Year: 2025
Type: article
Abstract: Cardiovascular diseases keep being the leading cause of mortality in Spain. Efforts should be intensified to identify new risk factors that may contribute to increasing cardiovascular risk. Lipoprotein(a) (Lp(a)) has been associated with a higher risk for developing aortic valve stenosis, heart failure, ischemic stroke, ischemic heart disease and peripheral arterial disease. Hyperlipoproteinemia(a) is a common health problem. Between 10 and 30 % of the world population have Lp(a) values exceeding 50 mg/dL. The scientific evidence provided in the recent years confirms an independent association between Lp(a) and the risk for having an arteriosclerotic cardiovascular event. This finding, added to the emergence of new specific therapies for reducing Lp(a) has raised interest in the quantification of this lipoprotein. The objective of this paper was to perform a review of the evidence available to identify the patients who will benefit from undergoing Lp(a) testing and determine the recommended quantification methods, the desirable concentrations, and the role of Lp(a) determination in reclassifying the cardiovascular risk of patients.
Authors: Teresa Arrobas Velilla, Carla Fernández Prendes, Núria Amigó Grau, Pilar Calmarza, Silvia Camós Anguila, Beatriz Candas Estébanez, María José Castro Castro, David Ceacero, Irene González Martínez, María Martín Palencia, José Puzo Foncillas, Carlos Romero Román
Institutions: Hospital Universitario Virgen Macarena, Hospital Universitari Germans Trias i Pujol, Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red Diabetes y Enfermedades Metabólicas Asociadas, Universitat Rovira i Virgili, Hospital Universitario Miguel Servet, Instituto de Investigación Sanitaria Aragón, Hospital Universitari de Girona Doctor Josep Trueta, Universitat de Vic - Universitat Central de Catalunya, Bellvitge University Hospital, Hospital Universitario 12 De Octubre, Hospital Universitario de Burgos, Hospital General San Jorge, Hospital General Universitario de Albacete, Complejo Hospitalario Universitario de Albacete
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4408078983