Evidence map›Paper›PMID 40766294›Full record

Observational studyFrontiers in endocrinology2025

Lipoprotein(a) as a predictor of mortality in hospitalised patients with ischaemic heart disease.

Wann Jia Loh, Xuan Han Koh, Colin Yeo, Xucong Ruan, Siang Chew Chai, Weien Chow, Tar Choon Aw, Chew Kiat Heng, Roger Foo

Abstract readObservational Study
In one paragraph

Observational study in Frontiers in endocrinology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Wann Jia LohDepartment of Endocrinology, Changi General Hospital, Singapore, Singapore.
Xuan Han KohHealth Services Research, Changi General Hospital, Singapore, Singapore.
Colin YeoDepartment of Cardiology, Changi General Hospital, Singapore, Singapore.
Xucong RuanDepartment of Cardiology, Changi General Hospital, Singapore, Singapore.
Siang Chew ChaiDepartment of Cardiology, Changi General Hospital, Singapore, Singapore.
Weien ChowDepartment of Cardiology, Changi General Hospital, Singapore, Singapore.
Tar Choon AwDepartment of Pathology, Changi General Hospital, Singapore, Singapore.
Chew Kiat Heng *Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Roger Foo *Cardiovascular Translational Research Programme, National University of Singapore, Singapore, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Elevated Lipoprotein(a) [Lp(a)] increases the risk of cardiovascular disease and mortality in population studies but reports of whether elevated Lp(a) concentration predicts mortality in hospitalised patients with cardiovascular disease are still lacking and conflicting. Aim: To investigate whether elevated Lp(a) predicted cardiovascular outcomes in patients with ischaemic heart disease (IHD) admitted to hospital. Methods: Serum Lp(a) concentrations were measured in 520 consecutively recruited patients admitted to hospital with IHD, half of whom had an acute myocardial infarction. Patients with elevated Lp(a) at baseline were compared with patients with non-elevated Lp(a). In this observational prospective cohort study, multivariable Cox proportional hazards regression was used to assess the association of baseline Lp(a) with hazard rates (HR) of mortality and major adverse cardiovascular events (MACE). Results: During the 2-year follow-up period, 14.6%, 8.5%, and 49.2% of patients had all-cause mortality, cardiovascular mortality, and MACE respectively. Median age was 63.5 years, 82.3% were male and the median Lp(a) was 35.2 nmol/L. Multivariable Cox regression showed baseline Lp(a) ≥70 nmol/L was associated with increased risk of all-cause mortality (HR 1.97 [1.20-3.22], Conclusion: In a multi-ethnic Asian patient cohort, elevated Lp(a) concentrations ≥70 nmol/L at hospitalization positively predicted cardiovascular and all-cause mortality in patients with ischaemic heart disease. Our findings support guidelines' recommendation for routine evaluation of Lp(a) in all patients at high cardiovascular risk.

Indexed as

Lipoprotein(a)Myocardial IschemiaAgedBiomarkersFemaleFollow-Up StudiesHospitalizationHumansMaleMiddle AgedPrognosisProspective StudiesRisk FactorsBiomarkersLipoprotein(a)Asianatherosclerosiscardiovascularcoronary artery diseaseethnicityischaemic heart diseaselipoprotein(a)Lp(a)

Identifiers

PMID40766294
PMCPMC12321530

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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.