{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T14:55:08Z","timestamp":1790780108035,"version":"4.1.0"},"reference-count":0,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"Abstract<\/jats:title>\n \n Introduction:<\/jats:title>\n Triglyceride-rich lipoprotein cholesterol (TRL-C) appears as an emerging atherosclerotic risk factor. However, the comparative evidence between ST-segment elevation myocardial infarction (STEMI) and non-STEMI (NSTEMI) is limited, especially in Indian population. The aim of the study is to assess the TRL-C level, lipid profile, and inhospitalization outcome.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n This hospital-based cross-sectional study included 125 myocardial infarction (MI) patients at a tertiary care hospital in Pune. The lipid profile test was performed in fasting conditions of patients, and estimation of TRL-C was done by subtracting the low-density lipoprotein cholesterol (LDK-C) and high-density lipoprotein cholesterol (HDL-C) from total cholesterol. The parameters such as clinical, cardiac biomarkers, electrocardiograph (ECG) results, and inhospitalization outcomes were reported. The statistical analysis was done in RStudio (version 2025.05.1).<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n The baseline demographic features or characteristics and cardiovascular-related risk factors were found comparable in both groups. The TRL-C level was found to be higher in number in STEMI patients (44.84 \u00b1 93.46) than NSTEMI patients (27.05 \u00b1 63.82), but this difference was not statistically significant (\n P<\/jats:italic>\n = 0.216). However, triglyceride (TG) levels in NSTEMI patients were significantly higher (216.43 \u00b1 77.89) at\n P<\/jats:italic>\n = 0.004; also, the TG\/HDL-C ratio was found to be higher (5.43 \u00b1 2.25 vs. 4.63 \u00b1 2.28;\n P<\/jats:italic>\n = 0.05). The level of cardiac biomarkers such as creatine phosphokinase-MB and troponin-I was found significantly higher (both\n P<\/jats:italic>\n < 0.001); also, total leukocyte count (\n P<\/jats:italic>\n < 0.001) and length of stay in hospital (8.44 \u00b1 2.26 vs. 6.71 \u00b1 2.15;\n P<\/jats:italic>\n < 0.001) were higher. The mortality rate in hospital in both the groups was not significant (3.2% vs. 6.3%;\n P<\/jats:italic>\n = 0.878). The smoking percentage in both the groups were nearly equal (40%).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n The trend was observed as higher TRL-C levels in STEMI patients may be because of interindividual variability. In NSTEMI patients, increased TGs and TG\/HDL ratio are indicators of a different metabolic and atherogenic phenotype. The inclusion of TRL-C in routine lipid assessment will help identify residual cardiac disease risk in acute coronary syndrome patients.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/aam.aam_615_26","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T14:00:27Z","timestamp":1790776827000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Triglyceride-rich Lipoprotein Cholesterol, Lipid Profiles, and Inhospital Outcomes in Acute Myocardial Infarction: A Comparison of ST-segment Elevation Myocardial Infarction and Non-ST-segment Elevation Myocardial Infarction Patients"],"prefix":"10.4103","author":[{"given":"Shaivya Singh","family":"Gehlaut","sequence":"first","affiliation":[{"name":"Department of Medicine, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sachin","family":"Shivnitwar","sequence":"additional","affiliation":[{"name":"Department of Medicine, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shubhangi","family":"Kanitkar","sequence":"additional","affiliation":[{"name":"Department of Medicine, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prasad","family":"Bagare","sequence":"additional","affiliation":[{"name":"Department of Medicine, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anil","family":"Pardeshi","sequence":"additional","affiliation":[{"name":"Dental Research Cell, Dr. D. Y. Patil Dental College and Hospital, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"},{"name":"Clinical Pharmacology, Seth G.S. Medical College, KEM Hospital, Parel, Mumbai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,10,1]]},"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_615_26","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T14:00:28Z","timestamp":1790776828000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_615_26"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,1]]},"references-count":0,"URL":"https:\/\/doi.org\/10.4103\/aam.aam_615_26","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,1]]},"assertion":[{"value":"2026-05-14","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-05","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}