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Lee H, Park HE, Chun EJ, Chang HJ, Sung J, Jung HO, Choi SY. The impact of nonoptimal lipids on the progression of coronary artery calcification in asymptomatic young adults: results from the KOICA registry. Eur J Prev Cardiol 2022. [DOI: 10.1093/eurjpc/zwac056.180] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: None.
Background
Recently, as cumulative exposure of lipids for a lifetime has become important to prevent and predict atherosclerotic cardiovascular disease (ASCVD), it is recommended to obtain the optimal lipid levels from a young age. However, questions remain regarding the vascular changes in young adulthood by nonoptimal lipid levels.
Purpose
We aimed to investigate the progression of coronary artery calcification (CAC) according to lipid profiles in Korean young adults.
Methods
From the KOrea Initiative on Coronary Artery calcification registry, we collected 2,940 statin-naïve adults under 45-year-old, undergoing serial coronary artery calcium scans for the purpose of routine health check-ups between 2002 and 2017. CAC progression was assessed according to the optimality of lipid levels and each lipid variable.
Results
In this cohort (mean age, 41.3 years; man 82.4%), only 477 subjects (16.2%) had the optimal lipid profile, defined as triglycerides <150 mg/dl, LDL cholesterol <100 mg/dl, and HDL cholesterol ≥45 mg/dl. During follow-up (median 39.7 months), CAC progression was observed in 438 participants (14.8%) and more frequent in nonoptimal lipid group (16.5% vs 5.9%; p<0.001). Nonoptimal lipid levels during young adulthood increased the risk of CAC progression after adjusting for other cardiovascular risk factors (adjusted HR, 2.36; p=0.001), with a stepwise risk increase according to lipid levels. In particular, in the subjects with an initial calcium score of zero (adjusted HR, 2.13; p=0.014), those in their 20s or 30s (adjusted HR 2.70; p=0.029), and those without any other risk factors (adjusted HR 2.51; p=0.025), deemed as very low-risk groups, nonoptimal lipid levels more than doubled the risk of CAC progression, respectively. Among lipid variables, high triglycerides appeared to provide the greatest impact on CAC progression of young adults.
Conclusions
The proportion of young adults with optimal lipid levels was lower than expected. Nonoptimal lipid level was significantly associated with the risk of CAC progression in young adults, even with low-risk. Triglycerides had the strongest association with the risk of CAC progression. Screening and intervention for nonoptimal lipid levels, particularly triglycerides, from an early age might be of clinical value.
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Affiliation(s)
- H Lee
- Seoul National University Hospital, Department of Internal Medicine, Division of Cardiology, Seoul, Korea (Republic of)
| | - HE Park
- Seoul National University Hospital, Department of Internal Medicine, Division of Cardiology, Seoul, Korea (Republic of)
| | - EJ Chun
- Seoul National University Bundang Hospital, Division of Radiology, Seongnam, Korea (Republic of)
| | - HJ Chang
- Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Korea (Republic of)
| | - J Sung
- Samsung Medical Center, Division of Cardiology, Seoul, Korea (Republic of)
| | - HO Jung
- The Catholic University of Korea Seoul St. Mary's Hospital, Division of Cardiology, Seoul, Korea (Republic of)
| | - SY Choi
- Seoul National University Hospital, Department of Internal Medicine, Division of Cardiology, Seoul, Korea (Republic of)
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Mohty D, Ettaif H, Magne J, Damy T, Echahidi N, Lavergne D, Virot P, Cogne M, Jaccard A, La Manna A, Sanfilippo A, Capodanno D, Salemi A, Cadoni A, Cascone I, Figuera M, Pittala R, Privitera C, Tamburino C, Jimenez Rubio C, Isasti Aizpurua G, Miralles Ibarra J, Taldir G, Redheuil A, Perdrix L, Chaudeurge A, Mousseaux E, Diebold B, Pastormerlo LE, Maffei S, Chubuchny V, Mazzone A, Susini C, Passino C, Chiappino D, Emdin M, Clerico A, Mckavanagh P, Lusk L, Ball P, Trinick T, Duly E, Walls G, Orr C, Harbinson M, Donnelly P, Qureshi W, Blaha M, Nasir K, Nour K, Al-Mallah M, Park HE, Heo N, Kim M, Choi S, Igual Munoz B, Bel Minguez A, Donate Bertolin L, La Huerta AA, Dominguez PA, Ferrer JM, Gonzalez AM, Erill JE, Menadas JM, Argudo AM, Dores H, Goncalves P, Sousa P, Carvalho M, Marques H, Machado F, Gaspar A, Aleixo A, Carmo M, Roquette J. Multimodality Imaging - MRI - CT and Nuclear Cardiology: Magnetic Resonance Imaging. Eur Heart J Cardiovasc Imaging 2012. [DOI: 10.1093/ehjci/jes263] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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