Triglycerides
lipidElevated triglycerides promote atherosclerotic lipid deposition and dysfunctional lipoprotein remodeling.
Pathway placement
Cascade stepLipid retention & oxidation
Confidencehigh
RationaleMI risk marker; atherogenic lipid burden; TGRL-driven atherosclerosis.
Druggability
Not assessed (no mapped human gene target).
Type I vs Type II discrimination
ScoresType-II-associated
R — rupture / Type-I—
C — confounder / Type-II50
A — assay feasibility84
E — evidence strength49
T1DI (composite)13
Specificity differential (R−C)-35
Confounder panel (Type-II drivers)
1sepsis / systemic inflammationmag 2
2anemia / acute blood lossmag 1
3hypovolemia / dehydrationmag 2
4tachyarrhythmiamag 1
5hypoxemia / respiratory failuremag 2
6hypertensive emergencyn/a
7high-demand / peri-operative stressmag 1
Coverage: 6/7 confounders with evidence
Tier: deep-scored (abstract-extracted) · 9 supporting references. See the discrimination table for all markers.
Assay & specimen
Validated clinical assay
Specimen
Serum or plasma (fasting preferred)
Collection tube
Serum separator (gold/red-top, SST) · Lithium heparin (green-top)
Method / principle
Enzymatic (glycerol blanked)
Reagent / substrate
Lipase → glycerol; glycerol kinase + G3P oxidase + peroxidase Trinder
Platform
Automated analyzer
Turnaround · availability
Routine · Universal
Literature evidence(15)
- Eicosapentaenoic acid ethyl ester, cardiac metabolomic and lipidomic signatures, and cardioprotection in myocardial infarction.European heart journal · 2026 · PMID 41996379 · doi
- Lipidomic insights on abdominal aortic aneurysm and peripheral arterial disease.Journal of molecular medicine (Berlin, Germany) · 2025 · PMID 40011252 · doi
- Triglyceride-glucose index as a novel prognostic biomarker for coronary artery disease: evidence from a large-scale prospective cohort study.Frontiers in endocrinology · 2025 · PMID 41019316 · doi
- Investigating Genetic Overlap between Alzheimer's Disease, Lipids, and Coronary Artery Disease: A Large-Scale Genome-Wide Cross Trait Analysis.International journal of molecular sciences · 2024 · PMID 39201500 · doi
- Statin Treatment Is Associated with Alterations in the Platelet Lipidome.Thrombosis and haemostasis · 2023 · PMID 36898406 · doi
- A study on serum homocysteine and oxidized LDL as markers of cardiovascular risk in patients with overt hypothyroidism.Hormone molecular biology and clinical investigation · 2022 · PMID 35179003 · doi
- Early life infection and proinflammatory, atherogenic metabolomic and lipidomic profiles in infancy: a population-based cohort study.eLife · 2022 · PMID 35535496 · doi
- Circulating metabolites associated with incident myocardial infarction and stroke: A prospective cohort study of 90 438 participants.Journal of neurochemistry · 2022 · PMID 35762284 · doi
- Residual Cardiovascular Risk at Low LDL: Remnants, Lipoprotein(a), and Inflammation.Clinical chemistry · 2021 · PMID 33257928 · doi
- Microencapsulated Pomegranate Reverts High-Density Lipoprotein (HDL)-Induced Endothelial Dysfunction and Reduces Postprandial Triglyceridemia in Women with Acute Coronary Syndrome.Nutrients · 2019 · PMID 31349559 · doi
- Genome-wide enrichment of mA-associated single-nucleotide polymorphisms in the lipid loci.The pharmacogenomics journal · 2018 · PMID 30262821 · doi
- Unraveling the complexities of the HDL lipidome.Journal of lipid research · 2013 · PMID 23543772 · doi
- Associations between incident ischemic stroke events and stroke and cardiovascular disease-related genome-wide association studies single nucleotide polymorphisms in the Population Architecture Using Genomics and Epidemiology study.Circulation. Cardiovascular genetics · 2012 · PMID 22403240 · doi
- Plasma lipoprotein abnormalities in hemodialysis patients--clinical implications and therapeutic guidelines.Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy · 2006 · PMID 16911182 · doi
- Aerobic exercise, lipoproteins, and cardiovascular disease: benefits and possible risks.Canadian journal of applied physiology = Revue canadienne de physiologie appliquee · 2004 · PMID 15630151 · doi
Clinical trials(2)
- Evaluation of Triglycerides and HDL-C Levels in Patients With Acute Coronary Syndrome and Normal LDL-C LevelNCT03429517 · UNKNOWN · Lipogram
- Triglyceride/High Density Lipoprotein-cholesterol Ratio as a Novel Marker of Atherosclerosis in Patients With Acute Coronary SyndromeNCT05126043 · COMPLETED · Triglycerides/high density lipoprotein ratio