Evidence map›Paper›PMID 42151819›Full record

ArticleBMC cardiovascular disorders2026

Association between platelet/high-density lipoprotein cholesterol ratio and incidence of coronary heart disease: insights from the UK Biobank.

Chen Chen, Pengfei Chen, Changgeng Fu, Dazhuo Shi, Ming Guo

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Article in BMC cardiovascular disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Chen Chen *Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
Pengfei Chen *Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
Changgeng FuXiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
Dazhuo ShiXiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, China. shidztcm@163.com.
Ming GuoXiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, China. mguo@xycacms.ac.cn.

Funding

The Project of Hospital capability enhancement project of Xiyuan Hospital, CACMS NO. XYZX0204-02
6 · The paper itself

Abstract

backgroundThe platelet-to-high-density lipoprotein cholesterol ratio (PHR) integrates platelet count and HDL-C concentration and may reflect thrombo-inflammatory and lipid-related cardiovascular risk. However, its association with incident coronary heart disease (CHD) and its incremental value beyond its individual components remain uncertain.

methodsWe included 326,803 UK Biobank participants without baseline CHD. PHR was calculated as platelet count (×10

resultsDuring a median follow-up of 13.0 years, 20,340 incident CHD events occurred. Compared with participants in the lowest PHR quartile, those in the highest quartile had a higher hazard of incident CHD in the fully adjusted model (HR 1.36, 95% CI 1.31-1.42; P < 0.01). The association was also observed for CHD subtypes and appeared stronger for AMI (Q4 vs. Q1: HR 1.68, 95% CI 1.56-1.81) than for chronic ischemic heart disease (Q4 vs. Q1: HR 1.38, 95% CI 1.32-1.45). Restricted cubic spline analysis suggested a non-linear association between log-transformed PHR and incident CHD (P for non-linearity < 0.001), with a relatively flat association at lower values and a steeper increase at higher values. PHR showed moderate discrimination for incident CHD (AUC 0.716, 95% CI 0.713-0.720), and adding PHR to the fully adjusted clinical model produced a small increase in C-index (0.714 to 0.720), larger than that observed when platelet count or HDL-C was added separately. Exploratory analyses suggested that hs-CRP, HbA1c, and neutrophil count statistically accounted for part of the observed association, although these findings may reflect shared inflammatory and metabolic background rather than causal mediation.

conclusionHigher PHR was associated with increased risk of incident CHD in this large prospective cohort, particularly for AMI. PHR may serve as a simple adjunctive marker for CHD risk stratification when interpreted alongside established clinical risk factors.

Indexed as

Blood PlateletsCholesterol, HDLCoronary DiseaseDyslipidemiasAdultAgedBiological Specimen BanksBiomarkersFemaleHumansIncidenceMaleMiddle AgedPlatelet CountPredictive Value of TestsPrognosisBiomarkersCholesterol, HDLCoronary heart diseaseMediation analysisPlatelet/high-density lipoprotein cholesterol ratio

Identifiers

PMID42151819
PMCPMC13371528

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