Very low lipoprotein(a) and increased mortality risk after myocardial infarction

•Both high and very low concentrations of Lp(a) are associated with an increased risk of total mortality and recurrent cardiovascular events after myocardial infarction type I.•The excess of mortality associated with Lp(a) is partially attributable to more prevalent heart failure. Inconclusive data exist on risk associated with Lp(a) in patients after myocardial infarction (MI). Aims of the present study were to evaluate the association of Lp(a) level with total mortality and recurrent cardiovascular events. Single center prospective registry of consecutive patients hospitalized for acute myocardial infarction between June 2017 and June 2020 at a large tertiary cardiac center with available blood samples drawn