“…In contrast with our study, previous epidemiological studies have shown that long-term morbidity and mortality in coronary artery disease, manifest over years, is directly related to circulating levels of atherogenic lipoproteins, in particular LDL cholesterol [28]. Also, Kato et al showed that high LDL cholesterol level is an independent predictor of vulnerability to coronary plaque formation in ACS patients without MetS [29]. However, the Tromsø study provided evidence for antiatherogenic effects of HDL, relating to both inhibition of plaque growth and enhanced plaque stability [30].…”