Lipids & metabolic liver disease

The predictive value of atherogenic index of plasma for cardiovascular outcomes in patients with acute coronary syndrome undergoing percutaneous coronary intervention with low-density lipoprotein-cholesterol (LDL-C) below 1.8mmol/L

Cardiovasc DiabetolPublished Retrospective cohort study

Authors' conclusion

The present study demonstrates that AIP is a significant predictor of adverse outcomes in ACS patients undergoing PCI with LDL-C < 1.8mmol/L. These results suggest that AIP may offer supplementary prognostic information for ACS patients with optimally managed LDL-C levels.

Study context

Population
Patients with acute coronary syndrome (ACS) and LDL-C below 1.8mmol/L who underwent percutaneous coronary intervention (PCI)
Participants
1,133 patients
Exposure
High atherogenic index of plasma (AIP) vs low AIP
Outcome
MACCE: composite of all-cause death, nonfatal MI, ischemic stroke or unplanned repeat revascularization
Follow-up
Median 26 months

Main finding

As reported in the abstract

MACCE
Hazard ratio (95% CI)
Between High AIP and Low AIPmultivariable-adjusted; AIP as nominal variable
1.62(1.04–2.53)
AIP (continuous)multivariable-adjusted; AIP as continuous variable
2.01(1.09–3.73)

Observational data: associations, not effects.

Further findings

Unplanned repeat revascularization · median follow-up 26 months · MACCE difference mainly derived from this component

P log-rank = 0.028

Original publication

The predictive value of atherogenic index of plasma for cardiovascular outcomes in patients with acute coronary syndrome undergoing percutaneous coronary intervention with LDL-C below 1.8mmol/L. Cardiovasc Diabetol. Published 26 June 2023. doi:10.1186/s12933-023-01888-3

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