Prevention & lipids

Lipoprotein(a) immunoassays and their associations with coronary artery calcification and aortic valve calcification

Am Heart JPublished prospective population-based cohort

Authors' conclusion

We demonstrate that these immunoassays provide interchangeable Lp(a) measurements, and that associations with CAC and AVC were near-identical. This provides opportunities to directly compare findings from research done with either immunoassay.

Study context

Population
Unselected participants from the Rotterdam Study cohort; Coronary artery calcium (CAC) and aortic valve calcification (AVC) studied in a random subset who underwent cardiac CTunselected participants from the Rotterdam Study cohort
Participants
5,129 participants
Exposure
Mass-based vs molar-based immunoturbidimetric Lp assays
Outcome
Correlation between Lp(a) concentrations from both immunoassays
Methodological detailscomparison of contemporary immunoturbidimetric assays
  • Comparison of contemporary immunoturbidimetric assays

Main finding

As reported in the abstract

Near perfect linear correlation (R2)

98.8%

Observational data: associations, not effects.

Further findings

Natural log-transformed CAC Agatston scores

Randox standardized linear β
0.1003
Roche standardized linear β
0.1004

Natural log-transformed AVC Agatston scores

Randox standardized linear β
0.1525
Roche standardized linear β
0.1539

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

Original publication

Lipoprotein(a) immunoassays and their associations with coronary artery calcification and aortic valve calcification. Am Heart J. Published 18 February 2025. doi:10.1016/j.ahj.2025.02.008

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