Prevention & lipids

Impact of diabetes on risk of major adverse cardiovascular events associated with lipoprotein(a) levels in patients with established atherosclerotic cardiovascular disease

Eur J Prev CardiolPublished Retrospective cohort study

Authors' conclusion

Among atherosclerotic patients with and without T2DM, elevated Lp(a) level was significantly associated with a higher risk of MACE.

Study context

Population
Patients with established atherosclerotic CVD, with and without T2DM, screened for Lp(a) 2000–20207,535 with T2DM
Participants
25,826 patients
Exposure
Lp quintiles Q2–Q5 vs lowest quintile, in patients with and without T2DM
Outcome
MACE

Main finding

As reported in the abstract

MACE by Lp(a) quintile, T2DM and no T2DM
Hazard ratio (95% CI)
Q2vs Q1T2DM
1.10(0.94–1.30)
Q3vs Q1T2DM
0.98(0.83–1.16)
Q4vs Q1T2DM
1.25(1.06–1.46)
Q5vs Q1T2DM
1.29(1.10–1.51)
Q2vs Q1no T2DM
0.99(0.88–1.12)
Q3vs Q1no T2DM
1.10(0.98–1.23)
Q4vs Q1no T2DM
1.01(0.90–1.13)
Q5vs Q1no T2DM
1.13(1.01–1.27)
Lp(a)-MACE association stronger with T2DM
P < 0.001
Total major adverse cardiovascular events (MACE) during 160 174 person-years
4836

Observational data: associations, not effects.

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Impact of diabetes on risk of major adverse cardiovascular events associated with lipoprotein(a) levels in patients with established atherosclerotic cardiovascular disease. Eur J Prev Cardiol. Published 11 March 2025. doi:10.1093/eurjpc/zwaf036

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