Evidence map›Paper›PMID 41873288›Full record

ArticleCureus2026

Premature Coronary Artery Disease and Familial Dyslipidemia in Patients Presenting With Acute Coronary Syndrome: A Tertiary Cardiac Center Registry.

Mohamed Saad, Mohammad Alshehri, Amr Elgazzar, Mohamed Senara, Hesham S Taha

Abstract read
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Mohamed SaadCardiology, Prince Khalid Bin Sultan Cardiac Center, Armed Forces Hospitals Southern Region, Khamis Muchait, SAU.
Mohammad AlshehriCardiology, Prince Khalid Bin Sultan Cardiac Center, Armed Forces Hospitals Southern Region, Khamis Muchait, SAU.
Amr ElgazzarCardiology, Prince Khalid Bin Sultan Cardiac Center, Armed Forces Hospitals Southern Region, Khamis Muchait, SAU.
Mohamed SenaraCardiology, Prince Khalid Bin Sultan Cardiac Center, Armed Forces Hospitals Southern Region, Khamis Muchait, SAU.
Hesham S TahaCardiology, Prince Khalid Bin Sultan Cardiac Center, Armed Forces Hospitals Southern Region, Khamis Muchait, SAU.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPremature coronary artery disease (CAD) in patients presenting with acute coronary syndrome (ACS) is an increasing clinical concern driven by genetic predisposition and lifestyle factors. This study compared clinical and laboratory characteristics of premature versus non-premature CAD and identified predictors of early-onset disease.

methodsThis was a cross-sectional observational study of 2,000 patients admitted with confirmed ACS. Premature CAD was defined as males <55 years and females <65 years. Clinical, laboratory, and cardiological variables were compared between groups.

resultsFrom December 2021 to March 2025, 2,000 patients were enrolled. Premature CAD occurred in 637 patients (31.9%), who were younger (median age 49 years) and predominantly male (68.4%). Smoking (32.8% vs. 9.4%), family history of dyslipidemia (20.4% vs. 3.7%), higher total cholesterol (174.0 vs. 145.0 mg/dL, p<.001), higher low-density lipoprotein (LDL) cholesterol (108.3 vs. 85.1 mg/dL, p<.001), and higher corrected LDL (155.8 vs. 147.3 mg/dL, p<.001) were more common in premature CAD, whereas diabetes and hypertension were less frequent. Independent predictors included smoking (OR 4.71, 95% CI 3.68 6.03), family history of dyslipidemia (OR 6.73, 95% CI 4.78 9.48), cholesterol ≥200 mg/dL (OR 2.26, 95% CI 1.80 2.83), LDL ≥100 mg/dL (OR 2.10, 95% CI 1.74 2.54), and hypertriglyceridemia (OR 1.77, 95% CI 1.45 2.17).

conclusionsPremature CAD in patients presenting with ACS demonstrates a risk profile dominated by smoking and familial dyslipidemia rather than metabolic comorbidities. Early lipid screening and aggressive modification of lifestyle risk factors are essential to reduce early atherosclerotic disease burden.

Indexed as

acute coronary syndromedyslipidemiafamilial hypercholestrolemialipid profilespremature coronary artery disease

Identifiers

PMID41873288
PMCPMC13006119

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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.