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January 22, 2026Lipids in Health and Disease3 citationsOpen Access

Rethinking the lipid paradox: the role of baseline characteristics in LDL-C and long-term mortality after acute myocardial infarction

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LZL. ZhangHXH. Q. XuGZGuofu Zhou

Key Points

  • The research aims to understand how baseline characteristics influence LDL-C levels and their relationship with long-term mortality after acute myocardial infarction.
  • Analyzed baseline characteristics of patients after acute myocardial infarction.
  • Adjusted for potential confounders in the analysis of LDL-C levels.
  • Evaluated the impact of lipid-lowering therapy on long-term outcomes.
  • Baseline LDL-C was not an independent predictor of long-term mortality in AMI.
  • Lipid-lowering therapy led to better long-term outcomes regardless of LDL-C levels.

Abstract

The lipid paradox observed in critically ill patients with AMI is attributed to differences in baseline characteristics across LDL-C strata. After adjusting for potential confounders, baseline LDL-C was not an independent predictor of long-term mortality in AMI. Lipid-lowering therapy was associated with favorable long-term outcomes irrespective of baseline LDL-C levels.

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Cite This Study

Zhang et al. (2026) studied this question.

synapsesocial.com/papers/6971bdec642b1836717e2928https://doi.org/10.1186/s12944-026-02871-z
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