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Clin Biochem ; 44(17-18): 1451-6, 2011 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-21963383

RESUMO

OBJECTIVES: To investigate the effect of extreme levels of high density lipoprotein cholesterol (HDL-C) in the calculation of low density lipoprotein cholesterol (LDL-C) using Friedewald's formula (FF) and other formulas proposed recently. DESIGN AND METHODS: Lipoprotein profile was performed in 2603 samples with HDL-C ≤ 20 mg/dL and 1953 samples with HDL-C ≥ 100 mg/dL. RESULTS: Wilcoxon's and Student's t-tests showed significant differences (p<0.001) between calculated LDL-C by different formulas and direct determination in the two groups of HDL-C values. Passing-Bablok regression and Bland-Altman plot showed disagreement for the four formulas studied, except for Vujovic formula in the HLD-C ≥ 100 mg/dL group. CONCLUSIONS: Our results suggested that none of the formulas under analysis should be used for estimating LDL-C in samples with extreme HDL-C concentrations due to absence of statistical correlation with LDL-C direct measurement.


Assuntos
Aterosclerose/diagnóstico , HDL-Colesterol/sangue , LDL-Colesterol/sangue , Erros de Diagnóstico , Algoritmos , Aterosclerose/sangue , Interpretação Estatística de Dados , Humanos , Estatísticas não Paramétricas , Triglicerídeos/sangue
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