Evidence map›Paper›PMID 40159304›Full record

ArticleJournal of atherosclerosis and thrombosis2025

Lipoprotein(a) Levels and the Risk of Coronary Heart Disease and Stroke: The Suita Study.

Ahmed Arafa, Yuka Kato, Yoshihiro Kokubo, Paramita Khairan, Chisa Matsumoto, Yoko M Nakao, Yu Kataoka, Mariko Harada-Shiba

Abstract read
In one paragraph

Article in Journal of atherosclerosis and thrombosis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. It's Time to Measure Lp(a): Recognizing a Neglected Cardiovascular Risk.Journal of atherosclerosis and thrombosis · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Does Lp(a) Help to Identify High-risk Plaques?Journal of atherosclerosis and thrombosis · 2026
    Article
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

8 authors.

Ahmed ArafaDepartment of Preventive Cardiology, National Cerebral and Cardiovascular Center.
Yuka KatoDepartment of Preventive Cardiology, National Cerebral and Cardiovascular Center.
Yoshihiro KokuboDepartment of Preventive Cardiology, National Cerebral and Cardiovascular Center.
Paramita KhairanDepartment of Preventive Cardiology, National Cerebral and Cardiovascular Center.
Chisa MatsumotoDepartment of Preventive Cardiology, National Cerebral and Cardiovascular Center.
Yoko M NakaoDepartment of Preventive Cardiology, National Cerebral and Cardiovascular Center.
Yu KataokaDepartment of Cardiology, National Cerebral and Cardiovascular Center.
Mariko Harada-ShibaCardiovascular Center, Osaka Medical and Pharmaceutical University.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsLipoprotein(a) (Lp[a]) exhibits atherogenic and thrombogenic properties. We investigated the association between Lp(a) levels and the risk of coronary heart disease (CHD) and stroke.

methodsWe used data from 5138 people ≥ 30 years old registered in the Suita Study, a Japanese population-based prospective cohort study. All participants were initially free from CHD or stroke. Cox proportional hazard models were applied to calculate hazard ratios (HRs) and 95% confidence intervals (CIs) for CHD and stroke among participants with elevated Lp(a) levels.

resultsAt baseline, only 17.0% of participants had Lp(a) levels ≥ 30 mg/dL. Within the median follow-up period of 11.7 years, 164 CHD and 234 stroke events were detected. In the multivariable-adjusted regression model, Lp(a) ≥ 30 mg/dL was associated with an increased risk of CHD (HR, 1.52 [95% CI, 1.05-2.21]). Every 10-ml/dL increment in Lp(a) level was associated with a 7.9% increase in CHD risk. The association with CHD did not change significantly after adjusting for total cholesterol level or lipid-lowering drugs. In contrast, increased Lp(a) levels were not associated with stroke risk or any subtype.

conclusionsLp(a) ≥ 30 mg/dL was associated with an increased risk of CHD in the Japanese population.

Indexed as

BiomarkersCoronary DiseaseLipoprotein(a)StrokeAdultAgedFemaleFollow-Up StudiesHumansJapanMaleMiddle AgedPrognosisProportional Hazards ModelsProspective StudiesRisk FactorsBiomarkersLipoprotein(a)Coronary heart diseaseLipoprotein(a)Prospective cohort studyStroke

Identifiers

PMID40159304
PMCPMC12416928

What Socratic holds

Textmetadata
LicenceCC BY-NC-SA
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Registered trials

None linked

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.