Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
January 19, 2021Stroke and Vascular NeurologyOpen Access

Association between cumulative exposure to different lipid parameters and risk of newly developed carotid plaque

View Full Paper
Ask AI
Bookmark
Share

Key result

Cumulative exposure to non-HDLC burden strongly predicted newly developed carotid plaque, with the highest quartile associated with increased risk versus the lowest (OR 2.74; 95% CI 2.22-3.38).

Why the study?

Atherosclerosis risk is influenced by both magnitude and cumulative lipoprotein exposure, prompting investigation into cumulative exposure to different lipid parameters and the risk of newly developed carotid plaque.

Does cumulative exposure to different lipid parameters predict the risk of newly developed carotid plaque in asymptomatic adults?

Population

2947 participants in the Asymptomatic Polyvascular Abnormalities Community study

Comparison

Cumulative exposure to different lipid parameters across quartiles

Design

Prospective cohort study

Follow-up

Every 2 years from 2006 to 2012

Authors

YWYu WangKKKaijiang KangAWAnxin Wang

Discussion

Loading...

Member takes

Overview

May support cumulative lipid tracking for vascular risk; leaves open whether targeting exposure alters plaque incidence.

Study Design

Type

Cohort (n=2,947)

Structured PICO

Does cumulative exposure to different lipid parameters predict the risk of newly developed carotid plaque in asymptomatic adults?

P
Population
2,947 participants in the Asymptomatic Polyvascular Abnormalities Community study followed every 2 years from 2006 to 2012.
E
Exposure
Cumulative exposure to lipid parameters (TC, TG, LDLC, HDLC, and non-HDLC) calculated over 4 consecutive examinations from 2006 to 2012.
C
Comparator
Lowest quartile of cumulative lipid exposure.
O
Outcome
Newly developed carotid plaque (stable or vulnerable) identified by carotid ultrasound at the third and fourth follow-ups.surrogate

Main Result

Odds Ratio: 2.74 (95% CI 2.22–3.38)

Limitations

  • Cumulative exposure is also relevant to non-lipid risk factors which were not fully integrated.
  • Carotid plaque and vulnerable carotid plaque are semiquantitative endpoint events that do not account for plaque size, area, or numbers.

Cite This Study

Wang et al. (2021) conducted a cohort in Atherosclerosis / Carotid plaque (n=2,947). Cumulative exposure to non-HDLC burden vs. Lowest quartile of non-HDLC burden was evaluated on newly developed carotid plaque (OR 2.74, 95% CI 2.22-3.38). Cumulative exposure to non-HDLC burden strongly predicted newly developed carotid plaque, with the highest quartile associated with increased risk versus the lowest (OR 2.74; 95% CI 2.22-3.38).

synapsesocial.com/papers/6a9aa8ffeb4222ddd8711932https://doi.org/10.1136/svn-2020-000430
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Lipids and carotid plaque in the Northern Manhattan Study (NOMAS)2009 · 61 citations
  2. 2Cumulative Exposure to High‐Sensitivity C‐Reactive Protein Predicts the Risk of Cardiovascular Disease2017 · 126 citations
  3. 3Mannheim Carotid Intima-Media Thickness and Plaque Consensus (2004–2006–2011)2012 · 1,831 citations
  4. 4Measures of Adiposity and Risk of Stroke in China: A Result from the Kailuan Study2013 · 79 citations
  5. 52018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association2018 · 5,549 citations