Circulating PCSK9 and Risk of Myocardial Infarction

The usefulness of circulating proprotein convertase subtilisin-kexin type 9 (PCSK9) as a risk marker of coronary heart disease in the general population remains unclear. In a nested case-control study in Norway, 1,488 incident myocardial infarctions were registered during 11.3 years of follow-up and...

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Main Authors: Lars E. Laugsand, MD, PhD, Bjørn O. Åsvold, MD, PhD, Lars J. Vatten, MD, PhD, Imre Janszky, MD, PhD, Carl G. Platou, MD, Annika E. Michelsen, PhD, Jan K. Damås, MD, PhD, Pål Aukrust, MD, PhD, Thor Ueland, PhD
Format: Article
Language:English
Published: Elsevier 2016-12-01
Series:JACC: Basic to Translational Science
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2452302X16300997
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author Lars E. Laugsand, MD, PhD
Bjørn O. Åsvold, MD, PhD
Lars J. Vatten, MD, PhD
Imre Janszky, MD, PhD
Carl G. Platou, MD
Annika E. Michelsen, PhD
Jan K. Damås, MD, PhD
Pål Aukrust, MD, PhD
Thor Ueland, PhD
author_facet Lars E. Laugsand, MD, PhD
Bjørn O. Åsvold, MD, PhD
Lars J. Vatten, MD, PhD
Imre Janszky, MD, PhD
Carl G. Platou, MD
Annika E. Michelsen, PhD
Jan K. Damås, MD, PhD
Pål Aukrust, MD, PhD
Thor Ueland, PhD
author_sort Lars E. Laugsand, MD, PhD
collection DOAJ
description The usefulness of circulating proprotein convertase subtilisin-kexin type 9 (PCSK9) as a risk marker of coronary heart disease in the general population remains unclear. In a nested case-control study in Norway, 1,488 incident myocardial infarctions were registered during 11.3 years of follow-up and compared with 3,819 controls. Compared with participants in the lowest quartile of PCSK9, myocardial infarction risk was 47% higher in the highest quartile after adjustment for age and sex. After additional adjustment for low-density lipoprotein cholesterol, the association was strongly attenuated. Thus, circulating PCSK9 does not contribute useful information in the assessment of myocardial infarction risk in the general population beyond the information provided by lipid measurements.
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spelling doaj.art-4fb5643c1f15420aa88554209e7fcc9a2022-12-21T18:28:32ZengElsevierJACC: Basic to Translational Science2452-302X2016-12-011756857510.1016/j.jacbts.2016.06.007Circulating PCSK9 and Risk of Myocardial InfarctionLars E. Laugsand, MD, PhD0Bjørn O. Åsvold, MD, PhD1Lars J. Vatten, MD, PhD2Imre Janszky, MD, PhD3Carl G. Platou, MD4Annika E. Michelsen, PhD5Jan K. Damås, MD, PhD6Pål Aukrust, MD, PhD7Thor Ueland, PhD8Department of Public Health, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, NorwayDepartment of Public Health, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, NorwayDepartment of Public Health, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, NorwayDepartment of Public Health, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, NorwayDepartment of Public Health, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, NorwayResearch Institute of Internal Medicine, Oslo University Hospital Rikshospitalet, Oslo, NorwayCentre of Molecular Inflammation Research, Oslo University Hospital, Rikshospitalet, Oslo, NorwayResearch Institute of Internal Medicine, Oslo University Hospital Rikshospitalet, Oslo, NorwayResearch Institute of Internal Medicine, Oslo University Hospital Rikshospitalet, Oslo, NorwayThe usefulness of circulating proprotein convertase subtilisin-kexin type 9 (PCSK9) as a risk marker of coronary heart disease in the general population remains unclear. In a nested case-control study in Norway, 1,488 incident myocardial infarctions were registered during 11.3 years of follow-up and compared with 3,819 controls. Compared with participants in the lowest quartile of PCSK9, myocardial infarction risk was 47% higher in the highest quartile after adjustment for age and sex. After additional adjustment for low-density lipoprotein cholesterol, the association was strongly attenuated. Thus, circulating PCSK9 does not contribute useful information in the assessment of myocardial infarction risk in the general population beyond the information provided by lipid measurements.http://www.sciencedirect.com/science/article/pii/S2452302X16300997PCSK9 inflammationepidemiologymyocardial infarctionprospective studyrisk factors
spellingShingle Lars E. Laugsand, MD, PhD
Bjørn O. Åsvold, MD, PhD
Lars J. Vatten, MD, PhD
Imre Janszky, MD, PhD
Carl G. Platou, MD
Annika E. Michelsen, PhD
Jan K. Damås, MD, PhD
Pål Aukrust, MD, PhD
Thor Ueland, PhD
Circulating PCSK9 and Risk of Myocardial Infarction
JACC: Basic to Translational Science
PCSK9 inflammation
epidemiology
myocardial infarction
prospective study
risk factors
title Circulating PCSK9 and Risk of Myocardial Infarction
title_full Circulating PCSK9 and Risk of Myocardial Infarction
title_fullStr Circulating PCSK9 and Risk of Myocardial Infarction
title_full_unstemmed Circulating PCSK9 and Risk of Myocardial Infarction
title_short Circulating PCSK9 and Risk of Myocardial Infarction
title_sort circulating pcsk9 and risk of myocardial infarction
topic PCSK9 inflammation
epidemiology
myocardial infarction
prospective study
risk factors
url http://www.sciencedirect.com/science/article/pii/S2452302X16300997
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