Cardiology Research, ISSN 1923-2829 print, 1923-2837 online, Open Access
Article copyright, the authors; Journal compilation copyright, Cardiol Res and Elmer Press Inc
Journal website https://www.cardiologyres.org

Original Article

Volume 12, Number 1, February 2021, pages 10-15


Association Between the Level of Low-Density Lipoprotein Cholesterol and Coronary Atherosclerosis in Patients Who Have Undergone Coronary Computed Tomography Angiography

Figures

Figure 1.
Figure 1. Flow chart of the enrollment process. LDL-C: low-density lipoprotein cholesterol.
Figure 2.
Figure 2. The prevalence of CAD (a, e), number of VD (b, f), Gensini score (c) and CAC score (d) in the Low LDL-C, Middle LDL-C and High LDL-C groups. The ≥ 50% and ≥ 70% of coronary stenosis were defined as significant stenosis in (a, b) and (e, f), respectively. CAD: coronary artery disease; number of VD: number of significantly stenosed coronary vessels; CACS: coronary artery calcium score; LDL-C: low-density lipoprotein cholesterol; N.S.: not significant; A.U.: arbitrary unit.

Table

Table 1. Patients Characteristics in All Patients, Low LDL-C, Middle LDL-C and High LDL-C groups
 
All patients ( n = 666 )Low LDL-C ( n = 25 )Middle LDL-C ( n = 141 )High LDL-C ( n = 500 )P for trend
(< 70 mg/dL)(70 - 99 mg/dL)(≥ 100 mg/dL)
Continuous variables are expressed as mean ± SD. BMI: body mass index; DL: dyslipidemia; TG: triglyceride; HDL-C: high-density lipoprotein cholesterol; LDL-C: low-density lipoprotein cholesterol; DM: diabetes mellitus; HbA1c: hemoglobin A1c; FBS: fasting blood sugar; HTN: hypertension; SBP: systolic blood pressure; DBP: diastolic blood pressure; DPP4-I: dipeptidyl peptidase 4 inhibitor. ARB/ACEI: angiotensin II receptor blocker/angiotensin-converting enzyme inhibitor; CCB: calcium channel blocker.
Age (yrs)65 ± 1364 ± 1665 ± 1365 ± 120.4
Male, n (%)332 (50)15 (60)88 (62)231 (46)< 0.001
BMI, kg/m224 ± 423 ± 423 ± 324 ± 40.01
Smoking, n (%)226 (34)10 (40)56 (40)160 (32)0.03
DL, n (%)208 (31)6 (24)26 (18)176 (35)< 0.001
  TG, mg/dL135 ± 100125 ± 104132 ± 145136 ± 83< 0.001
  HDL-C, mg/dL57 ± 1656 ± 2456 ± 1757 ± 160.3
  LDL-C, mg/dL120 ± 3257 ± 1387 ± 8133 ± 26< 0.001
DM, n (%)106 (16)1 (4.0)37 (26)68 (14)0.01
  HbA1c, %5.9 ± 0.85.7 ± 1.26.0 ± 1.05.9 ± 0.70.6
  FBS, mg/dL107 ± 27104 ± 21109 ± 27106 ± 270.3
HTN, n (%)386 (58)15 (60)86 (61)285 (57)0.2
  SBP, mm Hg135 ± 20127 ± 20134 ± 19136 ± 200.1
  DBP, mm Hg78 ± 1471 ± 1577 ± 1479 ± 130.02
Medications
  Biguanide, n (%)31 (4.7)0 (0)8 (5.7)23 (4.6)0.5
  DPP4-I, n (%)49 (7.4)1 (4.0)15 (11)33 (6.6)0.1
  Insulin, n (%)10 (1.5)1 (4.0)6 (4.3)3 (0.6)< 0.001
  ARB/ACEI, n (%)191 (29)7 (28)50 (36)134 (27)0.04
  CCB, n (%)210 (32)8 (32)51 (36)151 (30)0.1
  β-blocker, n (%)47 (7.1)2 (8.0)7 (5.0)38 (7.6)0.2
  Diuretics, n (%)55 (8.3)2 (8.0)11 (7.8)42 (8.4)0.4