Relations between lipoprotein(a) concentrations, LPA genetic variants, and the risk of mortality in patients with established coronary heart disease: a molecular and genetic association study

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Zewinger, StephenSaarland Univ Hosp, Dept Internal Med 4, Homburg, Germany.,Saarland University (författare)

Relations between lipoprotein(a) concentrations, LPA genetic variants, and the risk of mortality in patients with established coronary heart disease : a molecular and genetic association study

Artikel/kapitelEngelska2017

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ELSEVIER SCIENCE INC,2017
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LIBRIS-ID:oai:DiVA.org:uu-329628
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-329628URI
https://doi.org/10.1016/S2213-8587(17)30096-7DOI
https://lup.lub.lu.se/record/090d445f-f2d3-40b8-b9c9-abe964a82c78URI

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Background: Lipoprotein(a) concentrations in plasma are associated with cardiovascular risk in the general population. Whether lipoprotein(a) concentrations or LPA genetic variants predict long-term mortality in patients with established coronary heart disease remains less clear.Methods: We obtained data from 3313 patients with established coronary heart disease in the Ludwigshafen Risk and Cardiovascular Health (LURIC) study. We tested associations of tertiles of lipoprotein(a) concentration in plasma and two LPA single-nucleotide polymorphisms ([SNPs] rs10455872 and rs3798220) with all-cause mortality and cardiovascular mortality by Cox regression analysis and with severity of disease by generalised linear modelling, with and without adjustment for age, sex, diabetes diagnosis, systolic blood pressure, BMI, smoking status, estimated glomerular filtration rate, LDL-cholesterol concentration, and use of lipid-lowering therapy. Results for plasma lipoprotein(a) concentrations were validated in five independent studies involving 10 195 patients with established coronary heart disease. Results for genetic associations were replicated through large-scale collaborative analysis in the GENIUS-CHD consortium, comprising 106 353 patients with established coronary heart disease and 19 332 deaths in 22 studies or cohorts.Findings: The median follow-up was 9.9 years. Increased severity of coronary heart disease was associated with lipoprotein(a) concentrations in plasma in the highest tertile (adjusted hazard radio [HR] 1.44, 95% CI 1.14-1.83) and the presence of either LPA SNP (1.88, 1.40-2.53). No associations were found in LURIC with all-cause mortality (highest tertile of lipoprotein(a) concentration in plasma 0.95, 0.81-1.11 and either LPA SNP 1.10, 0.92-1.31) or cardiovascular mortality (0.99, 0.81-1.2 and 1.13, 0.90-1.40, respectively) or in the validation studies.Interpretation: In patients with prevalent coronary heart disease, lipoprotein(a) concentrations and genetic variants showed no associations with mortality. We conclude that these variables are not useful risk factors to measure to predict progression to death after coronary heart disease is established.

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Biuppslag (personer, institutioner, konferenser, titlar ...)

Kleber, Marcus E.Friedrich Schiller Univ, Inst Nutr, Jena, Germany.,Friedrich Schiller University Jena (författare)
Tragante, ViniciusUniversity Medical Center Utrecht (författare)
McCubrey, Raymond O.Univ Utah Sch Med, Intermountain Heart Inst, Intermountain Med Ctr, Salt Lake City, UT USA.,University of Utah,University of Verona (författare)
Schmidt, Amand F.University College London (författare)
Direk, KenanUniversity College London (författare)
Laufs, UlrichSaarland Univ Hosp, Dept Internal Med 3, Homburg, Germany.,Saarland University (författare)
Werner, ChristianSaarland Univ Hosp, Dept Internal Med 3, Homburg, Germany.,Saarland University (författare)
Koenig, WolfgangUniv Ulm Med Ctr, Dept Internal Med Cardiol 2, Ulm, Germany.;Tech Univ Munich, Deutsch Herzzentrum M nchen, Munich, Germany.;Partner site Munich Heart Alliance, German Ctr Cardiovasc Res DZHK, Munich, Germany.,German Centre for Cardiovascular Research (författare)
Rothenbacher, DietrichGerman Canc Ctr DKFZ, Div Clin Epidemiol & Ageing Res, Heidelberg, Germany.;Univ Ulm, Inst Epidemiol & Med Biometry, Ulm, Germany.;German Ctr Cardiovasc Res DZHK eV, Kiel, Germany.,University of Ulm (författare)
Mons, UteGerman Canc Ctr DKFZ, Div Clin Epidemiol & Ageing Res, Heidelberg, Germany.,German Cancer Research Centre (författare)
Breitling, Lutz P.German Canc Ctr DKFZ, Div Clin Epidemiol & Ageing Res, Heidelberg, Germany.;Univ Heart Ctr Hamburg, Clin Gen & Intervent Cardiol, Hamburg, Germany.,German Cancer Research Centre (författare)
Brenner, HerrmannHeidelberg Univ, Dept Med, Network Ageing Res, Mannheim, Germany.;German Canc Ctr DKFZ, Div Clin Epidemiol & Ageing Res, Heidelberg, Germany.,German Cancer Research Centre (författare)
Jennings, Richard T.Saarland Univ Hosp, Dept Internal Med 4, Homburg, Germany.;Univ Heart Ctr Hamburg, Clin Gen & Intervent Cardiol, Hamburg, Germany.,Saarland University (författare)
Petrakis, IoannisSaarland Univ Hosp, Dept Internal Med 4, Homburg, Germany.,Saarland University (författare)
Triem, SarahSaarland Univ Hosp, Dept Internal Med 4, Homburg, Germany.,Saarland University (författare)
Klug, MiraSaarland Univ Hosp, Dept Internal Med 4, Homburg, Germany.,Saarland University (författare)
Filips, AlexandraSaarland Univ Hosp, Dept Internal Med 4, Homburg, Germany.;UCL, Inst Cardiovasc Sci Facultyof Populat Hlth Sc, London, England.,Saarland University,University of Ottawa (författare)
Blankenberg, StefanGerman Centre for Cardiovascular Research (författare)
Waldeyer, ChristophGerman Centre for Cardiovascular Research (författare)
Sinning, ChristophGerman Centre for Cardiovascular Research (författare)
Schnabel, Renate B.German Centre for Cardiovascular Research (författare)
Lackner, Karl J.Univ Med Ctr Mainz, Inst Clin Chem & Lab Med, Mainz, Germany.,Universitätsmedizin Mainz (författare)
Vlachopoulou, EfthymiaUniv Helsinki, Haartman Inst, Transplantat Lab, Helsinki, Finland.,University of Helsinki Haartman Institute (författare)
Nygard, OttarUniv Bergen, Dept Clin Sci, Bergen, Norway.;Haukeland Hosp, Dept Heart Dis, Bergen, Norway.,Haukeland University Hospital (författare)
Svingen, Gard Frodahl TveitevagUniv Bergen, Dept Clin Sci, Bergen, Norway.;Haukeland Hosp, Dept Heart Dis, Bergen, Norway.,Haukeland University Hospital (författare)
Pedersen, Eva RingdalUniv Bergen, Dept Clin Sci, Bergen, Norway.;Haukeland Hosp, Dept Heart Dis, Bergen, Norway.,University of Bergen (författare)
Tell, Grethe S.Univ Bergen, Dept Global Publ Hlth & Primary Care, Bergen, Norway.;Helsinki Univ Hosp, Heart & Lung Ctr, Helsinki, Finland.,University of Bergen (författare)
Sinisalo, JuhaMed Univ Graz, Clin Inst Med & Chem Lab Diagnost, Graz, Austria.,Helsinki University Central Hospital (författare)
Nieminen, Markku S.Natl Univ Singapore, Cardiovasc Res Inst, Singapore, Singapore.,Helsinki University Central Hospital,University Hospital Leipzig,Jagiellonian University (författare)
Laaksonen, ReijoTampere Univ, Sch Med, Tampere, Finland.;Tampere Univ Hosp, Finnish Clin Biobank Tampere, Tampere, Finland.,Tampere University Hospital (författare)
Trompet, StellaGerman Ctr Cardiovasc Res DZHK eV, Kiel, Germany.;Leiden Univ Med Ctr, Dept Geriat & Gerontol, Leiden, Netherlands.;Leiden Univ Med Ctr, Dept Cardiol, Leiden, Netherlands.;Leiden Univ Med Ctr, Einthoven Lab Expt Vasc Med, Leiden, Netherlands.,Leiden University Medical Centre (författare)
Smit, Roelof A. J.Uppsala University (författare)
Sattar, NaveedHeidelberg Univ, Dept Med, Mannheim, Germany.;Helsinki Univ Hosp, Heart & Lung Ctr, Helsinki, Finland.,University of Glasgow (författare)
Jukema, J. WouterHelsinki Univ Hosp, Heart & Lung Ctr, Helsinki, Finland.;Leiden Univ Med Ctr, Einthoven Lab Expt Vasc Med, Leiden, Netherlands.;Leiden Univ Med Ctr, Einthoven Lab Expt Vasc Med, Leiden, Netherlands.;Inst Netherlands, Interunivers Cardiol, Utrecht, Netherlands.,Interuniversity Cardiology Institute of the Netherlands (författare)
Groesdonk, Heinrich V.Saarland Univ Hosp, Dept Anesthesiol Intens Care Med & Pain Med, Homburg, Germany.;German Ctr Cardiovasc Res DZHK eV, Kiel, Germany.;Leiden Univ Med Ctr, Einthoven Lab Expt Vasc Med, Leiden, Netherlands.;Leiden Univ Med Ctr, Einthoven Lab Expt Vasc Med, Leiden, Netherlands.;Univ Otago, Christchurch Heart Inst, Christchurch, New Zealand.,Saarland University (författare)
Delgado, GracielaUniv Utah Sch Med, Intermountain Heart Inst, Intermountain Med Ctr, Salt Lake City, UT USA.;Univ Glasgow, Inst Cardiovascular & Med Sci, Cardiovascular Res Ctr, BHF Glasgow, Glasgow, Lanark, Scotland.;Inst Netherlands, Interunivers Cardiol, Utrecht, Netherlands.,Heidelberg University (författare)
Stojakovic, TatjanaHeidelberg Univ, Dept Med, Mannheim, Germany.;Leiden Univ Med Ctr, Einthoven Lab Expt Vasc Med, Leiden, Netherlands.;Univ Glasgow, Inst Cardiovascular & Med Sci, Cardiovascular Res Ctr, BHF Glasgow, Glasgow, Lanark, Scotland.,Medical University of Graz (författare)
Pilbrow, Anna P.Leiden Univ Med Ctr, Einthoven Lab Expt Vasc Med, Leiden, Netherlands.,University of Otago (författare)
Cameron, Vicky A.Heart & Lungs Div, Dept Cardiol, Utrecht, Netherlands.;Helsinki Univ Hosp, Heart & Lung Ctr, Helsinki, Finland.;Univ Glasgow, Inst Cardiovascular & Med Sci, Cardiovascular Res Ctr, BHF Glasgow, Glasgow, Lanark, Scotland.;Univ Otago, Christchurch Heart Inst, Christchurch, New Zealand.,University of Otago (författare)
Richards, A. MarkUniv Otago, Christchurch Heart Inst, Christchurch, New Zealand.;Natl Univ Singapore, Cardiovasc Res Inst, Singapore, Singapore.,National University of Singapore (författare)
Doughty, Robert N.Univ Glasgow, Inst Cardiovascular & Med Sci, Cardiovascular Res Ctr, BHF Glasgow, Glasgow, Lanark, Scotland.;Univ Auckland, Hlth Res Grp, Auckland, New Zealand.,University of Auckland (författare)
Gong, YanHeart & Lungs Div, Dept Cardiol, Utrecht, Netherlands.;Univ Utah Sch Med, Intermountain Heart Inst, Intermountain Med Ctr, Salt Lake City, UT USA.;Univ Glasgow, Inst Cardiovascular & Med Sci, Cardiovascular Res Ctr, BHF Glasgow, Glasgow, Lanark, Scotland.,Florida Museum Natural History (författare)
Cooper-DeHoff, RhondaFlorida Museum Natural History (författare)
Johnson, JulieGerman Ctr Cardiovasc Res DZHK eV, Kiel, Germany.;Univ Otago, Christchurch Heart Inst, Christchurch, New Zealand.,Glenfield Hospital (författare)
Scholz, MarkusUniv Utah Sch Med, Intermountain Heart Inst, Intermountain Med Ctr, Salt Lake City, UT USA.;Natl Univ Singapore, Cardiovasc Res Inst, Singapore, Singapore.;Univ Leipzig, D-RES CTR C Leipzig, Germany. (författare)
Beutner, FrankUniv Leipzig, Leipzig, Germany.,University of Leipzig Heart Center (författare)
Thiery, JoachimUniv Hosp, Leipzig, Germany.,University Hospital Leipzig (författare)
Smith, GustavLund University,Lunds universitet,Kardiologi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Heart Failure and Mechanical Support,Forskargrupper vid Lunds universitet,Molecular Epidemiology and Cardiology,Cardiovascular Epigenetics,Cardiology,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Lund University Research Groups,Skåne University Hospital(Swepub:lu)med-gvs (författare)
Vilmundarson, Ragnar O.Univ Ottawa Heart Inst, Ruddy Canadian Cardiovasc Genet Ctr, Ottawa, ON, Canada.,University of Ottawa (författare)
McPherson, RuthUniv Ottawa Heart Inst, Ruddy Canadian Cardiovasc Genet Ctr, Ottawa, ON, Canada.,University of Ottawa (författare)
Stewart, Alexandre F. R.Natl Univ Singapore, Cardiovasc Res Inst, Singapore, Singapore.;Univ Florida, Dept Pharmacotherapy, Colleges Pharm, Gainesville, FL USA.;Univ Florida, Dept Pharmacotherapy, Translat Res & Ctr Pharmac, Gainesville, FL USA.;Univ Ottawa Heart Inst, Ruddy Canadian Cardiovasc Genet Ctr, Ottawa, ON, Canada.;Washington Univ, Sch Med, St Louis, MO USA. (författare)
Cresci, SharonUniv Ottawa Heart Inst, Ruddy Canadian Cardiovasc Genet Ctr, Ottawa, ON, Canada.;Washington Univ, Sch Med, Dept Med, St Louis, MO USA.;Washington Univ, Sch Med, Dept Genet, St Louis, MO USA.,Washington University in St. Louis (författare)
Lenzini, Petra A.Inst Med Informat, Stat & Epidemiol, Leipzig, Germany.;Univ Ottawa Heart Inst, Ruddy Canadian Cardiovasc Genet Ctr, Ottawa, ON, Canada.;Washington Univ, Sch Med, Stat Genom Div, Dept Genet, St Louis, MO USA.,Washington University in St. Louis (författare)
Spertus, John A.Inst Med Informat, Stat & Epidemiol, Leipzig, Germany.;St Lukes Mid Amer Heart Inst, Kansas City, MO USA.;Univ Missouri, Dept Biomed Hlth Informat, Kansas City, MO USA.,University of Missouri-Kansas City (författare)
Olivieri, OlivieroHeart & Lungs Div, Dept Cardiol, Utrecht, Netherlands.;Univ Verona, Dept Med, Verona, Italy. (författare)
Girelli, DomenicoUniv Florida, Dept Pharmacotherapy, Colleges Pharm, Gainesville, FL USA.;Univ Florida, Dept Pharmacotherapy, Translat Res & Ctr Pharmac, Gainesville, FL USA.;Univ Verona, Dept Med, Verona, Italy.,University of Verona (författare)
Martinelli, Nicola I.Univ Verona, Dept Med, Verona, Italy.,University of Verona (författare)
Leiherer, AndreasUniv Florida, Dept Pharmacotherapy, Colleges Pharm, Gainesville, FL USA.;Univ Florida, Dept Pharmacotherapy, Translat Res & Ctr Pharmac, Gainesville, FL USA.;Inst Med Informat, Stat & Epidemiol, Leipzig, Germany.;Vorarlberg Inst Vasc Invest & Treatment, Feldkirch, Austria.;Principal Liechtenstein, Private Univ, Triesen, Liechtenstein.,Private University of the Principality of Liechtenstein (författare)
Saely, Christoph H.Vorarlberg Inst Vasc Invest & Treatment, Feldkirch, Austria.;Principal Liechtenstein, Private Univ, Triesen, Liechtenstein.,Private University of the Principality of Liechtenstein (författare)
Drexel, HeinzHeart & Lungs Div, Dept Cardiol, Utrecht, Netherlands.;Univ Florida, Dept Pharmacotherapy, Colleges Pharm, Gainesville, FL USA.;Univ Florida, Dept Pharmacotherapy, Translat Res & Ctr Pharmac, Gainesville, FL USA.;Vorarlberg Inst Vasc Invest & Treatment, Feldkirch, Austria.;Principal Liechtenstein, Private Univ, Triesen, Liechtenstein.;Acad Teaching Hosp Feldkirch, Dept Med & Cardiol, Feldkirch, Austria.;Drexel Univ, Coll Med, Philadelphia, PA USA.,Drexel University (författare)
Muendlein, AxelVorarlberg Inst Vasc Invest & Treatment, Feldkirch, Austria.,Vorarlberg Institute for Vascular Investigation and Treatment (författare)
Braund, Peter S.Univ Florida, Dept Pharmacotherapy, Colleges Pharm, Gainesville, FL USA.;Univ Florida, Dept Pharmacotherapy, Translat Res & Ctr Pharmac, Gainesville, FL USA.;Univ Leicester, Glenfield Hosp, Dept Cardiovascular Sci, BHF Cardiovascular Res Ctr, Leicester, Leics, England.,Glenfield Hospital (författare)
Nelson, Christopher P.Univ Leicester, Glenfield Hosp, Dept Cardiovascular Sci, BHF Cardiovascular Res Ctr, Leicester, Leics, England.,Glenfield Hospital (författare)
Samani, Nilesh J.Heart & Lungs Div, Dept Cardiol, Utrecht, Netherlands.;Leicester NIHR Biomed Res Unit Cardiovasc Dis, Glenfield Hosp, Leicester, Leics, England.;Uppsala Univ, Uppsala Clin Res Ctr, Uppsala, Sweden.;Uppsala Univ, Dept Med Sci, Cardiol, Uppsala, Sweden. (författare)
Kofink, DanielUniversity Medical Center Utrecht (författare)
Hoefer, Imo E.University Medical Center Utrecht (författare)
Pasterkamp, GerardUniversity Medical Center Utrecht (författare)
Quyyumi, Arshed A.Emory Univ, Emory Clin Cardiovascular Res Inst, Atlanta, GA USA.;Uppsala Univ, Uppsala Clin Res Ctr, Uppsala, Sweden.;Uppsala Univ, Dept Med Sci, Clin Chem, Uppsala, Sweden. (författare)
Ko, Yi-AnEmory Clinic (författare)
Hartiala, Jaana A.Univ Southern Calif, Los Angeles, CA USA.;Uppsala Univ, Dept Med Sci, Cardiol, Uppsala, Sweden.,University of Southern California (författare)
Allayee, HoomanUniversity of Southern California (författare)
Tang, W. H. WilsonCleveland Clinic Foundation (författare)
Hazen, Stanley L.Heidelberg Univ, Dept Med, Mannheim, Germany.,Cleveland Clinic Foundation (författare)
Eriksson, Niclas,1978-Uppsala University,Uppsala universitet,Uppsala kliniska forskningscentrum (UCR),Kardiologi(Swepub:uu)nieri103 (författare)
Held, Claes,1956-Uppsala University,Uppsala universitet,Uppsala kliniska forskningscentrum (UCR),Kardiologi(Swepub:uu)clahe947 (författare)
Hagström, EmilUppsala University,Uppsala universitet,Kardiologi(Swepub:uu)emhag677 (författare)
Wallentin, Lars,1943-Uppsala University,Uppsala universitet,Uppsala kliniska forskningscentrum (UCR),Kardiologi,Uppsala University Hospital(Swepub:uu)larswall (författare)
Åkerblom, Axel,1977-Uppsala universitet,Uppsala kliniska forskningscentrum (UCR),Kardiologi(Swepub:uu)axeak985 (författare)
Siegbahn, A,1947-Uppsala University,Uppsala universitet,Uppsala kliniska forskningscentrum (UCR),Institutionen för medicinska vetenskaper(Swepub:uu)agsie424 (författare)
Karp, IgorUniv Western Ontario, Schulich Sch Med & Dent, Dept Epidemiol & Biostat, London, England.,University of Western Ontario (författare)
Labos, ChristopherUppsala Univ, Dept Med Sci, Cardiol, Uppsala, Sweden.;McGill Univ, Dept Med, Montreal, PQ, Canada.,McGill University (författare)
Pilote, LouiseMcGill Univ, Dept Med, Montreal, PQ, Canada.,McGill University (författare)
Engert, James C.McGill Univ, Dept Med, Montreal, PQ, Canada.,McGill University (författare)
Brophy, James M.McGill Univ, Dept Med, Montreal, PQ, Canada.;Univ Laval, Dept Med, Laval, PQ, Canada.,McGill University (författare)
Thanassoulis, GeorgeMcGill Univ, Dept Med, Montreal, PQ, Canada.,McGill University (författare)
Bogaty, PeterMcGill Univ, Dept Med, Montreal, PQ, Canada.,Laval University (författare)
Szczeklik, WojciechUppsala Univ, Dept Med Sci, Cardiol, Uppsala, Sweden.;Jagielonian Univ, Coll Med, Krakow, Poland.,Jagiellonian University (författare)
Kaczor, MarcinJagielonian Univ, Coll Med, Krakow, Poland.,Jagiellonian University (författare)
Sanak, MarekJagielonian Univ, Coll Med, Krakow, Poland. (författare)
Virani, Salim S.Baylor Coll Med, Cardiol Sect, Michael DeBakey Vet Affairs Med Ctr, Houston, TX USA.,Baylor College of Medicine (författare)
Ballantyne, Christie M.Baylor Coll Med, Sect Cardiovasc, Dept Med, Houston, TX USA.,Baylor College of Medicine (författare)
Lee, Vei-VeiTexas Heart Inst, Dept Biostat 7, Houston, TX USA.,Texas Heart Institute (författare)
Boerwinkle, EricUppsala Univ, Dept Med Sci, Cardiol, Uppsala, Sweden.;Univ Texas Houston, Sch Publ Hlth, Houston, TX USA.,University of Texas (författare)
Holmes, Michael V.Univ Oxford, Med Res Council Populat Hlth Res Unit, Oxford, England.;Univ Oxford, Natl Inst Hlth Res Oxford Biomed Res Ctr, Oxford, England.,University of Oxford (författare)
Horne, Benjamin D.Univ Oxford, Clin Trial Serv Unit, Oxford, England.;Univ Oxford, Epidemiol Studies Unit CTSU, Nuffield Dept Populat Hlth, Oxford, England.,University of Utah (författare)
Hingorani, AroonUniversity College London (författare)
Asselbergs, Folkert W.Durrer Ctr Cardiogenet Res, ICIN, Utrecht, Netherlands.,Interuniversity Cardiology Institute of the Netherlands (författare)
Patel, Riyaz S.University College London (författare)
Kraemer, Bernhard K.Heidelberg University (författare)
Scharnagl, HubertMedical University of Graz (författare)
Fliser, DaniloSaarland University (författare)
Maerz, WinfriedSaarland Univ Hosp, Dept Internal Med 4, Homburg, Germany.;Synlab Acad, Synlab Holding, Mannheim, Germany.,Synlab Academy (författare)
Speer, ThimoteusSaarland University (författare)
Saarland Univ Hosp, Dept Internal Med 4, Homburg, Germany.Saarland University (creator_code:org_t)

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