Arrhythmias & electrophysiology

Nuclear magnetic resonance-derived lipoprotein profile and risk of atrial tachyarrhythmia recurrence after catheter ablation: a case-cohort design within the PREDIMAR trial

Heart RhythmPublished case-cohort study

Main finding · TAR by baseline remnant cholesterolResult — go to the resultHazard ratio 1.26 per SD 95% CI 1.06–1.51

Authors' conclusion

An atherogenic lipoprotein profile characterized by elevated remnant cholesterol is associated with a higher risk of TAR after catheter ablation.

Study context

Population
Patients undergoing catheter ablation in the PREDIMAR (PRevención con DIeta Mediterránea de Arritmias Recurrentes) trial212 cases and 238 participants in a random sub-cohort, with 93 overlapping cases · cases 212 · random sub-cohort 238 · overlapping cases 93
Exposure
Baseline nuclear magnetic resonance (NMR)-derived lipoproteins (per SD) and risk of tachyarrhythmia recurrence (TAR) after catheter ablation
Outcome
TAR by baseline remnant cholesterol
Follow-up
18-month follow-up
Methodological detailsnested in the PREDIMAR trial
  • Nested in the PREDIMAR trial

Main finding

As reported in the abstract

Hazard ratio

1.26 per SD

95% CI 1.06–1.51

Higher baseline remnant cholesterol
hazard ratio 1.26 per SD (95% CI 1.06–1.51)

Per SD, as printed

Observational data: associations, not effects.

Further findings

OutcomeHazard ratioperSD (per SD) (95% CI)
TAR by cholesterol and triglyceride content in VLDL · 18-month follow-upIncreased risk of TAR1.22 (1.03–1.46)
TAR by cholesterol and triglyceride content in IDL · 18-month follow-upIncreased risk of TAR1.29 (1.09–1.52)

TAR by lipoprotein ratios

Higher triglyceride-to-HDL cholesterol ratio was directly associated with recurrence
Higher triglyceride-to-VLDL cholesterol and triglyceride-to-IDL cholesterol ratios were inversely associated with recurrence

TAR by CETP-mediated lipoprotein exchange score

A CETP-mediated lipoprotein exchange score was directly associated with recurrence

Original publication

Nuclear magnetic resonance-derived lipoprotein profile and risk of atrial tachyarrhythmia recurrence after catheter ablation: a case-cohort design within the PREDIMAR trial. Heart Rhythm. Published 9 October 2026. doi:10.1016/j.hrthm.2026.10.002

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