Table 2.
Lp(a)-related risks of prevalent CAVD and development of CHD in a subcohort of MESA participants (n = 4593).a
| Lp(a)-M (mg/dL) | Lp(a)-Cb (mg/dL) | Lp(a)-Pc (nmol/L) | |
|---|---|---|---|
| Calcific aortic valve diseased | |||
| Upper 25th percentile | 39.9 | 3.7 | 70 |
| Estimated RR | 1.49 | 1.48 | 1.49 |
| 95% CI | (1.27–1.74) | (1.26–1.73) | (1.27–1.75) |
| P value | <0.0001 | <0.0001 | <0.0001 |
| Upper 15th cutoff value | 59.7 | 6.9 | 119 |
| Estimated RR | 1.54 | 1.49 | 1.52 |
| 95% CI | (1.29–1.83) | (1.23–1.82) | (1.27–1.81) |
| P value | <0.0001 | <0.0001 | <0.0001 |
| Incident coronary heart diseasee | |||
| Upper 25th percentile | 39.9 | 3.7 | 70 |
| Estimated HR | 1.49 | 1.46 | 1.45 |
| 95% CI | (1.16–1.91) | (1.14–1.87) | (1.13–1.86) |
| P value | 0.002 | 0.003 | 0.004 |
| Upper 15th cutoff value | 59.7 | 6.9 | 119 |
| Estimated HR | 1.40 | 1.76 | 1.41 |
| 95% CI | (1.05–1.88) | (1.33–2.34) | (1.06–1.87) |
| P value | 0.02 | <0.0001 | 0.02 |
The P values are in bold to highlight the significance.
Adjustments were made for age, sex, race/ethnicity, hypertension, smoking, education status, diabetes, LDL-C, and HDL-C.
The LOQ for the Lp(a)-C assay was 3.0 mg/dL.
The LOQ for the Lp(a)-P assay was 50 nmol/L.
Relative risk ratios (RRs) and 95% CI are presented for individuals in the upper 25th and 15th percentiles for each Lp(a) marker.
Hazard ratios (HRs) and 95% CI are presented for individuals in upper 25th and 15th percentiles for each Lp(a) marker.