Evidence map›Paper›PMID 42144751›Full record

ArticleKorean circulation journal2026

Association Between Ratio of Cholesterols and Coronary Artery Stenosis According to Low-Density Lipoprotein-Cholesterol Levels and Statin Use.

So Ree Kim, Mi-Na Kim, Hee-Dong Kim, Dong-Hyuk Cho, Hack-Lyoung Kim, Yong Hyun Kim, Jin Oh Na, Hyun-Ju Yoon, Mi Seung Shin, Myung-A Kim and 3 more

Abstract read
In one paragraph

Article in Korean circulation journal, 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

13 authors.

So Ree KimDivision of Cardiology, Korea University Anam Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-3164-3258
Mi-Na KimDivision of Cardiology, Korea University Anam Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0001-6589-5122
Hee-Dong KimDivision of Cardiology, Soonchunhyang University Hospital, Cheonan, Korea.ORCID https://orcid.org/0000-0003-1432-2257
Dong-Hyuk ChoDivision of Cardiology, Korea University Anam Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0001-8480-9082
Hack-Lyoung KimCardiovascular Center, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, Korea.ORCID https://orcid.org/0000-0002-6703-1472
Yong Hyun KimDivision of Cardiology, Korea University Ansan Hospital, Ansan, Korea.ORCID https://orcid.org/0000-0003-1376-5128
Jin Oh NaDivision of Cardiology, Korea University Guro Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-5096-4428
Hyun-Ju YoonDivision of Cardiology, Chonnam National University Hospital, Gwangju, Korea.ORCID https://orcid.org/0000-0003-1285-3660
Mi Seung ShinDepartment of Cardiology, Gacheon University Gil Hospital, Incheon, Korea.ORCID https://orcid.org/0000-0002-0273-0109
Myung-A KimCardiovascular Center, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, Korea.ORCID https://orcid.org/0000-0002-3064-7118
Kyung-Soon HongDepartment of Cardiology, Hallym University College of Medicine, Chuncheon, Korea.ORCID https://orcid.org/0000-0002-9118-8912
Wan Joo ShimDivision of Cardiology, Korea University Anam Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-2467-3336
Seong-Mi ParkDivision of Cardiology, Korea University Anam Hospital, Seoul, Korea. smparkmd@korea.ac.kr.ORCID https://orcid.org/0000-0002-6710-685X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesLow-density lipoprotein cholesterol (LDL-C) remains the principal therapeutic target in preventing atherosclerotic cardiovascular disease. Nevertheless, coronary artery disease (CAD) may develop even in patients whose LDL-C levels are at recommended targets. Using a contemporary Korean multicenter registry, we examined the association between lipid parameters and CAD in patients with suspected angina, considering statin use and LDL-C levels.

methodsWe analyzed data from 2,410 adults with chest pain who underwent coronary angiography at 21 centers in South Korea (2012-2022). CAD was defined as ≥50% stenosis in major coronary arteries. To address multicollinearity among lipid parameters, principal component analysis-derived components were evaluated in multivariable logistic regression, with additional assessment of model discrimination using net reclassification improvement (NRI) and integrated discrimination improvement (IDI).

resultsAmong the study population (60.1% women), 52.0% were on statins, and 36.5% were diagnosed with CAD, which was more frequent in statin users. The proportion of patients with LDL-C within target ranges was similar between statin users and non-users (p=0.695). Total cholesterol/high-density lipoprotein cholesterol (HDL-C) ratio, non-HDL-C/HDL-C ratio, and LDL-C/HDL-C ratio showed significant associations with CAD. These associations remained consistent regardless of statin use or LDL-C levels. Total cholesterol/HDL-C and non-HDL-C/HDL-C ratios moderately improved model performance (NRI: 0.413, IDI: 0.024); LDL-C/HDL-C ratio showed mild improvement (NRI: 0.373, IDI: 0.030).

conclusionsIn this large, real-world Korean cohort, cholesterol ratios showed cross-sectional associations with CAD. These associations remained consistent regardless of statin use or LDL-C levels.

Indexed as

Coronary artery diseaseDyslipidemiaHypercholesterolemiaLipidStatin

Identifiers

PMID42144751
PMCPMC13730757

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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.