Prevention & lipids

Lipoprotein(a) and Coronary Plaque in Asymptomatic Individuals: The Miami Heart Study at Baptist Health South Florida

Circ Cardiovasc ImagingPublished Cross-sectional analysis of a prospective cohort study

Authors' conclusion

In this contemporary analysis, elevated Lp(a) was independently associated with the presence of coronary plaque.

Study context

Population
Asymptomatic adults aged 40 to 65 years without clinical atherosclerotic CVD, not taking lipid-lowering therapy, undergoing coronary CT angiography (Miami Heart Study)
Participants
1,795 adults
Exposure
Lp ≥125 nmol/L vs Lp <125 nmol/L
  • Lp(a) ≥125 nmol/Ln = 291
Outcome
Any plaque, CAC score >0, maximal stenosis ≥50%, any high-risk plaque feature, ≥2 high-risk plaque features
Methodological detailscommunity-based, baseline data
  • Community-based
  • Baseline data

Main finding

As reported in the abstract

Coronary plaque (multivariable)
Lp(a) ≥125 nmol/L vs Lp(a) <125 nmol/LOdds ratio (95% CI)
Any coronary plaque
1.40(1.05–1.86)
≥2 high-risk features; only 35 participants had this finding
3.94(1.82–8.52)

Observational data: associations, not effects.

Further findings

Any plaque among participants with CAC score 0 (subgroup, n=1200)

P < 0.001

Original publication

Lipoprotein(a) and Coronary Plaque in Asymptomatic Individuals: The Miami Heart Study at Baptist Health South Florida. Circ Cardiovasc Imaging. Published 16 July 2024. doi:10.1161/circimaging.123.016152

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