Evidence map›Paper›PMID 32892691›Full record

ArticleJournal of the American Heart Association2020

Risks of Incident Cardiovascular Disease Associated With Concomitant Elevations in Lipoprotein(a) and Low-Density Lipoprotein Cholesterol-The Framingham Heart Study.

Mehdi Afshar, Jian Rong, Yang Zhan, Hao Yu Chen, James C Engert, Allan D Sniderman, Martin G Larson, Ramachandran S Vasan, George Thanassoulis

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Biologics for cardiovascular diseases: from bench to bedside.Signal transduction and targeted therapy · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Lipoprotein (a) in primary cardiovascular disease prevention is actionable today.American heart journal plus : cardiology research and practice · 2025
    Review
  11. Review
  12. Lipoprotein(a): Emerging insights and therapeutics.American journal of preventive cardiology · 2024
    Article
  13. Review
  14. Article
  15. Review
  16. Lipoprotein(a): An important piece of the ASCVD risk factor puzzle across diverse populations.American heart journal plus : cardiology research and practice · 2024
    Article
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Mehdi AfsharDivision of Cardiology University of Toronto Toronto Canada.
Jian RongDepartment of Neurology Boston University School of Medicine Boston MA.
Yang ZhanDepartment of Medicine McGill University Montreal Canada.
Hao Yu ChenDepartment of Medicine McGill University Montreal Canada.
James C EngertDepartment of Medicine McGill University Montreal Canada.
Allan D SnidermanDepartment of Medicine McGill University Montreal Canada.
Martin G LarsonNHLBI's and Boston University's Framingham Heart Study Boston MA.
Ramachandran S VasanNHLBI's and Boston University's Framingham Heart Study Boston MA.
George ThanassoulisDepartment of Medicine McGill University Montreal Canada.
McGill University Health Centre · CABoston University · USUniversity of Toronto · CA

Funding

THE FRAMINGHAM HEART STUDY-N01HC25195-268025195-268025195N01HC025195 · HC · TRUSTEES OF BOSTON UNIVERSITY · PI WOLF, PHILIP A · 2002 to 2006
–
NHLBI NIH HHS HHSN268201500001INHLBI NIH HHS N01 HC025195
6 · The paper itself

Abstract

Background Elevated lipoprotein(a) is a well-established risk factor for atherosclerotic vascular disease but is not measured in routine clinical care. Screening of high lipoprotein(a) in individuals with moderate elevations of low-density lipoprotein cholesterol (LDL-C) may identify individuals at high risk of cardiovascular disease. Methods and Results We examined 2606 Framingham Offspring participants (median age, 54 years; 45% men) prospectively with a median follow-up of 15 years (n=392 incident cardiovascular events). Individuals with higher (≥100 nmol/L) versus lower lipoprotein(a) were divided into groups based on LDL-C <135 mg/dL versus ≥135 mg/dL. In Cox models, after adjustment for known risk factors, high lipoprotein(a) (≥100 nmol/L) and LDL-C ≥135 mg/dL were each significant predictors of cardiovascular disease (LDL-C ≥135 mg/dL: hazard ratio [HR], 1.34; 95% CI, 1.09-1.64;

Indexed as

Age FactorsCardiovascular DiseasesCholesterol, LDLFemaleHumansIncidenceLipoprotein(a)Longitudinal StudiesMaleMiddle AgedProportional Hazards ModelsRisk FactorsSex FactorsCholesterol, LDLLipoprotein(a)cardiovascular diseasedyslipidemiaFraminghamlipoprotein(a)

Identifiers

PMID32892691
PMCPMC7726982
OpenAlexW3083258151

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.