Lipoprotein (a) levels in relation to severity of coronary artery disease in north Indian patients

Background: Lipoprotein (a) [Lp (a)] is an established risk marker of coronary artery disease which is independent from other risk factors. Objective: The aim was to address the association between Lp (a) and CAD risk in North Indians. To evaluate whether high levels of lipoprotein (a) [Lp (a)] is a...

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Main Authors: Fauzia Ashfaq, Pravin Kumar Goel, Rishi Sethi, Mohd Idrees Khan, Wahid Ali, Mohd Zafar Idris
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2013-01-01
Series:Heart Views
Subjects:
Online Access:http://www.heartviews.org/article.asp?issn=1995-705X;year=2013;volume=14;issue=1;spage=12;epage=16;aulast=Ashfaq
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author Fauzia Ashfaq
Pravin Kumar Goel
Rishi Sethi
Mohd Idrees Khan
Wahid Ali
Mohd Zafar Idris
author_facet Fauzia Ashfaq
Pravin Kumar Goel
Rishi Sethi
Mohd Idrees Khan
Wahid Ali
Mohd Zafar Idris
author_sort Fauzia Ashfaq
collection DOAJ
description Background: Lipoprotein (a) [Lp (a)] is an established risk marker of coronary artery disease which is independent from other risk factors. Objective: The aim was to address the association between Lp (a) and CAD risk in North Indians. To evaluate whether high levels of lipoprotein (a) [Lp (a)] is a predictor of risk and is related to the severity of CAD. Materials and Methods: This was a cross-sectional study done on 360 patients presenting with chest pain. Coronary angiography revealed CAD in 270 patients and 90 patients without CAD. Lipoprotein (a) level, lipid profile, fasting blood glucose, anthropometric and clinical parameters were analyzed. Results: Lipoprotein (a) 21.0 mg/dL is associated with the presence of coronary lesions ( P = 0.0001). A highly significant difference in Lp (a) levels was observed between normal coronaries vs. single-vessel disease, double-and triple-vessel disease ( P < 0.0001). Body mass index (BMI) was significantly raised in CAD group compared to normal coronary. Conclusion: Multivariate analysis found that Lp (a) was considered an independent predictor for severity of CAD and Lp (a) levels 21.0 mg/dL are associated with severe patterns of coronary atherosclerosis.
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spelling doaj.art-90d9a26bdda1492992f7eefc718931fb2022-12-21T18:52:34ZengWolters Kluwer Medknow PublicationsHeart Views1995-705X2013-01-01141121610.4103/1995-705X.107114Lipoprotein (a) levels in relation to severity of coronary artery disease in north Indian patientsFauzia AshfaqPravin Kumar GoelRishi SethiMohd Idrees KhanWahid AliMohd Zafar IdrisBackground: Lipoprotein (a) [Lp (a)] is an established risk marker of coronary artery disease which is independent from other risk factors. Objective: The aim was to address the association between Lp (a) and CAD risk in North Indians. To evaluate whether high levels of lipoprotein (a) [Lp (a)] is a predictor of risk and is related to the severity of CAD. Materials and Methods: This was a cross-sectional study done on 360 patients presenting with chest pain. Coronary angiography revealed CAD in 270 patients and 90 patients without CAD. Lipoprotein (a) level, lipid profile, fasting blood glucose, anthropometric and clinical parameters were analyzed. Results: Lipoprotein (a) 21.0 mg/dL is associated with the presence of coronary lesions ( P = 0.0001). A highly significant difference in Lp (a) levels was observed between normal coronaries vs. single-vessel disease, double-and triple-vessel disease ( P < 0.0001). Body mass index (BMI) was significantly raised in CAD group compared to normal coronary. Conclusion: Multivariate analysis found that Lp (a) was considered an independent predictor for severity of CAD and Lp (a) levels 21.0 mg/dL are associated with severe patterns of coronary atherosclerosis.http://www.heartviews.org/article.asp?issn=1995-705X;year=2013;volume=14;issue=1;spage=12;epage=16;aulast=AshfaqAngiographyatherosclerosislipoprotein (a)triglyceride
spellingShingle Fauzia Ashfaq
Pravin Kumar Goel
Rishi Sethi
Mohd Idrees Khan
Wahid Ali
Mohd Zafar Idris
Lipoprotein (a) levels in relation to severity of coronary artery disease in north Indian patients
Heart Views
Angiography
atherosclerosis
lipoprotein (a)
triglyceride
title Lipoprotein (a) levels in relation to severity of coronary artery disease in north Indian patients
title_full Lipoprotein (a) levels in relation to severity of coronary artery disease in north Indian patients
title_fullStr Lipoprotein (a) levels in relation to severity of coronary artery disease in north Indian patients
title_full_unstemmed Lipoprotein (a) levels in relation to severity of coronary artery disease in north Indian patients
title_short Lipoprotein (a) levels in relation to severity of coronary artery disease in north Indian patients
title_sort lipoprotein a levels in relation to severity of coronary artery disease in north indian patients
topic Angiography
atherosclerosis
lipoprotein (a)
triglyceride
url http://www.heartviews.org/article.asp?issn=1995-705X;year=2013;volume=14;issue=1;spage=12;epage=16;aulast=Ashfaq
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