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. 2021 Jan 23;118(3):716–731. doi: 10.1093/cvr/cvab017

Table 3.

Effects of lipoproteins on thromboembolic outcomes in atrial fibrillation

Author, year (ref) Study type Population n Follow-up (months) Finding(s)
Liu, 2020161 Retrospective Non-valvular AF 2345 26

↑ LDL-C in low-risk: HR 2.60 (95% CI 1.26–5.37) for ischaemic stroke

↑ LDL-C in high-risk: HR 2.50 (95% CI 1.10–5.70) for ischaemic stroke

Yan, 2019162 Retrospective Non-valvular AF with low CHA2DS2-VASc score 595 NA ↑ Lipoprotein(a): OR 1.02 (95% CI 1.01–1.03) for thromboembolic events
Pol, 2018163 Prospective AF with at least 1 stroke/SE risk factor 14 884 23

↑ Apolipoprotein A1: HR 0.81 (95% CI 0.73–0.90) for composite risk of ischaemic stroke, SE, MI and CV death

Apolipoprotein B was not associated with composite risk of ischaemic stroke, SE, MI and CV death

Qi, 2017164 Retrospective AF ± ischaemic stroke 815 NA ↑ LDL-C: OR 2.00 (95% CI 1.62–2.47) for ischaemic stroke
Aronis, 201754 Prospective Community-based cohort 10 127 190 ↑ Lipoprotein(a) was not associated with stroke risk in patients with AF
Wu, 2017165 Retrospective Non-valvular AF 2470 NA ↑ LDL-C: OR 1.27 (95% CI 1.08–1.49) for ischaemic stroke
Igarashi, 1998166 Prospective Chronic AF 150 NA ↑ Lipoprotein(a) was an independent risk factor for LA thrombus (standardized coefficient of 0.300)

AF, atrial fibrillation; CI, confidence interval; CV, cardiovascular; HR, hazard ratio; LA, left atrial; LDL-C, low-density lipoprotein cholesterol; MI, myocardial infarction; NA, not applicable or available; OR, odds ratio; SE, systemic embolism.