Prevention & lipids

Associations of visit-to-visit lipid variability with coronary artery calcification and cardiovascular event in statin-naïve Koreans

Eur J Prev CardiolPublished Cross-sectional analysis and cohort study

Main finding · CAC score, LDL-C variability (VIM)Result — go to the resultFold increase in CAC score 1.42 95% CI 1.22–1.65

Authors' conclusion

These findings suggest that visit-to-visit lipid variability is independently associated with subclinical coronary atherosclerosis and cardiovascular risk in statin-naïve individuals.

Study context

Population
Statin-naïve Korean individuals59,879 cross-sectional
Exposure
Highest vs lowest quartile of visit-to-visit lipid variability
Outcome
CAC score and CV events (self-reported CAD and stroke)
Follow-up
Median 2.8 years (CV events)

Main finding

CAC score, LDL-C variability (VIM)

Fold increase in coronary artery calcification (CAC) score

1.42

95% CI 1.22–1.65

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
CV events, LDL-C variability (VIM) · median follow-up 2.8 yearsHighest VIM variability1.41 (1.13–1.75)
CV events, low-density lipoprotein cholesterol (LDL-C) variability (VIM) — CV events identified
664

CV events, LDL-C variability (VIM) · median follow-up 2.8 years

Only LDL-C variability associated with increased CV event risk

Original publication

Associations of visit-to-visit lipid variability with coronary artery calcification and cardiovascular event in statin-naïve Koreans. Eur J Prev Cardiol. Published 12 May 2025. doi:10.1093/eurjpc/zwaf191

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