Elevated Serum Lipoprotein(a) Level Is an Independent Marker of Severity of Thoracic Aortic Atherosclerosis
Lipoprotein(a) (Lp[a]) level is a risk factor for ischemic heart disease, cerebrovascular disease, and peripheral vascular disease. However, few data are available concerning the relationship between Lp(a) level and severity of thoracic aortic atherosclerosis. We hypothesized in this transesophageal...
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| Veröffentlicht in: | Chest 2002-05, Vol.121 (5), p.1589-1594 |
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| creator | Peltier, Marcel Iannetta Peltier, Michèle C. Sarano, Maurice E. Lesbre, Jean-Philippe M. Colas, Jean-Laurent Tribouilloy, Christophe M. |
| description | Lipoprotein(a) (Lp[a]) level is a risk factor for ischemic heart disease, cerebrovascular disease, and peripheral vascular disease. However, few data are available concerning the relationship between Lp(a) level and severity of thoracic aortic atherosclerosis. We hypothesized in this transesophageal echocardiography (TEE) study that Lp(a) level is a marker of severity of thoracic aortic atherosclerosis.
Cross-sectional study.
University hospital.
Risk factors, coronary angiographic features, and TEE findings were analyzed prospectively in 119 patients with valvular disease.
The following risk factors were recorded: age, gender, hypertension, smoking, lipid parameters, diabetes, body mass index, and family history of coronary artery disease. Serum levels of Lp(a) were measured for each patient. By univariate analysis, age, diabetes, hypertension, smoking, Lp(a), total cholesterol, low-density lipoprotein cholesterol, and high-density lipoprotein cholesterol levels were significant predictors of thoracic aortic atherosclerosis. There was a positive and significant correlation between the Lp(a) levels and the score of severity of thoracic aortic atherosclerosis (p = 0.0001). Multivariate regression analysis revealed that Lp(a) was an independent predictor of severity of thoracic aortic atherosclerosis (p = 0.0001).
This prospective study indicates that serum Lp(a) level is an independent marker of severity of thoracic aortic atherosclerosis detected by multiplane TEE. These findings emphasize the role of Lp(a) as a marker of atherosclerotic lesions in the major arterial locations. |
| doi_str_mv | 10.1378/chest.121.5.1589 |
| format | Article |
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Cross-sectional study.
University hospital.
Risk factors, coronary angiographic features, and TEE findings were analyzed prospectively in 119 patients with valvular disease.
The following risk factors were recorded: age, gender, hypertension, smoking, lipid parameters, diabetes, body mass index, and family history of coronary artery disease. Serum levels of Lp(a) were measured for each patient. By univariate analysis, age, diabetes, hypertension, smoking, Lp(a), total cholesterol, low-density lipoprotein cholesterol, and high-density lipoprotein cholesterol levels were significant predictors of thoracic aortic atherosclerosis. There was a positive and significant correlation between the Lp(a) levels and the score of severity of thoracic aortic atherosclerosis (p = 0.0001). Multivariate regression analysis revealed that Lp(a) was an independent predictor of severity of thoracic aortic atherosclerosis (p = 0.0001).
This prospective study indicates that serum Lp(a) level is an independent marker of severity of thoracic aortic atherosclerosis detected by multiplane TEE. These findings emphasize the role of Lp(a) as a marker of atherosclerotic lesions in the major arterial locations.</description><identifier>ISSN: 0012-3692</identifier><identifier>EISSN: 1931-3543</identifier><identifier>DOI: 10.1378/chest.121.5.1589</identifier><identifier>PMID: 12006448</identifier><identifier>CODEN: CHETBF</identifier><language>eng</language><publisher>Northbrook, IL: Elsevier Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Angioplasty ; Aorta, Thoracic - diagnostic imaging ; Aortic Diseases - blood ; Aortic Diseases - complications ; Aortic Diseases - diagnosis ; Aortic Diseases - diagnostic imaging ; Arteriosclerosis - blood ; Arteriosclerosis - diagnosis ; Arteriosclerosis - diagnostic imaging ; Atherosclerosis ; atherosclerotic plaque ; Biological and medical sciences ; Biomarkers - blood ; Body mass index ; Cardiovascular disease ; Cardiovascular system ; Cerebrovascular disease ; Cholesterol ; Coronary Angiography ; Coronary Artery Disease - complications ; Coronary Artery Disease - diagnostic imaging ; Coronary vessels ; Diabetes ; Echocardiography, Transesophageal ; Family medical history ; Female ; Heart attacks ; High density lipoprotein ; Humans ; Hypertension ; Investigative techniques, diagnostic techniques (general aspects) ; Lipids ; lipoprotein A ; Lipoprotein(a) - blood ; Lipoproteins ; Male ; Medical imaging ; Medical sciences ; Middle Aged ; Multivariate Analysis ; Patients ; Prospective Studies ; Regression Analysis ; Risk Factors ; thoracic aorta ; transesophageal echocardiography ; Ultrasonic investigative techniques ; Vein & artery diseases</subject><ispartof>Chest, 2002-05, Vol.121 (5), p.1589-1594</ispartof><rights>2002 The American College of Chest Physicians</rights><rights>2002 INIST-CNRS</rights><rights>Copyright American College of Chest Physicians May 2002</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c444t-58ccabf6c6452979eb305c95f84b278409ca9d7916fe8e3edb4d8f3f05ddce463</citedby><cites>FETCH-LOGICAL-c444t-58ccabf6c6452979eb305c95f84b278409ca9d7916fe8e3edb4d8f3f05ddce463</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>309,310,314,777,781,786,787,23911,23912,25121,27905,27906</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13836255$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12006448$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Peltier, Marcel</creatorcontrib><creatorcontrib>Iannetta Peltier, Michèle C.</creatorcontrib><creatorcontrib>Sarano, Maurice E.</creatorcontrib><creatorcontrib>Lesbre, Jean-Philippe M.</creatorcontrib><creatorcontrib>Colas, Jean-Laurent</creatorcontrib><creatorcontrib>Tribouilloy, Christophe M.</creatorcontrib><title>Elevated Serum Lipoprotein(a) Level Is an Independent Marker of Severity of Thoracic Aortic Atherosclerosis</title><title>Chest</title><addtitle>Chest</addtitle><description>Lipoprotein(a) (Lp[a]) level is a risk factor for ischemic heart disease, cerebrovascular disease, and peripheral vascular disease. However, few data are available concerning the relationship between Lp(a) level and severity of thoracic aortic atherosclerosis. We hypothesized in this transesophageal echocardiography (TEE) study that Lp(a) level is a marker of severity of thoracic aortic atherosclerosis.
Cross-sectional study.
University hospital.
Risk factors, coronary angiographic features, and TEE findings were analyzed prospectively in 119 patients with valvular disease.
The following risk factors were recorded: age, gender, hypertension, smoking, lipid parameters, diabetes, body mass index, and family history of coronary artery disease. Serum levels of Lp(a) were measured for each patient. By univariate analysis, age, diabetes, hypertension, smoking, Lp(a), total cholesterol, low-density lipoprotein cholesterol, and high-density lipoprotein cholesterol levels were significant predictors of thoracic aortic atherosclerosis. There was a positive and significant correlation between the Lp(a) levels and the score of severity of thoracic aortic atherosclerosis (p = 0.0001). Multivariate regression analysis revealed that Lp(a) was an independent predictor of severity of thoracic aortic atherosclerosis (p = 0.0001).
This prospective study indicates that serum Lp(a) level is an independent marker of severity of thoracic aortic atherosclerosis detected by multiplane TEE. These findings emphasize the role of Lp(a) as a marker of atherosclerotic lesions in the major arterial locations.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Angioplasty</subject><subject>Aorta, Thoracic - diagnostic imaging</subject><subject>Aortic Diseases - blood</subject><subject>Aortic Diseases - complications</subject><subject>Aortic Diseases - diagnosis</subject><subject>Aortic Diseases - diagnostic imaging</subject><subject>Arteriosclerosis - blood</subject><subject>Arteriosclerosis - diagnosis</subject><subject>Arteriosclerosis - diagnostic imaging</subject><subject>Atherosclerosis</subject><subject>atherosclerotic plaque</subject><subject>Biological and medical sciences</subject><subject>Biomarkers - blood</subject><subject>Body mass index</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular system</subject><subject>Cerebrovascular disease</subject><subject>Cholesterol</subject><subject>Coronary Angiography</subject><subject>Coronary Artery Disease - complications</subject><subject>Coronary Artery Disease - diagnostic imaging</subject><subject>Coronary vessels</subject><subject>Diabetes</subject><subject>Echocardiography, Transesophageal</subject><subject>Family medical history</subject><subject>Female</subject><subject>Heart attacks</subject><subject>High density lipoprotein</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Lipids</subject><subject>lipoprotein A</subject><subject>Lipoprotein(a) - blood</subject><subject>Lipoproteins</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Patients</subject><subject>Prospective Studies</subject><subject>Regression Analysis</subject><subject>Risk Factors</subject><subject>thoracic aorta</subject><subject>transesophageal echocardiography</subject><subject>Ultrasonic investigative techniques</subject><subject>Vein & artery diseases</subject><issn>0012-3692</issn><issn>1931-3543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1UU1v1DAQtRCIbgt3TihCAtFDFjv-iM2tqkq70iIOlLPl2BPiNh9bO1nUf1-HjbQqEpcZW3pv3sx7CL0jeE1oKb_YBuK4JgVZ8zXhUr1AK6IoySln9CVaYUyKnApVnKDTGO9w-hMlXqMTUmAsGJMrdH_Vwt6M4LKfEKYu2_rdsAvDCL7_bM6zLeyhzTYxM3226R3sIJV-zL6bcA8hG-pE20Pw4-P8vm2GYKy32cUQxrmNDYQh2nauPr5Br2rTRni79DP069vV7eVNvv1xvbm82OaWMTbmXFprqlpYwXihSgUVxdwqXktWFaVkWFmjXKmIqEECBVcxJ2taY-6cBSboGfp0mJsOeZiSQ7rz0ULbmh6GKeqSiJJRIRPwwz_Au2EKfdpNJ4M44bhgCYQPIJuOiAFqvQu-M-FRE6znFPTfFHRKQXM9p5Ao75e5U9WBOxIW2xPg4wIw0Zq2Dqa3Ph5xVFJRcH7Ubvzv5o8PoGNn2jaNpQfVZd9n2l8PFEgO7z0EHa2H3oJLdDtqN_j_L_4Ey8W2Tg</recordid><startdate>20020501</startdate><enddate>20020501</enddate><creator>Peltier, Marcel</creator><creator>Iannetta Peltier, Michèle C.</creator><creator>Sarano, Maurice E.</creator><creator>Lesbre, Jean-Philippe M.</creator><creator>Colas, Jean-Laurent</creator><creator>Tribouilloy, Christophe M.</creator><general>Elsevier Inc</general><general>American College of Chest Physicians</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20020501</creationdate><title>Elevated Serum Lipoprotein(a) Level Is an Independent Marker of Severity of Thoracic Aortic Atherosclerosis</title><author>Peltier, Marcel ; Iannetta Peltier, Michèle C. ; Sarano, Maurice E. ; Lesbre, Jean-Philippe M. ; Colas, Jean-Laurent ; Tribouilloy, Christophe M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c444t-58ccabf6c6452979eb305c95f84b278409ca9d7916fe8e3edb4d8f3f05ddce463</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Angioplasty</topic><topic>Aorta, Thoracic - diagnostic imaging</topic><topic>Aortic Diseases - blood</topic><topic>Aortic Diseases - complications</topic><topic>Aortic Diseases - diagnosis</topic><topic>Aortic Diseases - diagnostic imaging</topic><topic>Arteriosclerosis - blood</topic><topic>Arteriosclerosis - diagnosis</topic><topic>Arteriosclerosis - diagnostic imaging</topic><topic>Atherosclerosis</topic><topic>atherosclerotic plaque</topic><topic>Biological and medical sciences</topic><topic>Biomarkers - blood</topic><topic>Body mass index</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular system</topic><topic>Cerebrovascular disease</topic><topic>Cholesterol</topic><topic>Coronary Angiography</topic><topic>Coronary Artery Disease - complications</topic><topic>Coronary Artery Disease - diagnostic imaging</topic><topic>Coronary vessels</topic><topic>Diabetes</topic><topic>Echocardiography, Transesophageal</topic><topic>Family medical history</topic><topic>Female</topic><topic>Heart attacks</topic><topic>High density lipoprotein</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Lipids</topic><topic>lipoprotein A</topic><topic>Lipoprotein(a) - blood</topic><topic>Lipoproteins</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Patients</topic><topic>Prospective Studies</topic><topic>Regression Analysis</topic><topic>Risk Factors</topic><topic>thoracic aorta</topic><topic>transesophageal echocardiography</topic><topic>Ultrasonic investigative techniques</topic><topic>Vein & artery diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Peltier, Marcel</creatorcontrib><creatorcontrib>Iannetta Peltier, Michèle C.</creatorcontrib><creatorcontrib>Sarano, Maurice E.</creatorcontrib><creatorcontrib>Lesbre, Jean-Philippe M.</creatorcontrib><creatorcontrib>Colas, Jean-Laurent</creatorcontrib><creatorcontrib>Tribouilloy, Christophe M.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Chest</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Peltier, Marcel</au><au>Iannetta Peltier, Michèle C.</au><au>Sarano, Maurice E.</au><au>Lesbre, Jean-Philippe M.</au><au>Colas, Jean-Laurent</au><au>Tribouilloy, Christophe M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Elevated Serum Lipoprotein(a) Level Is an Independent Marker of Severity of Thoracic Aortic Atherosclerosis</atitle><jtitle>Chest</jtitle><addtitle>Chest</addtitle><date>2002-05-01</date><risdate>2002</risdate><volume>121</volume><issue>5</issue><spage>1589</spage><epage>1594</epage><pages>1589-1594</pages><issn>0012-3692</issn><eissn>1931-3543</eissn><coden>CHETBF</coden><abstract>Lipoprotein(a) (Lp[a]) level is a risk factor for ischemic heart disease, cerebrovascular disease, and peripheral vascular disease. However, few data are available concerning the relationship between Lp(a) level and severity of thoracic aortic atherosclerosis. We hypothesized in this transesophageal echocardiography (TEE) study that Lp(a) level is a marker of severity of thoracic aortic atherosclerosis.
Cross-sectional study.
University hospital.
Risk factors, coronary angiographic features, and TEE findings were analyzed prospectively in 119 patients with valvular disease.
The following risk factors were recorded: age, gender, hypertension, smoking, lipid parameters, diabetes, body mass index, and family history of coronary artery disease. Serum levels of Lp(a) were measured for each patient. By univariate analysis, age, diabetes, hypertension, smoking, Lp(a), total cholesterol, low-density lipoprotein cholesterol, and high-density lipoprotein cholesterol levels were significant predictors of thoracic aortic atherosclerosis. There was a positive and significant correlation between the Lp(a) levels and the score of severity of thoracic aortic atherosclerosis (p = 0.0001). Multivariate regression analysis revealed that Lp(a) was an independent predictor of severity of thoracic aortic atherosclerosis (p = 0.0001).
This prospective study indicates that serum Lp(a) level is an independent marker of severity of thoracic aortic atherosclerosis detected by multiplane TEE. These findings emphasize the role of Lp(a) as a marker of atherosclerotic lesions in the major arterial locations.</abstract><cop>Northbrook, IL</cop><pub>Elsevier Inc</pub><pmid>12006448</pmid><doi>10.1378/chest.121.5.1589</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Angioplasty Aorta, Thoracic - diagnostic imaging Aortic Diseases - blood Aortic Diseases - complications Aortic Diseases - diagnosis Aortic Diseases - diagnostic imaging Arteriosclerosis - blood Arteriosclerosis - diagnosis Arteriosclerosis - diagnostic imaging Atherosclerosis atherosclerotic plaque Biological and medical sciences Biomarkers - blood Body mass index Cardiovascular disease Cardiovascular system Cerebrovascular disease Cholesterol Coronary Angiography Coronary Artery Disease - complications Coronary Artery Disease - diagnostic imaging Coronary vessels Diabetes Echocardiography, Transesophageal Family medical history Female Heart attacks High density lipoprotein Humans Hypertension Investigative techniques, diagnostic techniques (general aspects) Lipids lipoprotein A Lipoprotein(a) - blood Lipoproteins Male Medical imaging Medical sciences Middle Aged Multivariate Analysis Patients Prospective Studies Regression Analysis Risk Factors thoracic aorta transesophageal echocardiography Ultrasonic investigative techniques Vein & artery diseases |
| title | Elevated Serum Lipoprotein(a) Level Is an Independent Marker of Severity of Thoracic Aortic Atherosclerosis |
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