Evidence map›Paper›PMID 40240882›Full record

ArticleJournal of the American Heart Association2025

Sex Differences in the Association Between Lipoprotein(a) and Cardiovascular Outcomes: The MGB Lp(a) Registry.

Gurleen Kaur, Adam N Berman, David W Biery, Stephanie A Besser, Wanda Y Wu, Brittany Weber, Michael C Honigberg, Khurram Nasir, Martha Gulati, Marcelo F Di Carli and 3 more

Abstract readComparative Study
In one paragraph

Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Lipoprotein(a) in Essential Hypertension: Associations with Blood Pressure and Hypertension-Mediated Organ Damage.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2026
    Observational
  7. Review
  8. Review
  9. Review
  10. Lipoprotein (a) in primary cardiovascular disease prevention is actionable today.American heart journal plus : cardiology research and practice · 2025
    Review
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

13 authors.

Gurleen KaurDepartment of Medicine, Brigham and Women's Hospital Harvard Medical School Boston MA.ORCID 0000-0002-3693-7722
Adam N BermanDivision of Cardiovascular Medicine, Brigham and Women's Hospital Harvard Medical School Boston MA.ORCID 0000-0002-0724-9779
David W BieryDivision of Cardiovascular Medicine, Brigham and Women's Hospital Harvard Medical School Boston MA.ORCID 0000-0001-6994-8199
Stephanie A BesserDivision of Cardiovascular Medicine, Brigham and Women's Hospital Harvard Medical School Boston MA.
Wanda Y WuDepartment of Medicine Beth Israel Deaconess Medical Center Boston MA.ORCID 0000-0002-8039-717X
Brittany WeberDivision of Cardiovascular Medicine, Brigham and Women's Hospital Harvard Medical School Boston MA.ORCID 0000-0002-0177-2091
Michael C HonigbergDivision of Cardiology, Massachusetts General Hospital Harvard Medical School Boston MA.ORCID 0000-0001-8630-5021
Khurram NasirDivision of Cardiovascular Prevention and Wellness, Department of Cardiovascular Medicine Houston Methodist DeBakey Heart and Vascular Center Houston TX.ORCID 0000-0001-5376-2269
Martha GulatiBarbra Streisand Women's Heart Center, Smidt Heart Institute, Department of Cardiology Cedars-Sinai Smidt Heart Institute Los Angeles CA.ORCID 0000-0003-0735-9756
Marcelo F Di CarliDivision of Cardiovascular Medicine, Brigham and Women's Hospital Harvard Medical School Boston MA.ORCID 0000-0003-3119-025X
Leslee J ShawBlavatnik Family Women's Research Institute Icahn School of Medicine at Mount Sinai New York NY.ORCID 0000-0003-1268-1491
Deepak L BhattMount Sinai Fuster Heart Hospital Icahn School of Medicine at Mount Sinai New York NY.ORCID 0000-0002-1278-6245
Ron BlanksteinDivision of Cardiovascular Medicine, Brigham and Women's Hospital Harvard Medical School Boston MA.ORCID 0000-0002-8393-6562

Funding

Clonal hematopoiesis as a mediator of cardiovascular disease in women with premature menopauseK08HL166687 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI HONIGBERG, MICHAEL · 2023 to 2025
$507k
NHLBI NIH HHS K08 HL166687
6 · The paper itself

Abstract

backgroundSex-based differences in the association of lipoprotein(a) with cardiovascular outcomes have not been well established for those without prior atherosclerotic cardiovascular disease. METHODS AND

resultsPatients with no baseline atherosclerotic cardiovascular disease were identified in the MGB (Mass General Brigham) Lp(a) Registry, a retrospective cohort of patients who had lipoprotein(a) measured from 2000 to 2019. Lipoprotein(a) percentile groups were categorized as 1st to 50th (reference), 51st to 70th, 71st to 90th, and 91st to 100th. The primary outcome was a composite of fatal or nonfatal myocardial infarction, or fatal or nonfatal ischemic stroke. Cox proportional hazard modeling was used to assess the association of lipoprotein(a) with the primary outcome. Among 6238 patients with no baseline atherosclerotic cardiovascular disease, 45% were women. Women had higher total cholesterol, low-density lipoprotein cholesterol, and median lipoprotein(a) (33.2 versus 28.9 nmol/L;

conclusionsAmong individuals with no prior atherosclerotic cardiovascular disease, elevated lipoprotein(a) is associated with higher rates of cardiovascular outcomes, particularly myocardial infarction, in both women and men.

Indexed as

Cardiovascular DiseasesLipoprotein(a)Myocardial InfarctionAgedBiomarkersFemaleHumansIncidenceMaleMiddle AgedPrognosisRegistriesRetrospective StudiesRisk AssessmentRisk FactorsSex FactorsBiomarkersLipoprotein(a)LPA protein, humancoronary artery diseaselipoprotein(a)myocardial infarctionsex differences

Identifiers

PMID40240882
PMCPMC12184545

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.