Significance of Small Dense Low-Density Lipoprotein as a Risk Factor for Coronary Artery Disease and Acute Coronary Syndrome.
10.3349/ymj.2006.47.3.405
- Author:
Sung Woo KWON
1
;
Se Jung YOON
;
Tae Soo KANG
;
Hyuck Moon KWON
;
Jeong Ho KIM
;
Jihyuk RHEE
;
Sung Ju LEE
;
Jong Kwan PARK
;
Jae Yun LIM
;
Young Won YOON
;
Bum Kee HONG
Author Information
1. Departments of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. kwonhm@yumc.yonsei.ac.kr
- Publication Type:Original Article ; Research Support, Non-U.S. Gov't
- Keywords:
Small dense LDL;
coronary artery disease
- MeSH:
Risk Factors;
Predictive Value of Tests;
Particle Size;
Middle Aged;
Male;
Lipoproteins, LDL/*blood/chemistry;
Humans;
Female;
Coronary Arteriosclerosis/*blood/*epidemiology;
Biological Markers;
Aged;
Acute Disease
- From:Yonsei Medical Journal
2006;47(3):405-414
- CountryRepublic of Korea
- Language:English
-
Abstract:
Small dense LDL (sd-LDL) has recently emerged as an important coronary artery disease (CAD) risk factor. This study was performed to investigate how LDL particle size is related to CAD and acute coronary syndrome (ACS). Blood samples were collected from 504 patients that underwent coronary angiography to evaluate chest pain. The LDL particle size of these samples was measured. The mean LDL particle size was smaller in patients with angiographically proven CAD than in the controls (26.41+/-0.95 vs 26.73+/-0.64nm, p < 0.001), and was negatively correlated with the Framingham risk score (r=-0.121, p=0.007). Patients with more extensive CAD had smaller LDL particles. LDL particle size was also smaller in patients with acute coronary syndrome as compared to non-ACS patients (26.09+/-1.42 vs 26.54+/-0.63nm, p=0.011). These results suggest that sd-LDL is independently associated with the incidence and extent of CAD, and can be a risk factor for the development of ACS in the Korean population.
