LDL-cholesterol is unable to predict future cardiovascular events

LDL-cholesterol is unable to predict future cardiovascular events
© iStock/tolgart

New international study shows that LDL-cholesterol is unable to predict future cardiovascular events and fails to identify those coronary heart disease patients who are at the highest risk.

Cardiovascular diseases are the leading cause of death worldwide. In 2015, coronary heart disease affected 110 million people and resulted in 8.9 million deaths. Common belief is that coronary heart disease (CHD) patients are at an equally high risk for cardiovascular events such as heart attack. Published in the European Heart Journal, the study showed that LDL-cholesterol was not able to identify those CHD patients who were at the highest risk of cardiovascular death.

Pinning down cardiovascular events

Reijo Laaksonen, Chief Medical Officer for Zora Biosciences, explains: “It is common to assume that all CHD patients have an equivalent cardiovascular risk, but according to this study this seems not to be the case. For instance, the 10-year cardiovascular death risk of a CHD patient may vary from 5% to over 20%.”

The high-risk patients are not well identified with current clinical markers. For instance, widely used LDL-cholesterol was not able to identify those CHD patients who were at the highest risk of cardiovascular death or myocardial infarction.

Cardiovascular diseases are mostly preventable, and take a heavy toll on the healthcare systems, along with the economy. It is fair to assume that the high-risk patients are main drivers of this high cost.

Therefore, more accurate identification of persons at the highest risk and directing preventive actions and resources to those, could help in reducing health care costs, morbidity and mortality.

Introducing CERT

Finnish diagnostic company, Zora Biosciences Oy, has developed the diagnostic test, CERT (Cardiovascular Event Risk Test) that identifies the risk of heart attack more accurately than LDL-cholesterol or LDL-cholesterol based measurements.

CERT enables patient stratification into risk groups more accurately than the currently used lipid tests and provides an enhanced tool for capturing the risk. CERT, and its latest version CERT2, is a blood test that measures ceramide lipids by mass spectrometry. Plasma ceramides represent the next generation of clinical predictors for adverse cardiovascular events resulting from unstable atherosclerotic plaques. Ceramides are bioactive lipids that play a central role in cell membrane integrity, cellular stress response, inflammation, and cell death.

Laboratory tests such as CERT2 may offer an advantage over classical risk calculators in terms of their reliability, ease of use and predictive power. Therefore, for those willing to invest in prevention, CERT2 provides an efficient tool for focusing resources where most appropriate, namely, the CHD high-risk patients.

About CERT

CERT is a blood sample test that measures the risk of cardiovascular events and the risk of type 2 diabetes. CERT has been extensively validated in more than 80,000 patient samples analysed retrospectively and shown to be a much more reliable predictor of cardiovascular risk than other markers in use today.

CERT, the ceramide-based risk score test is available widely in Finland through private health care providers and select public sites.

About Zora

Zora Biosciences Oy is a diagnostics discovery company uses mass spectrometry to search for biomarker signals in clinical studies. Zora develops lipid biomarkers into analytically validated high throughput clinical diagnostic assays. Zora has exclusive intellectual property protecting its molecular diagnostic tests of cardiovascular risk.


  1. Dr. Thomas Levy, MD (cardiologist for over 30 years) wrote a book entitled Stop America’s #1 Killer. This book references 650 studies published in peer-reviewed medical / science journals which prove that atherosclerosis (plaque in arteries) is caused by multiple, nutritional deficiencies. On Page 253 Dr. Levy states, “The following supplement regimen is recommended for optimizing the ability of the artery to regenerate itself and reverse any existing atherosclerosis. The typical diet does not even come close to supplying enough of these essential vitamins, minerals and nutrients.” As a person with a family history of heart disease, I have been taking these nutrients for 10 years. At 65 years of age my arteries are “clean as a whistle” (quote from my doctor). I am on a mission to spread the good news. Email me (rayellis@reagan.com) with your shipping address and I will send you a free paperback copy Dr. Levy’s book. Note: The book is not available as an e-book.


Please enter your comment!
Please enter your name here