Remnant cholesterol predicts cardiovascular disease beyond LDL and ApoB: a primary prevention study

Eur Heart JPublished Pooled analysis of prospective cohort studies

Authors' conclusion

In ASCVD-free individuals, elevated RC levels were associated with ASCVD independent of traditional risk factors, LDL-C, and apoB levels.

Study context

Population
Atherosclerotic cardiovascular disease (ASCVD)-free individuals (primary prevention)2,143 ASCVD events
Participants
17,532 individuals
Comparison
Log remnant cholesterol (RC) levels; RC vs low-density lipoprotein cholesterol (LDL-C) discordant/concordant groups
Outcome
Incident ASCVD
Follow-up
Median 18.7 years
Methodological detailsARIC, MESA and CARDIA cohorts, discordance analysis
  • ARIC, MESA and CARDIA cohorts
  • Discordance analysis

Pooled result

As reported in the abstract

Hazard ratio (95% CI)
Log RCadjusted incl. LDL-C and apoB
1.65(1.45–1.89)
High RC/low LDL-C vs Concordant
1.21(1.08–1.34)

Further pooled results

Discordance across clinical LDL-C cutpoints

Similar results

Original publication

Remnant cholesterol predicts cardiovascular disease beyond LDL and ApoB: a primary prevention study. Eur Heart J. Published 19 July 2021. doi:10.1093/eurheartj/ehab432

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

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