Evidence mapPaperPMID 41425974Full record

ArticleFrontiers in cardiovascular medicine2025

Long-term outcomes according to absolute value vs. percentage reduction in low-density lipoprotein cholesterol levels after acute myocardial infarction.

Kyung Hoon Cho, Jung Ho Yang, Sang Yeub Lee, Min-Ho Shin, Seok Oh, Min Chul Kim, Doo Sun Sim, Young Joon Hong, Ju Han Kim, Youngkeun Ahn and 7 more

Abstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Kyung Hoon Cho *Department of Cardiology, Chonnam National University Hospital, Gwangju, Republic of Korea.
Jung Ho Yang *Department of Preventive Medicine, Chonnam National University Medical School, Hwasun, Republic of Korea.
Sang Yeub LeeDivision of Cardiology, Chung-Ang University Gwangmyeong Hospital and Department of Internal Medicine, Chung-Ang University College of Medicine, Gwangmyeong, Republic of Korea.
Min-Ho ShinDepartment of Preventive Medicine, Chonnam National University Medical School, Hwasun, Republic of Korea.
Seok OhDepartment of Cardiology, Chonnam National University Hospital, Gwangju, Republic of Korea.
Min Chul KimDepartment of Cardiology, Chonnam National University Hospital, Gwangju, Republic of Korea.
Doo Sun SimDepartment of Cardiology, Chonnam National University Hospital, Gwangju, Republic of Korea.
Young Joon HongDepartment of Cardiology, Chonnam National University Hospital, Gwangju, Republic of Korea.
Ju Han KimDepartment of Cardiology, Chonnam National University Hospital, Gwangju, Republic of Korea.
Youngkeun AhnDepartment of Cardiology, Chonnam National University Hospital, Gwangju, Republic of Korea.
Jang Hoon LeeDepartment of Cardiology, Kyungpook National University Hospital, Daegu, Republic of Korea.
Ju-Seung KwunDepartment of Cardiology, Seoul National University Medical School, Seoul, Republic of Korea.
Young-Hoon JeongDivision of Cardiology, Chung-Ang University Gwangmyeong Hospital and Department of Internal Medicine, Chung-Ang University College of Medicine, Gwangmyeong, Republic of Korea.
Joo-Yong HahnDepartment of Cardiology, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Jin Yong HwangDepartment of Cardiology, School of Medicine, Gyeongsang National University, Jinju, Republic of Korea.
Myung Ho JeongDepartment of Cardiology, Chonnam National University Medical School, Gwangju, Republic of Korea.
Weon KimDivision of Cardiology, Department of Internal Medicine, Kyung Hee University Hospital, Kyung Hee University, Seoul, Republic of Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Backgrounds/aims: Real-world data are limited regarding long-term outcomes in terms of absolute follow-up values of low-density lipoprotein cholesterol (LDL-C) vs. percentage reductions from baseline after LDL-C-lowering therapy for patients with acute coronary syndrome. We aimed to investigate the associations between 5-year clinical outcomes and absolute follow-up LDL-C levels or percentage reductions from baseline using a nationwide Korea Acute Myocardial Infarction Registry (KAMIR). Methods: Of 13,662 patients from the KAMIR-National Institutes of Health database, we identified 6,248 patients who had documented LDL-C levels at baseline and during 18 months of follow-up. The primary outcome was major adverse cardiovascular events (MACE; a composite of nonfatal stroke, nonfatal myocardial infarction, repeat revascularization, and all-cause death) at 5 years. Results: In the analysis of absolute follow-up time-weighted average LDL-C levels (<55, 55-69, 70-89, and ≥90 mg/dL), there was a U-shaped trend of MACE incidence (10.8% vs. 9.3% vs. 10.0% vs. 13.2%, Conclusion: This study involving 6,248 AMI patients demonstrated that the greater the LDL-C reduction from baseline, the lower the risk of MACE. However, there was no clear decreasing trend in the risk of MACE when absolute follow-up LDL-C levels were lowered from around 70 mg/dL.

Indexed as

acute coronary syndromeincidenceLDL cholesterolmyocardial infarctionregistries

Identifiers

PMID41425974
PMCPMC12714945

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.