Evidence map›Paper›PMID 41903523›Full record

ArticleEuropean heart journal2026

Lipoprotein(a) and incident venous thromboembolism in pre- and postmenopausal women, and in men.

Daniel Ezzat, Diana M Lopez, Brian L Claggett, Linke Li, Niekbachsh Mohammadnia, Art Schuermans, Jan Hemeryck, Annie Chang, Samantha Murillo, Michelle L O'Donoghue and 6 more

Abstract read
In one paragraph

Article in European heart journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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

16 authors.

Daniel EzzatHeart and Vascular Institute, Mass General Brigham, 55 Fruit St, Boston, MA 02114, USA.ORCID 0009-0002-6850-4275
Diana M LopezHeart and Vascular Institute, Mass General Brigham, 55 Fruit St, Boston, MA 02114, USA.
Brian L ClaggettHeart and Vascular Institute, Mass General Brigham, 55 Fruit St, Boston, MA 02114, USA.ORCID 0000-0002-4215-9218
Linke LiHeart and Vascular Institute, Mass General Brigham, 55 Fruit St, Boston, MA 02114, USA.
Niekbachsh MohammadniaHeart and Vascular Institute, Mass General Brigham, 55 Fruit St, Boston, MA 02114, USA.ORCID 0000-0002-5968-3817
Art SchuermansHeart and Vascular Institute, Mass General Brigham, 55 Fruit St, Boston, MA 02114, USA.ORCID 0000-0001-8146-9692
Jan HemeryckHeart and Vascular Institute, Mass General Brigham, 55 Fruit St, Boston, MA 02114, USA.
Annie ChangHeart and Vascular Institute, Mass General Brigham, 55 Fruit St, Boston, MA 02114, USA.
Samantha MurilloHeart and Vascular Institute, Mass General Brigham, 55 Fruit St, Boston, MA 02114, USA.
Michelle L O'DonoghueHeart and Vascular Institute, Mass General Brigham, 55 Fruit St, Boston, MA 02114, USA.
Behnood BikdeliHeart and Vascular Institute, Mass General Brigham, 55 Fruit St, Boston, MA 02114, USA.
Zhi YuHeart and Vascular Institute, Mass General Brigham, 55 Fruit St, Boston, MA 02114, USA.
Pradeep NatarajanHeart and Vascular Institute, Mass General Brigham, 55 Fruit St, Boston, MA 02114, USA.ORCID 0000-0001-8402-7435
Aniruddh P PatelHeart and Vascular Institute, Mass General Brigham, 55 Fruit St, Boston, MA 02114, USA.
Maria A PabonHeart and Vascular Institute, Mass General Brigham, 55 Fruit St, Boston, MA 02114, USA.ORCID 0000-0003-1883-0654
Michael C HonigbergHeart and Vascular Institute, Mass General Brigham, 55 Fruit St, Boston, MA 02114, USA.ORCID 0000-0001-8630-5021

Funding

Cardiac Effects of Mineralocorticoid Receptor Antagonism after Preeclampsia (CARDAMOM)R01HL181150 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI Michael Honigberg · 2025 to 2026
$1.3M
Multi-omic dissection of clonal hematopoiesis-associated diseasesR00HG012956 · NHGRI · MASSACHUSETTS GENERAL HOSPITAL · PI Zhi Yu · 2024 to 2026
$747k
Advancing the clinical actionability of polygenic scores for coronary artery diseaseK08HL168238 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI Aniruddh Patel · 2024 to 2026
$511k
American Heart Association 24RGRSG1275749American Heart Association 25SFRNCCKMS1443062American Heart Association 25SFRNPCKMS1463898American Heart Association AHA 24CDA1272604American Heart Association-American Stroke Association 24CDA1272604American Heart Association-American Stroke Association 24RGRSG1275749American Heart Association-American Stroke Association 25SFRNCCKMS1443062American Heart Association-American Stroke Association 25SFRNPCKMS1463898Belgian American Educational FoundationDoris Duke Foundation DDCF 2023-0212NHGRI NIH HHS K08HL168238NHGRI NIH HHS R00 HG012956NHGRI NIH HHS R00HG012956NHLBI NIH HHS K08 HL168238NHLBI NIH HHS R01 HL181150NHLBI NIH HHS R01HL181150
6 · The paper itself

Abstract

BACKGROUND AND

aimsElevated lipoprotein(a) [Lp(a)] levels are an established risk factor for atherosclerotic cardiovascular disease, but the association between Lp(a) and venous thromboembolism (VTE) remains unclear. Sex and hormonal status may modify the relationship between Lp(a) and VTE.

methodsThe present study included participants from the UK Biobank with available baseline Lp(a) data. Individuals with a history of VTE or cancer, as well as those using anticoagulants, were excluded. Multivariable-adjusted Cox models were used to assess the association between Lp(a) levels ≥125 nmol/L and incident VTE in premenopausal women, postmenopausal women, and men. Subgroup analyses stratified premenopausal women by oral contraceptive (OCP) use and postmenopausal women by menopausal hormone therapy (MHT) use.

resultsAmong 55 302 premenopausal women, 129 045 postmenopausal women, and 189 013 men, the proportions with Lp(a) ≥ 125 nmol/L were 14.0%, 19.0%, and 15.0%, respectively. Over a median (interquartile range) follow-up of 13.6 (12.9-14.4) years, 8186 VTE events occurred (cumulative incidence 2.2%). Lp(a) ≥ 125 nmol/L was associated with incident VTE in premenopausal women [adjusted hazard ratio (aHR) 1.32; 95% confidence interval (CI) 1.04-1.66; P = .02] but not in postmenopausal women (aHR 1.03; 95% CI 0.94-1.13; P = .47; Pinteraction = .03) or men (aHR 1.00; 95% CI 0.92-1.08; P = .94). OCP use did not modify the Lp(a)-VTE association among premenopausal women (Pinteraction = .61). However, among postmenopausal MHT users, Lp(a) ≥ 125 nmol/L was associated with higher VTE risk (aHR 1.48; 95% CI 1.03-2.12; P = .03; Pinteraction = .04).

conclusionsElevated Lp(a) was associated with VTE in premenopausal women and in postmenopausal MHT users, suggesting that hormonal context may influence Lp(a)-associated thrombotic risk.

Indexed as

Lipoprotein(a)PostmenopausePremenopauseVenous ThromboembolismAdultAgedFemaleHumansIncidenceMaleMiddle AgedRisk FactorsUnited KingdomLipoprotein(a)Hormone replacement therapyLipoprotein(a)MenopausePostmenopausePremenopauseVenous thromboembolism

Identifiers

PMID41903523
PMCPMC13266305

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.