Prevention & lipidsCohort study

Cumulative remnant cholesterol predicts cardiovascular outcomes in elderly patients with atherosclerotic cardiovascular disease

Eur J Prev CardiolPublished

  • Retrospective cohort study
  • multicentre

Authors' conclusion

Long-term cumulative RC was independently associated with incident MACE in elderly participants with ASCVD

Study context

Population
Patients aged ≥75 years with atherosclerotic cardiovascular disease; baseline visits 2006–2012 followed by four in-person visits
Participants
4,680 patients
Exposure
High vs Low
Outcome
MACE:
  • Stroke
  • Unstable angina pectoris
  • MI
  • Cardiac death
Follow-up
Median 6.1 years (IQR 3.4-6.6 years) from the fourth visit

Main finding

As reported in the abstract

MACE
High tertile vs Low tertileHazard ratio (95% CI)
cumulative RC
1.30(1.16–1.44)
TWA RC
1.36(1.23–1.52)

Observational data: associations, not effects.

Further findings

Major adverse cardiovascular events (MACE), propensity score analyses

Consistent significant associations in most propensity score analyses

Original publication

Cumulative remnant cholesterol predicts cardiovascular outcomes in elderly patients with atherosclerotic cardiovascular disease. Eur J Prev Cardiol. Published 14 September 2023. doi:10.1093/eurjpc/zwad297

Summarised from the published abstract; every number is checked against it