Language
English
Publication Date
6-1-2023
Journal
Atherosclerosis
DOI
10.1016/j.atherosclerosis.2023.04.012
PMID
37188555
Abstract
In 2022, the European Atherosclerosis Society (EAS) published a new consensus statement on lipoprotein(a) [Lp(a)], summarizing current knowledge about its causal association with atherosclerotic cardiovascular disease (ASCVD) and aortic stenosis. One of the novelties of this statement is a new risk calculator showing how Lp(a) influences lifetime risk for ASCVD and that global risk may be underestimated substantially in individuals with high or very high Lp(a) concentration. The statement also provides practical advice on how knowledge about Lp(a) concentration can be used to modulate risk factor management, given that specific and highly effective mRNA-targeted Lp(a)-lowering therapies are still in clinical development. This advice counters the attitude: "Why should I measure Lp(a) if I can't lower it?". Subsequent to publication, questions have arisen relating to how the recommendations of this statement impact everyday clinical practice and ASCVD management. This review addresses 30 of the most frequently asked questions about Lp(a) epidemiology, its contribution to cardiovascular risk, Lp(a) measurement, risk factor management and existing therapeutic options.
Keywords
Humans, Lipoprotein(a), Risk Factors, Risk Assessment, Aortic Valve Stenosis, Atherosclerosis, Cardiovascular Diseases, Atherosclerotic cardiovascular disease, Genetic risk, Risk calculator, Risk factor management, lipoprotein(a)
Published Open-Access
yes
Recommended Citation
Kronenberg, Florian; Mora, Samia; Stroes, Erik S G; et al., "Frequent Questions and Responses on the 2022 Lipoprotein(a) Consensus Statement of the European Atherosclerosis Society" (2023). Faculty and Staff Publications. 4303.
https://digitalcommons.library.tmc.edu/baylor_docs/4303