Significance of serum total cholesterol to high density lipoprotein cholesterol ratio as a risk marker for coronary heart disease / 国际检验医学杂志

ABSTRACT

Objective To analyze blood lipid levels in patients with coronary heart disease ,and to explore clinical significance of serum total cholesterol to high density lipoprotein cholesterol ratio as a risk marker for coronary heart disease .Methods Serum lev‐els of total cholesterol ,triglycerides ,high density lipoprotein cholesterol ,and low density lipoprotein cholesterol were measured for 295 patients with coronary heart disease .Ratio of total cholesterol to high density lipoprotein cholesterol was calculated based on the lipid tests .Results The percentages of abnormal total cholesterol ,triglycerides ,high density lipoprotein cholesterol ,and low density lipoprotein cholesterol were 32 .20% 、34 .24% ,39 .32% ,and 37 .63% ,respectively ,for patients with coronary heart disease according to normal ranges issued by Guidelines on Prevention and Treatment of Dyslipidemia in Adults in Chinese Population .The abnormal percentage of total cholesterol to high density lipoprotein cholesterol ratio was 57 .29% .The percentage of raising total cholesterol to high density lipoprotein cholesterol ratio was significantly higher than abnormal ratios of total cholesterol ,triglycer‐ides ,high density lipoprotein cholesterol ,and low density lipoprotein cholesterol for patients with coronary heart disease (χ2 =37 .540 ,31 .576 ,19 .066 ,22 .866 ;P<0 .01) .Conclusion Comparing to any blood lipid test ,total cholesterol to high density lipopro‐tein cholesterol ratio is a marker that helps us estimate the risk of developing coronary heart disease .Ratio of total cholesterol to high density lipoprotein cholesterol may be as a test estimating the risk of developing coronary heart disease .