Table 1.
No. of Events |
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Sourcea | Participants, No./Male, No. |
Age at Survey, Mean (SD), y |
Lp(a), Median (IQR), mg/dL |
Median Follow-up (5th-95th Percentile) |
Nonfatal MI/GHD Death |
CHD Death |
Nonfatal MI |
Fatal MI |
Fatal/Nonfatal Stroke |
Non- CVD Death |
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Ische- mic |
Hemor- rhagic |
Unclas- sified |
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Cohort Studies | ||||||||||||
AFTCAPS42C | 902/745 | 59 (7.1) | 7.6 (3.3-17.9) | 5.7 (4.5-6.8) | 21 | 1 | 20 | 1 | 3 | 0 | 0 | 7 |
| ||||||||||||
ARIC,20 2001 | 14033/6087 | 54 (5.7) | 18.3 (6.9-43.8) | 14.1 (5.0-15.7) | 850 | 190 | 660 | 114 | 431 | 52 | 16 | 947 |
| ||||||||||||
ATTICA21C | 1508/777 | 51 (11.1) | 11.4 (4.9-25.2) | 5.0 (5.0-5.0) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 16 |
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BRUN,22 1999 | 798/385 | 58 (11.4) | 88 (4.4-21.6) | 15.3 (3.9-15.5) | 53 | 31 | 22 | 19 | 24 | 14 | 0 | 120 |
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CHARL24C | 165/165 | 70 (7.5) | 10.4 (3.4-22.3) | 6.3 (1.2-7.5) | 19 | 3 | 16 | 2 | 0 | 2 | 7 | 15 |
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CHS 1,23 2003 | 3860/1480 | 72 (5.2) | 12.6 (4.8-22.2) | 12.1 (2.0-12.9) | 592 | 212 | 380 | 212 | 367 | 62 | 36 | 797 |
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COPEN,16 2008 | 7487/3144 | 59 (13.6) | 19.1 (6.9-42.6) | 7.4 (2.4-8.9) | 283 | 36 | 247 | 0 | 184 | 39 | 94 | 525 |
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DUBBO,25 2002 | 2008/842 | 68 (6.7) | 11.0 (5.0-27.8) | 14.1 (1.8-14.9) | 273 | 56 | 217 | 0 | 73 | 19 | 81 | 315 |
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EAS,26 2001 | 637/323 | 64 (5.6) | 92 (3.7-25.4) | 15.1 (2.3-15.6) | 54 | 25 | 29 | 18 | 0 | 2 | 34 | 123 |
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FINRISK 92,27 2005 | 2201/1022 | 54 (62) | 12.2 (4.5-31.7) | 11.8 (4.4-11.9) | 92 | 21 | 71 | 10 | 45 | 18 | 0 | 114 |
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FRAMOFF,28 1996 | 2850/1316 | 54 (9.8) | 16.7 (7.1-36.6) | 12.0 (5.7-14.4) | 109 | 12 | 97 | 0 | 52 | 6 | 0 | 182 |
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GOH29C | 638/307 | 71 (6.7) | 17.5 (10.0-37.0) | 3.9 (0.3-6.9) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
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GRIPS,30 1997 | 5784/5784 | 48 (5.1) | 9.0 (4.0-25.0) | 9.8 (4.3-10.0) | 299 | 0 | 299 | 0 | 0 | 0 | 103 | 158 |
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KIHD31C | 1996/1996 | 53 (5.3) | 9.6 (3.8-22.1) | 19.2 (2.9-23.1) | 386 | 11 | 375 | 6 | 104 | 34 | 3 | 239 |
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NHANES 332C | 4496/1923 | 54 (15.7) | 23.0 (9.0-46.0) | 7.5 (3.9-9.0) | 107 | 107 | 0 | 38 | 0 | 0 | 46 | 321 |
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NPHS II,33 2001 | 2375/2375 | 57 (3.4) | 10.9 (4.3-29.3) | 8.3 (3.5-10.4) | 157 | 13 | 139 | 16 | 23 | 7 | 17 | 97 |
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PRIME,34 2002 | 7441/7441 | 55 (2.9) | 10.0 (5.0-30.0) | 5.2 (5.0-7.3) | 115 | 13 | 102 | 10 | 24 | 3 | 3 | 92 |
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PROCAM,35 1996 | 3198/2255 | 43 (10.4) | 4.0 (2:0-13.0) | 17.4 (5.3-18.6) | 94 | 23 | 71 | 3 | 12 | 4 | 2 | 98 |
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QUEBEC,36 1998 | 2012/2012 | 56 (6.9) | 19.0 (7.8-47.3) | 5.3 (4.3-5.6) | 53 | 5 | 48 | 4 | 0 | 0 | 9 | 45 |
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SHS,37 2002 | 3837/1515 | 56 (8.0) | 3.0 (1.1-6.7) | 12.5 (2.1-14.3) | 416 | 133 | 283 | 62 | 8 | 8 | 177 | 750 |
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TARFS38C | 1400/667 | 54 (10.5) | 10.1 (4.2-21.6) | 2.2 (1.2-4.5) | 3 | 3 | 0 | 3 | 0 | 0 | 3 | 12 |
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ULSAM39C | 1866/1866 | 51 (4.5) | 8.3 (3.4-22.3) | 27.1 (5.9-35.8) | 485 | 124 | 361 | 60 | 164 | 42 | 30 | 457 |
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WHITE 240C | 7903/5467 | 49 (6.0) | 21.0 (12.0-46.0) | 7.6 (3.8-8.2) | 170 | 23 | 147 | 18 | 1 | 0 | 3 | 86 |
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WHS,15 2006 | 27 791/0 | 55 (7.1) | 10.6 (4.4-32.8) | 10.2 (8.4-10.8) | 227 | 10 | 217 | 4 | 229 | 25 | 1 | 540 |
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WOSCOPS,43 2000 | 4617/4617 | 55 (5.6) | 17.0 (7.0-50.0) | 5.0 (2.8-6.0) | 299 | 60 | 239 | 0 | 0 | 0 | 61 | 83 |
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ZUTE41C | 305/305 | 75 (4.5) | 12.3 (5.8-28.7) | 9.1 (1.1-10.1) | 42 | 13 | 29 | 9 | 1 | 1 | 25 | 65 |
Subtotal | 112 108/54 816 | 55 (9.5) | 12.9 (5.0-32.7) | 9.7 (3.6-15.7) | 5199 | 1130 | 4069 | 614 | 1750 | 338 | 751 | 6204 |
| ||||||||||||
Nested Case-Control Studies (Individually Matched) | ||||||||||||
BUPA,44 1994 | 1505/1505 | 53 (7.2) | 19.2 (8.7-47.7) | 23.7 (4.5-26.9) | 208 | 208 | 0 | 170 | 0 | 0 | 0 | 173 |
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FIA,45 1998 | 1492/1073 | 55 (7.6) | 26.5 (11.8-45.0) | 3.7 (0.5-8.6) | 519 | 118 | 401 | 118 | 0 | 0 | 0 | 0 |
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FLETCHER,45 2007 | 689/541 | 57 (14.3) | 20.7 (7.2-59.5) | 5.6 (2.2-6.4) | 140 | NA | NA | 0 | 0 | 0 | 0 | 0 |
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HPFS47C | 726/726 | 63 (8.3) | 13.0 (5.6-37.3) | 7.7 (3.0-8.5) | 220 | 35 | 185 | 9 | 0 | 0 | 0 | 18 |
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MRFIT,48 2001 | 736/736 | 47 (5.6) | 3.4 (1.2-9.3) | 7.1 (6.0-73) | 246 | 19 | 227 | 13 | 0 | 0 | 0 | 5 |
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NHS,49 2005 | 705/0 | 60 (6.5) | 9.5 (43-23.2) | 8.0 (1.4-8.8) | 234 | 27 | 207 | 27 | 0 | 0 | 0 | 10 |
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Subtotal | 5353/4581 | 55 (9.6) | 16.0 (5.5-40.5) | 7.0 (1.3-25.9) | 1567 | 407b | 1020b | 337 | 0 | 0 | 0 | 206 |
| ||||||||||||
Nested Case-Control Studies (Frequency-Matched) | ||||||||||||
BRHS50C | 1561/1561 | 52 (5.3) | 6.5 (3.4-16.6) | 20.3 (3.7-23.6) | 461 | 169 | 292 | 122 | 0 | 0 | 0 | 221 |
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GOTO 33,51 1993 | 128/128 | 51 (0.2) | 10.2 (4.2-32.0) | 12.8 (1.7-13.1) | 16 | 7 | 9 | 4 | 0 | 0 | 0 | 7 |
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REYK,10 2008 | 6179/4359 | 55 (9.0) | 9.3 (2.9-22.8) | 20.3 (3.3-33.5) | 1850 | 810 | 1040 | 228 | 0 | 0 | 0 | 1476 |
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USPHS,52 1993 | 805/805 | 60 (9.0) | 9.5 (3.8-24.1) | NA | 243 | 22 | 221 | 22 | 153 | 0 | 0 | 0 |
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Subtotal | 8673/6853 | 55 (8.6) | 3.7 (3.2-21.8) | 20.1 (3.4-32.9) | 2570 | 1008 | 1562 | 376 | 153 | 0 | 0 | 1704 |
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Total | 126 634/65 755 | 55 (9.4) | 12.6 (4.9-32.1) | 9.3 (3.5-21.3) | 9336 | 2545b | 6651b | 1327 | 1903 | 338 | 751 | 8114 |
Abbreviations: CHD, coronary heart disease; IQR, interquartile range; Lp(a), lipoprotein(a); MI, myocardial infarction; MA, data not available; non-CVD, nonvascular.
eAppendix 3 lists the study acronyms.
Numbers sum to less than the total of CHD events because 1 study46 did not provide seperate data on CHD death and nonfatal MI.
Studies that had not previously published their findings on LP(a) and vascular risk.