Prevention & lipidsCohort study

Real-world risk of cardiovascular outcomes associated with hypertriglyceridaemia among individuals with atherosclerotic cardiovascular disease and potential eligibility for emerging therapies

Eur Heart JPublished

  • Population-based cohort study

Authors' conclusion

Among patients with ASCVD, hypertriglyceridaemia is common, and is associated with higher ASCVD risk across a range of TG.

Study context

Population
Adults with prevalent atherosclerotic cardiovascular disease (ASCVD) and lipid panels, Ontario populationwith ASCVD
Participants
196,717 adults
Exposure
Higher vs lower triglyceride levels
Outcome
ASCVD events:
  • First MI
  • Unstable angina
  • Stroke or TIA
  • Coronary revascularization
  • CV death
Follow-up
Mean (SD) 2.9 (0.5) years

Main finding

As reported in the abstract

ASCVD events by TG

Composite ASCVD events

24 097

Observational data: associations, not effects.

Further findings

Potential icosapent ethyl eligibility (triglyceride (TG) 135-499 mg/dL and low-density lipoprotein cholesterol (LDLc) 41-100 mg/dL)

Hypertriglyceridaemia with controlled LDLc
25% (49 886)
Demographically similar to REDUCE-IT with comparable event rates

Original publication

Real-world risk of cardiovascular outcomes associated with hypertriglyceridaemia among individuals with atherosclerotic cardiovascular disease and potential eligibility for emerging therapies. Eur Heart J. Published 16 November 2019. doi:10.1093/eurheartj/ehz767

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