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Comparison of the nonfasting and fasting lipid profiles of the patients admitted in the cardiology department of a tertiary hospital in Bangladesh

Background: Evidence relaxes the obligation of fasting for a lipid profile test. There is a scarcity of data comparing the fasting and nonfasting lipid profiles in our setting. Objectives: We conducted this study to observe the differences in the components of the lipid profile between the nonfasting and fasting states. Materials and Methods: In this cross-sectional study, 275 patients admitted in the cardiology department of a tertiary hospital in Bangladesh were evaluated; the study participants were categorized as having an acute myocardial infarction (AMI), unstable angina (UA), and no acute coronary syndrome (non-ACS). Serum total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), and triglyceride (TG) were measured in both nonfasting and fasting states in all. Results: All the measured components of the lipid profile, e.g., serum TC, HDL-C, LDL-C, and TG, were higher in the nonfasting state than the fasting state in the study participants with AMI. However, those with UA and those without ACS (non-ACS) had no significant differences in fasting and nonfasting levels of TC, HDL-C, and LDL-C through their TG level was significantly higher in the nonfasting state. Conclusion: Nonfasting blood sample, which is more convenient, may be used for assessing the lipid profile in the majority of the patients advised for the test.