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Consensus document onLipoprotein(a) fromthe Italian Societyfor the Study ofAtherosclerosis(SISA) G. ChiesaMaria Grazia ZentiAndrea Baragetti2023 год

Consensus document on Lipoprotein(a) from the Italian Society for the Study of Atherosclerosis (SISA)
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Аннотация: In view of the consolidating evidence on the causal role of Lp(a) in cardiovascular disease, the Italian Society for the Study of Atherosclerosis (SISA) has assembled a consensus on Lp(a) genetics and epidemiology, together with recommendations for its measurement and current and emerging therapeutic approaches to reduce its plasma levels. Data on the Italian population are also provided.Lp(a) is constituted by one apo(a) molecule and a lipoprotein closely resembling to a low-density lipoprotein (LDL). Its similarity with an LDL, together with its ability to carry oxidized phospholipids are considered the two main features making Lp(a) harmful for cardiovascular health. Plasma Lp(a) concentrations vary over about 1000 folds in humans and are genetically determined, thus they are quite stable in any individual. Mendelian Randomization studies have suggested a causal role of Lp(a) in atherosclerotic cardiovascular disease (ASCVD) and aortic valve stenosis and observational studies indicate a linear direct correlation between cardiovascular disease and Lp(a) plasma levels. Lp(a) measurement is strongly recommended once in a patient's lifetime, particularly in FH subjects, but also as part of the initial lipid screening to assess cardiovascular risk. The apo(a) size polymorphism represents a challenge for Lp(a) measurement in plasma, but new strategies are overcoming these difficulties. A reduction of Lp(a) levels can be currently attained only by plasma apheresis and, moderately, with PCSK9 inhibitor treatment.Awaiting the approval of selective Lp(a)-lowering drugs, an intensive management of the other risk factors for individuals with elevated Lp(a) levels is strongly recommended.
Год издания: 2023
Авторы: G. Chiesa, Maria Grazia Zenti, Andrea Baragetti, Carlo M. Barbagallo, Claudio Borghi, Furio Colivicchi, Aldo P. Maggioni, Davide Noto, Matteo Pirro, Angela A. Rivellese, Tiziana Sampietro, Francesco Sbrana, Marcello Arca, Maurizio Averna, Alberico L. Catapano
Издательство: Elsevier BV
Источник: Nutrition Metabolism and Cardiovascular Diseases
Ключевые слова: Lipoproteins and Cardiovascular Health, Acute Myocardial Infarction Research
Другие ссылки: Nutrition Metabolism and Cardiovascular Diseases (HTML)
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