Table 1.
HDL-C as a good predictor of cardiovascular risk.
Author [reference] | Methodology | Conclusions |
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Barter et al. [6] | Post hoc analysis of data from the Treating to New Targets Study, a multicentric, randomized, double-blind study which assessed the predictive value of HDL-C in 9,770 subjects with established CVD on statin therapy. | Based on HDL-C quintiles, a multivariate analysis revealed individuals with HDL-C >55 mg/dL to have a lower risk of cardiovascular mortality than subjects with HDL-C <38 mg/dL (HR: 0.75; IC 95%: 0.60–0.95). In subjects on statin therapy, the best lipid predictor for CVD was HDL-C, even when LDL-C <70 mg/dL. |
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Castelli et al. [10] | Multicentric case-control study with 6859 subjects of diverse ethnicities from the Cooperative Lipoprotein Phenotyping Study. | HDL-C concentration was significantly higher in subjects without established CVD. An inverse correlation was ascertained between these factors, without significant variation after adjustment for total cholesterol, LDL-C, and TAG levels. |
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Gordon et al. [11] | Prospective report from the Framingham Heart Study, with 2,815 subjects aged 49–82 years, whose serum lipids were quantified throughout a 4-year follow-up period in order to evaluate cardiovascular mortality. | 142 individuals developed CVD (79 males, 63 females), with HDL-C being the best CVR predictor. These variables shared an inverse correlation in both genders, even after adjustment for multiple other risk factors. |
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Wilson et al. [12] | Prospective report from the Framingham Heart Study, with 2,748 individuals aged 50–79 years after a 12-year follow-up period. | An inverse relationship was identified between HDL-C levels and coronary artery disease mortality in both genders (p > 0.05). HDL-C was found to be the best predictor of cardiovascular mortality. |
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Emerging Risk Factors Collaboration [44] | 302,430 subjects from the Emerging Risk Factors Collaboration Study data without history of coronary artery disease were studied to analyze the association between serum lipids and CVR. | A strong inverse association was found between risk of coronary artery disease and HDL-C levels after adjusting for nonlipid risk factors (HR: 0.71; IC 95%: 0.68–0.75) and even after adjustment for non-HDL cholesterol (HR: 0.78; IC 95%: 0.74–0.82). |
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Assmann et al. [45] | The incidence of coronary artery disease was determined in 4,559 male subjects aged ≥40 years from the Prospective Cardiovascular Münster Study over a 6-year follow-up period. | Univariate analysis revealed a significant inverse relationship between CAD and HDL-C (p > 0.001), even after adjustment for several other risk factors. |