(A) Parallel relationship between Mendelian randomization and randomized controlled trial. (B) Application of Mendelian randomization to the case of Lp(a) and CVD. Relationships include (1) genetic marker and plasma Lp(a) levels; (2) genetic marker and CVD risk; (3) plasma Lp(a) levels and CVD risk; and (4) the predicted relationship between genetically elevated Lp(a) levels and CVD risk (derived from the first two estimates), which is then compared with the observed estimate (3).
CVD: Cardiovascular disease; Lp(a): Lipoprotein(a).
Modified with permission from [65].