PMID- 33813155 OWN - NLM STAT- MEDLINE DCOM- 20210623 LR - 20211025 IS - 1879-1484 (Electronic) IS - 0021-9150 (Linking) VI - 324 DP - 2021 May TI - Atherogenic index of plasma and the risk of rapid progression of coronary atherosclerosis beyond traditional risk factors. PG - 46-51 LID - S0021-9150(21)00117-9 [pii] LID - 10.1016/j.atherosclerosis.2021.03.009 [doi] AB - BACKGROUND AND AIMS: The atherogenic index of plasma (AIP) has been suggested as a marker of plasma atherogenicity. This study aimed to assess the association between AIP and the rapid progression of coronary atherosclerosis using serial coronary computed tomography angiography (CCTA). METHODS: A total of 1488 adults (60.9 +/- 9.2 years, 58.9% male) who underwent serial CCTA with a median inter-scan period of 3.4 years were included. AIP was defined as the base 10 logarithm of the ratio of the concentrations of triglyceride to high-density lipoprotein cholesterol. Rapid plaque progression (RPP) was defined as the change of percentage atheroma volume (PAV) >/=1.0%/year. All participants were divided into three groups based on AIP tertiles. RESULTS: Baseline total PAV (median [interquartile range (IQR)]) (%) (group I [lowest]: 1.91 [0.00, 6.21] vs. group II: 2.82 [0.27, 8.83] vs. group III [highest]: 2.70 [0.41, 7.50]), the annual change of total PAV (median [IQR]) (%/year) (group I: 0.27 [0.00, 0.81] vs. group II: 0.37 [0.04, 1.11] vs. group III: 0.45 [0.06, 1.25]), and the incidence of RPP (group I: 19.7% vs. group II: 27.3% vs. group III: 31.4%) were significantly different among AIP tertiles (all p < 0.05). In multiple logistic regression analysis, the risk of RPP was increased in group III (odds ratio: 1.52, 95% confidence interval: 1.02-2.26; p = 0.042) compared to group I after adjusting for clinical factors and baseline total PAV. CONCLUSIONS: Based on serial CCTA findings, AIP is an independent predictive marker for RPP beyond traditional risk factors. CI - Copyright (c) 2021 Elsevier B.V. All rights reserved. FAU - Won, Ki-Bum AU - Won KB AD - Department of Cardiology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, South Korea; Department of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Yonsei University Health System, Seoul, South Korea; Yonsei-Cedars-Sinai Integrative Cardiovascular Imaging Research Center, Yonsei University College of Medicine, Yonsei University Health System, Seoul, South Korea. FAU - Heo, Ran AU - Heo R AD - Yonsei-Cedars-Sinai Integrative Cardiovascular Imaging Research Center, Yonsei University College of Medicine, Yonsei University Health System, Seoul, South Korea; Department of Cardiology, Hanyang University Seoul Hospital, Hanyang University College of Medicine, Seoul, South Korea. FAU - Park, Hyung-Bok AU - Park HB AD - Yonsei-Cedars-Sinai Integrative Cardiovascular Imaging Research Center, Yonsei University College of Medicine, Yonsei University Health System, Seoul, South Korea; Department of Cardiology, Catholic Kwandong University International St. Mary's Hospital, Incheon, South Korea. FAU - Lee, Byoung Kwon AU - Lee BK AD - Department of Cardiology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea. FAU - Lin, Fay Y AU - Lin FY AD - Department of Radiology, New York-Presbyterian Hospital and Weill Cornell Medicine, New York, NY, USA. FAU - Hadamitzky, Martin AU - Hadamitzky M AD - Department of Radiology and Nuclear Medicine, German Heart Center Munich, Munich, Germany. FAU - Kim, Yong-Jin AU - Kim YJ AD - Division of Cardiology, Seoul National University College of Medicine, Cardiovascular Center, Seoul National University Hospital, Seoul, South Korea. FAU - Sung, Ji Min AU - Sung JM AD - Department of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Yonsei University Health System, Seoul, South Korea; Yonsei-Cedars-Sinai Integrative Cardiovascular Imaging Research Center, Yonsei University College of Medicine, Yonsei University Health System, Seoul, South Korea. FAU - Conte, Edoardo AU - Conte E AD - Centro Cardiologico Monzino, IRCCS, Milan, Italy. FAU - Andreini, Daniele AU - Andreini D AD - Centro Cardiologico Monzino, IRCCS, Milan, Italy. FAU - Pontone, Gianluca AU - Pontone G AD - Centro Cardiologico Monzino, IRCCS, Milan, Italy. FAU - Budoff, Matthew J AU - Budoff MJ AD - Department of Medicine, Lundquist Institute at Harbor UCLA Medical Center, Torrance, CA, USA. FAU - Gottlieb, Ilan AU - Gottlieb I AD - Department of Radiology, Casa de Saude Sao Jose, Rio de Janeiro, Brazil. FAU - Chun, Eun Ju AU - Chun EJ AD - Seoul National University Bundang Hospital, Sungnam, South Korea. FAU - Cademartiri, Filippo AU - Cademartiri F AD - Cardiovascular Imaging Center, SDN IRCCS, Naples, Italy. FAU - Maffei, Erica AU - Maffei E AD - Department of Radiology, Area Vasta 1/ASUR Marche, Urbino, Italy. FAU - Marques, Hugo AU - Marques H AD - UNICA, Unit of Cardiovascular Imaging, Hospital da Luz, Lisboa, Portugal. FAU - de Araujo Goncalves, Pedro AU - de Araujo Goncalves P AD - UNICA, Unit of Cardiovascular Imaging, Hospital da Luz, Lisboa, Portugal; Nova Medical School, Lisbon, Portugal. FAU - Leipsic, Jonathon A AU - Leipsic JA AD - Department of Medicine and Radiology, University of British Columbia, Vancouver, BC, Canada. FAU - Lee, Sang-Eun AU - Lee SE AD - Yonsei-Cedars-Sinai Integrative Cardiovascular Imaging Research Center, Yonsei University College of Medicine, Yonsei University Health System, Seoul, South Korea; Department of Cardiology, Ewha Womans University Seoul Hospital, Seoul, South Korea. FAU - Shin, Sanghoon AU - Shin S AD - Yonsei-Cedars-Sinai Integrative Cardiovascular Imaging Research Center, Yonsei University College of Medicine, Yonsei University Health System, Seoul, South Korea; Department of Cardiology, Ewha Womans University Seoul Hospital, Seoul, South Korea. FAU - Choi, Jung Hyun AU - Choi JH AD - Department of Cardiology, Pusan University Hospital, Busan, South Korea. FAU - Virmani, Renu AU - Virmani R AD - Department of Pathology, CVPath Institute, Gaithersburg, MD, USA. FAU - Samady, Habib AU - Samady H AD - Department of Cardiology, Emory University School of Medicine, Atlanta, GA, USA. FAU - Chinnaiyan, Kavitha AU - Chinnaiyan K AD - Department of Cardiology, William Beaumont Hospital, Royal Oak, MI, USA. FAU - Berman, Daniel S AU - Berman DS AD - Department of Imaging and Medicine, Cedars Sinai Medical Center, Los Angeles, CA, USA. FAU - Narula, Jagat AU - Narula J AD - Icahn School of Medicine at Mount Sinai, Mount Sinai Heart, Zena and Michael A. Wiener Cardiovascular Institute, And Marie-Josee and Henry R. Kravis Center for Cardiovascular Health, New York, NY, USA. FAU - Shaw, Leslee J AU - Shaw LJ AD - Department of Radiology, New York-Presbyterian Hospital and Weill Cornell Medicine, New York, NY, USA. FAU - Bax, Jeroen J AU - Bax JJ AD - Department of Cardiology, Leiden University Medical Center, Leiden, the Netherlands. FAU - Min, James K AU - Min JK AD - Department of Radiology, New York-Presbyterian Hospital and Weill Cornell Medicine, New York, NY, USA. FAU - Chang, Hyuk-Jae AU - Chang HJ AD - Department of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Yonsei University Health System, Seoul, South Korea; Yonsei-Cedars-Sinai Integrative Cardiovascular Imaging Research Center, Yonsei University College of Medicine, Yonsei University Health System, Seoul, South Korea. Electronic address: hjchang@yuhs.ac. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210313 PL - Ireland TA - Atherosclerosis JT - Atherosclerosis JID - 0242543 SB - IM CIN - Atherosclerosis. 2021 Oct;335:148. PMID: 34563338 MH - Adult MH - *Atherosclerosis MH - Computed Tomography Angiography MH - Coronary Angiography MH - *Coronary Artery Disease/diagnostic imaging MH - Female MH - Humans MH - Male MH - *Plaque, Atherosclerotic MH - Risk Factors OTO - NOTNLM OT - Atherogenic index of plasma OT - Atherosclerosis OT - Coronary artery disease OT - Coronary computed tomography angiography EDAT- 2021/04/05 06:00 MHDA- 2021/06/24 06:00 CRDT- 2021/04/04 20:46 PHST- 2020/12/03 00:00 [received] PHST- 2021/03/03 00:00 [revised] PHST- 2021/03/10 00:00 [accepted] PHST- 2021/04/05 06:00 [pubmed] PHST- 2021/06/24 06:00 [medline] PHST- 2021/04/04 20:46 [entrez] AID - S0021-9150(21)00117-9 [pii] AID - 10.1016/j.atherosclerosis.2021.03.009 [doi] PST - ppublish SO - Atherosclerosis. 2021 May;324:46-51. doi: 10.1016/j.atherosclerosis.2021.03.009. Epub 2021 Mar 13.