Evidence-based assessment of lipoprotein(a) as a risk biomarker for cardiovascular diseases - Some answers and still many questions



Kotani, Kazuhiko, Serban, Maria-Corina, Penson, Peter ORCID: 0000-0001-6763-1489, Lippi, Giuseppe and Banach, Maciej
(2016) Evidence-based assessment of lipoprotein(a) as a risk biomarker for cardiovascular diseases - Some answers and still many questions. CRITICAL REVIEWS IN CLINICAL LABORATORY SCIENCES, 53 (6). pp. 370-378.

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Abstract

The present article is aimed at outlining the current state of knowledge regarding the clinical value of lipoprotein(a) (Lp(a)) as a marker of cardiovascular disease (CVD) risk by summarizing the results of recent clinical studies, meta-analyses and systematic reviews. The literature supports the predictive value of Lp(a) on CVD outcomes, although the effect size is modest. Lp(a) would also appear to have an effect on cerebrovascular outcomes, however the effect appears even smaller than that for CVD outcomes. Consideration of apolipoprotein(a) (apo(a)) isoforms and LPA genetics in relation to the simple assessment of Lp(a) concentration may enhance clinical practice in vascular medicine. We also describe recent advances in Lp(a) research (including therapies) and highlight areas where further research is needed such as the measurement of Lp(a) and its involvement in additional pathophysiological processes.

Item Type: Article
Uncontrolled Keywords: Apo(a), cardiovascular disease, cerebrovascular disease, coronary heart disease, Lp(a), LPA, stroke
Depositing User: Symplectic Admin
Date Deposited: 03 Dec 2019 09:50
Last Modified: 19 Jan 2023 00:17
DOI: 10.1080/10408363.2016.1188055
Open Access URL: http://researchonline.ljmu.ac.uk/id/eprint/3584/
Related URLs:
URI: https://livrepository.liverpool.ac.uk/id/eprint/3064582