitivity C-reactive protein (hs-CRP) can predict cardiovascular disease (CVD). Additionally, some research has suggested a combined effect of hs-CRP and remnant cholesterol (RC) in the development of CVD. Recognizing the significance of assessing both markers as predictive factors, this study aims to examine the association between RC and hs-CRP levels with the occurrence of CVD, coronary artery disease (CAD), and brain ischemic stroke in the Iranian population, categorized by gender. MATERIALS AND

methodsThe research involved 6985 participants from an Iranian cohort study. At the onset of the study, serum hs-CRP and RC levels were assessed. After ten years, occurrences of CVD, CAD, and brain ischemic events were evaluated. Furthermore, a survival and gender-stratified analysis was conducted to understand this association better.

resultsParticipants with high RC but low hs-CRP had a 23.5% and 24% increase in CVD and CAD risk, while those with both elevated RC and hs-CRP had a 44.9% and 57% higher risk for CVD and CAD. Among women, the combination of elevated RC and hs-CRP was linked to a 36.7% increase in CAD risk. Survival analysis supported these findings, showing that individuals with elevated RC and hs-CRP levels had the shortest survival times for CVD (134.55 months) and CAD (135.30 months).

conclusionThe combined use of RC and hs-CRP markers can strongly predict CVD and CAD, particularly in men. However, no association was found between RC and hs-CRP in brain ischemic stroke. To definitively address this issue, it is crucial to conduct future studies with a larger sample size that specifically target brain ischemic stroke.

Indexed as

Cardiovascular DiseasesCholesterolCoronary Artery DiseaseC-Reactive ProteinAdultAgedBiomarkersCohort StudiesFemaleHumansIranIschemic StrokeMaleMiddle AgedRisk FactorsSex FactorsBiomarkersCholesterolC-Reactive ProteinBrain ischemicCardiovascular diseaseCoronary artery diseasehs-CRPRemnant cholesterol

Identifiers

PMID40495134
PMCPMC12150565

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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.