Evaluating AHA PREVENT Equations and Lipoprotein(a) in Cardiovascular Risk Stratification: Integrative Insights from MESA and UK Biobank Cohorts
Highlights
- The novel AHA PREVENT equations adequately predict 10-year ASCVD risk across diverse populations, including those with elevated lipoprotein(a) [Lp(a)].
- Elevated Lp(a) (≥125 nmol/L) independently associates with increased risk of coronary heart disease (CHD), ASCVD, heart failure (HF), and total cardiovascular disease, particularly in low- and borderline-risk individuals.
- Incorporation of Lp(a) into existing PREVENT equations modestly improves risk discrimination and reclassification, with the greatest benefit observed among borderline- and low-risk groups.
- Genetic and biomarker analyses affirm Lp(a) as a distinct and clinically relevant risk factor complementary to traditional lipids and calcium scoring in cardiovascular risk assessment.
Background
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This article was created using several editorial tools, including AI, as part of the process. Human editors reviewed this content before publication.