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Association between discordance of LDL-C and non-HDL-C and clinical outcomes in patients with stent implantation: from the FU-Registry

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Abstract

It is not yet clear whether the discordance of low-density lipoprotein cholesterol (LDL-C) and non-high-density lipoprotein cholesterol (non-HDL-C) predicts the follow-up clinical outcome (major adverse cardiovascular events: MACEs) in patients with coronary stent implantation. Among 2015 patients with coronary stent implantation (Fukuoka University [FU]-Registry), excluding those with acute coronary syndrome or hemodialysis, we selected 801 patients who had undergone successful stent implantation with a follow-up until 18 months, and classified them into 3 groups according to baseline LDL-C and non-HDL-C levels [percentile(P)non-HDL-C more than (P)LDL-C, (P)non-HDL-C equal to (P)LDL-C, and (P)non-HDL-C less than (P) LDL-C]. We found that the discordance of (P)LDL-C and (P)non-HDL-C was not a significant predictor of MACEs. Higher LDL-C level was consistently and independently associated with higher incidences of MACEs after controlling for conventional risk factors and the type of stent used by multivariate Cox regression analyses. In conclusion, LDL-C levels are more important than non-HDL-C levels and the discordance of LDL-C and non-HDL-C levels as predictors of MACEs in patients with stable angina after stent implantation.

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Change history

  • 19 February 2018

    Unfortunately, the Fig. 1 was published incorrectly in the original publication of the article. The correct figure is as below.

  • 19 February 2018

    Unfortunately, the Fig.?1 was published incorrectly in the original publication of the article. The correct figure is as below.

  • 19 February 2018

    Unfortunately, the Fig.?1 was published incorrectly in the original publication of the article. The correct figure is as below.

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Correspondence to Shin-ichiro Miura or Keijiro Saku.

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Disclosures

Research and education grants, and payments for consulting and promotional speaking (KeS) were received from MSD Co., SANOFI, Takeda Pharmaceutical Co., Ltd., Bayer, Eli Lilly, Co. (clinical research grant), and TOA EIYO Co. KeS and MS are Directors of NPO Clinical and Applied Science, Fukuoka, Japan. KaS, SM, and KeS had received a grant from the Public Interest Incorporated Foundation of “Clinical Research Promotion Foundation” in Fukuoka, Japan, and part of this work was transferred to NPO Clinical and Applied Science, Fukuoka, Japan. KeS has an Endowed Department of Molecular Cardiovascular Therapeutics (YU, SM), Fukuoka University, supported by MSD Co., Ltd, and an Endowed Department of Community and Emergency Medicine (HN, MS), Fukuoka University, supported by Izumi City, Kagoshima, Japan.

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Shiiba, M., Zhang, B., Miura, Si. et al. Association between discordance of LDL-C and non-HDL-C and clinical outcomes in patients with stent implantation: from the FU-Registry. Heart Vessels 33, 102–112 (2018). https://doi.org/10.1007/s00380-017-1036-x

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  • DOI: https://doi.org/10.1007/s00380-017-1036-x

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