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Cited by 264

The DOI matches its Crossref record; 29 of the 29 references it cites were found in a registry or an index.

Cholesterol variability and the risk of mortality, myocardial infarction, and stroke: a nationwide population-based study

Open access
Kim, Mee Kyoung, Han, Kyungdo, Kim, Hun-Sung, Park, Yong-Moon, Kwon, Hyuk-Sang, Yoon, Kun-Ho, Lee, Seung-Hwan·2017·European Heart Journal

Abstract

Aims: A high visit-to-visit variability in cholesterol levels has been suggested to be an independent predictor of major adverse cardiovascular events in patients with coronary artery disease (CAD). Because whether this notion applies to general population is not known, we aimed to investigate the associations between total cholesterol (TC) variability and the risk of all-cause mortality, myocardial infarction (MI), and stroke. Methods and results: We identified 3 656 648 subjects without a history of MI and stroke who underwent ≥3 health examinations from 2002 to 2007 in the Korean National Health Insurance System cohort. Total cholesterol variability was measured using the coefficient of variation (CV), standard deviation (SD), and variability independent of the mean (VIM). There were 84 625 deaths (2.3%), 40 991 cases of MI (1.1%), and 42 861 cases of stroke (1.2%) during the median follow-up of 8.3 years. There was a linear association between higher TC variability and outcome measures. In the multivariable adjusted model, the hazard ratios and 95% confidence intervals comparing the highest vs. lowest quartiles of CV of TC were 1.26 (1.24-1.28) for all-cause mortality, 1.08 (1.05-1.11) for MI, and 1.11 (1.08-1.14) for stroke, which was independent of mean TC levels and the use of lipid-lowering agents. The results were consistent when modelling variability of TC using SD and VIM, and in various sensitivity analyses. Conclusion: High variability in lipid levels is associated with adverse health-related outcomes. These findings suggest that lipid variability is an important risk factor in the general population.

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Metadata

Authors
Kim, M. K., Han, K., Kim, H.-S., Park, Y.-M., Kwon, H.-S., Yoon, K.-H., & Lee, S.-H.
Venue
European Heart Journal
Published
2017-10-21
Volume
38
Issue
48
Pages
3560-3566
ISSN
  • 0195-668X (ISSN-L)
  • 1522-9645
OpenAlex
W2765887994
Cited by
264
References
29
FWCI
20.47
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Cholesterol variability and the risk of mortality, myocardial infarction, and stroke: a nationwide population-based study. https://app.cochat.ai/papers/10.1093/eurheartj/ehx585
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Kim, M. K., Han, K., Kim, H.-S., Park, Y.-M., Kwon, H.-S., Yoon, K.-H., & Lee, S.-H. (2017). Cholesterol variability and the risk of mortality, myocardial infarction, and stroke: a nationwide population-based study. European Heart Journal. https://doi.org/10.1093/eurheartj/ehx585

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