Evidence map›Paper›PMID 36036785›Full record

ArticleEuropean heart journal2022

Lipoprotein(a) in atherosclerotic cardiovascular disease and aortic stenosis: a European Atherosclerosis Society consensus statement.

Florian Kronenberg, Samia Mora, Erik S G Stroes, Brian A Ference, Benoit J Arsenault, Lars Berglund, Marc R Dweck, Marlys Koschinsky, Gilles Lambert, François Mach and 12 more

3 registry-linked trialsOpen access · bronzeAbstract readConsensus Statement
In one paragraph

Article in European heart journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 617 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
617citing papers in PubMed, 8 pooled it
231.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06157983 active not recruitingnot on this mapstarted 2023, after this paper: background citation

Evaluation of Cascade Screening for Elevated Lipoprotein(a) in Relatives to Patients With Atherosclerotic Coronary Artery Disease

TypeobservationalSponsorKarolinska InstitutetRan2023 to 2025Enrolled1,950ConditionsCardiovascular Diseases, Dyslipidemias, Hereditary DiseasesArmsmeasurement of lipoprotein(a)
NCT06304415 active not recruitingnot on this mapstarted 2024, after this paper: background citation

Investigating The Prevalence and Clinical Significance of Elevated Lipoprotein(a) Blood Levels in Hospital Staff

Typeobservational_patient_registrySponsorChangi General HospitalRan2024 to 2036Enrolled2,800ConditionsHypercholesterolemia, Lipoprotein Types--Lp System Lp(A) Hyperlipoproteinemia, Cardiovascular Diseases
NCT06626659 completednot on this mapstarted 2024, after this paper: background citation

Lipoprotein (a) and Vascular Regenerative Cell Content

TypeobservationalSponsorCanadian Medical and Surgical Knowledge Translation Research GroupRan2024 to 2024Enrolled40ConditionsCardiovascular Diseases, Atherosclerosis Cardiovascular Disease, Ischemic Heart Disease, Dyslipidemia
3 · Its place in the literature

Who cites it

617 citing papers in PubMed, 8 syntheses or guidelines pooled it, 1,168 citations in OpenAlex.

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557 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors at 20 institutions in 14 countries.

Florian KronenbergInstitute of Genetic Epidemiology, Medical University of Innsbruck, Innsbruck, Austria.ORCID 0000-0003-2229-1120
Samia MoraCenter for Lipid Metabolomics, Division of Preventive Medicine, and Division of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.ORCID 0000-0001-6283-0980
Erik S G StroesDepartment of Vascular Medicine, Amsterdam Cardiovascular Sciences, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.ORCID 0000-0001-9555-6260
Brian A FerenceCentre for Naturally Randomized Trials, University of Cambridge, Cambridge, UK.
Benoit J ArsenaultCentre de Recherche de l'Institut Universitaire de Cardiologie et de Pneumologie de Québec, and Department of Medicine, Faculty of Medicine, Université Laval, Québec City, QC, Canada.ORCID 0000-0003-2240-8456
Lars BerglundDepartment of Internal Medicine, School of Medicine, University of California-Davis, Davis, Sacramento, CA, USA.
Marc R DweckBritish Heart Foundation Centre for Cardiovascular Science, Edinburgh Heart Centre, University of Edinburgh, Chancellors Building, Little France Crescent, Edinburgh EH16 4SB, UK.ORCID 0000-0001-9847-5917
Marlys KoschinskyRobarts Research Institute, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.ORCID 0000-0002-2643-2288
Gilles LambertInserm, UMR 1188 Diabète Athérothrombose Thérapies Réunion Océan Indien (DéTROI), Université de La Réunion, 97400 Saint-Denis de La Reunion, France.ORCID 0000-0001-5632-0685
François MachDepartment of Cardiology, Geneva University Hospital, Geneva, Switzerland.
Catherine J McNealDivision of Cardiology, Department of Internal Medicine, Baylor Scott & White Health, 2301 S. 31st St., USA.ORCID 0000-0003-0655-2052
Patrick M MoriartyUniversity of Kansas Medical Center, Kansas City, KS, USA.
Pradeep NatarajanCardiovascular Research Center, Massachusetts General Hospital, Harvard Medical School, Boston, and Program in Medical and Population Genetics and Cardiovascular Disease Initiative, Broad Institute of Harvard and MIT, Cambridge, MA, USA.ORCID 0000-0001-8402-7435
Børge G NordestgaardDepartment of Clinical Biochemistry and the Copenhagen General Population Study, Herlev and Gentofte Hospital, Copenhagen University Hospital, Herlev, Denmark.ORCID 0000-0002-1954-7220
Klaus G ParhoferMedizinische Klinik und Poliklinik IV, Ludwigs- Maximilians University Klinikum, Munich, Germany.ORCID 0000-0001-9873-0412
Salim S ViraniSection of Cardiovascular Research, Baylor College of Medicine & Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA.ORCID 0000-0001-9541-6954
Arnold von EckardsteinInstitute of Clinical Chemistry, University Hospital Zurich, University of Zurich, Zurich, Switzerland.ORCID 0000-0002-1666-2266
Gerald F WattsMedical School, University of Western Australia, and Department of Cardiology, Lipid Disorders Clinic, Royal Perth Hospital, Perth, Australia.
Jane K StockEuropean Atherosclerosis Society, Mässans Gata 10, SE-412 51 Gothenburg, Sweden.
Kausik K RayImperial Centre for Cardiovascular Disease Prevention, Department of Primary Care and Public Health, School of Public Health, Imperial College London, London, UK.
Lale S TokgözoğluDepartment of Cardiology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Alberico L CatapanoDepartment of Pharmacological and Biomolecular Sciences, University of Milano, Milano, Italy.ORCID 0000-0002-7593-2094
Amsterdam University Medical Centers · NLBaylor Scott & White Health · USBrigham and Women's Hospital · USBritish Heart Foundation · GBBroad Institute · USEuropean Atherosclerosis Society · SEHacettepe University · TRImperial College London · GBInnsbruck Medical University · ATInserm · FRInstitut universitaire de cardiologie et de pneumologie de Québec · CALMU Klinikum · DEMichael E. DeBakey VA Medical Center · USThe University of Western Australia · AUUniversity Hospital of Geneva · CHUniversity of California, Davis · USUniversity of Cambridge · GBUniversity of Copenhagen · DKUniversity of Kansas Medical Center · USUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This 2022 European Atherosclerosis Society lipoprotein(a) [Lp(a)] consensus statement updates evidence for the role of Lp(a) in atherosclerotic cardiovascular disease (ASCVD) and aortic valve stenosis, provides clinical guidance for testing and treating elevated Lp(a) levels, and considers its inclusion in global risk estimation. Epidemiologic and genetic studies involving hundreds of thousands of individuals strongly support a causal and continuous association between Lp(a) concentration and cardiovascular outcomes in different ethnicities; elevated Lp(a) is a risk factor even at very low levels of low-density lipoprotein cholesterol. High Lp(a) is associated with both microcalcification and macrocalcification of the aortic valve. Current findings do not support Lp(a) as a risk factor for venous thrombotic events and impaired fibrinolysis. Very low Lp(a) levels may associate with increased risk of diabetes mellitus meriting further study. Lp(a) has pro-inflammatory and pro-atherosclerotic properties, which may partly relate to the oxidized phospholipids carried by Lp(a). This panel recommends testing Lp(a) concentration at least once in adults; cascade testing has potential value in familial hypercholesterolaemia, or with family or personal history of (very) high Lp(a) or premature ASCVD. Without specific Lp(a)-lowering therapies, early intensive risk factor management is recommended, targeted according to global cardiovascular risk and Lp(a) level. Lipoprotein apheresis is an option for very high Lp(a) with progressive cardiovascular disease despite optimal management of risk factors. In conclusion, this statement reinforces evidence for Lp(a) as a causal risk factor for cardiovascular outcomes. Trials of specific Lp(a)-lowering treatments are critical to confirm clinical benefit for cardiovascular disease and aortic valve stenosis.

Indexed as

Aortic Valve StenosisAtherosclerosisCalcinosisCardiovascular DiseasesAdultCholesterol, LDLHumansLipoprotein(a)Risk FactorsCholesterol, LDLLipoprotein(a)Aortic stenosisCardiovascular riskClinical guidanceConsensusLipoprotein(a)Model of careTestingTreatment

Identifiers

PMID36036785
PMCPMC9639807
OpenAlexW4293462875

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.