Is there a benefit of aspirin therapy for primary prevention to reduce the risk of atherosclerotic cardiovascular disease in patients with elevated Lipoprotein (a)—A review of the evidence

Aspirin has long been recognized as a beneficial treatment for atherosclerotic cardiovascular disease (ASCVD) due to its antiplatelet effects. However, there is a need to more precisely identify individuals who would benefit from aspirin therapy for primary prevention in order to reduce the risk of...

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Main Authors: Mohamad Hekmat Sukkari, Basma Al-Bast, Raad Al Tamimi, William Giesing, Momin Siddique
Format: Article
Language:English
Published: Elsevier 2023-09-01
Series:American Journal of Preventive Cardiology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666667723001204
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author Mohamad Hekmat Sukkari
Basma Al-Bast
Raad Al Tamimi
William Giesing
Momin Siddique
author_facet Mohamad Hekmat Sukkari
Basma Al-Bast
Raad Al Tamimi
William Giesing
Momin Siddique
author_sort Mohamad Hekmat Sukkari
collection DOAJ
description Aspirin has long been recognized as a beneficial treatment for atherosclerotic cardiovascular disease (ASCVD) due to its antiplatelet effects. However, there is a need to more precisely identify individuals who would benefit from aspirin therapy for primary prevention in order to reduce the risk of ASCVD. Those with elevated lipoprotein (a) [Lp(a)] levels are at increased risk of ASCVD. In this article, we provide an overview of studies that have explored the use of aspirin therapy in individuals with elevated Lp(a). We discuss the potential mechanisms by which aspirin therapy may reduce ASCVD risk, and present a review of the data on the effectiveness of aspirin therapy in reducing ASCVD risk in individuals with elevated Lp(a). The presented evidence suggests that individuals with elevated Lp(a) benefit more from aspirin therapy for reduction of ASCVD events than the general population.
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spelling doaj.art-5c1a8780939042ae99568fccb1f272e92023-09-28T05:26:37ZengElsevierAmerican Journal of Preventive Cardiology2666-66772023-09-0115100579Is there a benefit of aspirin therapy for primary prevention to reduce the risk of atherosclerotic cardiovascular disease in patients with elevated Lipoprotein (a)—A review of the evidenceMohamad Hekmat Sukkari0Basma Al-Bast1Raad Al Tamimi2William Giesing3Momin Siddique4Internal Medicine, Southern Illinois University School of Medicine, Springfield, IL, USA; Corresponding author at: 751N Rutledge St Rm 1100, Springfield, IL 62702, USA.Cardiovascular Division, Southern Illinois University School of Medicine, Springfield, IL, USAInternal Medicine, Southern Illinois University School of Medicine, Springfield, IL, USAMethodist Dallas Medical Center, Internal medicine, Dalles, TX, USACardiovascular Division, Southern Illinois University School of Medicine, Springfield, IL, USAAspirin has long been recognized as a beneficial treatment for atherosclerotic cardiovascular disease (ASCVD) due to its antiplatelet effects. However, there is a need to more precisely identify individuals who would benefit from aspirin therapy for primary prevention in order to reduce the risk of ASCVD. Those with elevated lipoprotein (a) [Lp(a)] levels are at increased risk of ASCVD. In this article, we provide an overview of studies that have explored the use of aspirin therapy in individuals with elevated Lp(a). We discuss the potential mechanisms by which aspirin therapy may reduce ASCVD risk, and present a review of the data on the effectiveness of aspirin therapy in reducing ASCVD risk in individuals with elevated Lp(a). The presented evidence suggests that individuals with elevated Lp(a) benefit more from aspirin therapy for reduction of ASCVD events than the general population.http://www.sciencedirect.com/science/article/pii/S2666667723001204Lipoprotein aCoronary artery diseaseAspirinHyperlipidemiaCardiovascular riskAtherosclerotic cardiovascular disease
spellingShingle Mohamad Hekmat Sukkari
Basma Al-Bast
Raad Al Tamimi
William Giesing
Momin Siddique
Is there a benefit of aspirin therapy for primary prevention to reduce the risk of atherosclerotic cardiovascular disease in patients with elevated Lipoprotein (a)—A review of the evidence
American Journal of Preventive Cardiology
Lipoprotein a
Coronary artery disease
Aspirin
Hyperlipidemia
Cardiovascular risk
Atherosclerotic cardiovascular disease
title Is there a benefit of aspirin therapy for primary prevention to reduce the risk of atherosclerotic cardiovascular disease in patients with elevated Lipoprotein (a)—A review of the evidence
title_full Is there a benefit of aspirin therapy for primary prevention to reduce the risk of atherosclerotic cardiovascular disease in patients with elevated Lipoprotein (a)—A review of the evidence
title_fullStr Is there a benefit of aspirin therapy for primary prevention to reduce the risk of atherosclerotic cardiovascular disease in patients with elevated Lipoprotein (a)—A review of the evidence
title_full_unstemmed Is there a benefit of aspirin therapy for primary prevention to reduce the risk of atherosclerotic cardiovascular disease in patients with elevated Lipoprotein (a)—A review of the evidence
title_short Is there a benefit of aspirin therapy for primary prevention to reduce the risk of atherosclerotic cardiovascular disease in patients with elevated Lipoprotein (a)—A review of the evidence
title_sort is there a benefit of aspirin therapy for primary prevention to reduce the risk of atherosclerotic cardiovascular disease in patients with elevated lipoprotein a a review of the evidence
topic Lipoprotein a
Coronary artery disease
Aspirin
Hyperlipidemia
Cardiovascular risk
Atherosclerotic cardiovascular disease
url http://www.sciencedirect.com/science/article/pii/S2666667723001204
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