[Correlation between lipoprotein(a) and fibrinogen in elderly patients with coronary heart disease]

Jie Geng1, Shu-tao Chen, Lin Wang

  • 1Department of Cardiology, Tianjin Chest Hospital, Tianjin, China.

Insights

Lipoprotein(a) (Lp(a)) and fibrinogen (Fib) levels increase with coronary heart disease (CHD) severity in older adults. Both Lp(a) and Fib are identified as significant influencing factors for CHD in this population.

Area of Science:

  • Cardiovascular Medicine
  • Biochemistry
  • Geriatrics

Context:

  • Coronary heart disease (CHD) is a leading cause of mortality in the elderly population.
  • Lipoprotein(a) (Lp(a)) and fibrinogen (Fib) are established cardiovascular risk factors.
  • Understanding the specific roles of Lp(a) and Fib in senior CHD patients is crucial for risk stratification.

Purpose:

  • To investigate the association between Lp(a) and Fib levels and the severity of CHD in patients over 65 years old.
  • To examine the interrelationship between Lp(a) and Fib in the context of CHD.
  • To identify Lp(a) and Fib as potential biomarkers for CHD progression in seniors.

Summary:

  • A study of 784 senior patients undergoing coronary angiography revealed increasing Lp(a) levels in males and increasing Fib levels in both males and females with greater CHD severity (more involved coronary branches).
  • A positive correlation was observed between Lp(a) and Fib levels in male patients.
  • Multivariate analysis indicated that both Lp(a) and Fib are significant influencing factors for CHD in this elderly cohort.

Impact:

  • The findings highlight the importance of monitoring Lp(a) and Fib levels in older individuals at risk for or diagnosed with CHD.
  • This research may inform the development of targeted therapeutic strategies to mitigate CHD progression in the senior population.
  • Establishes a stronger link between these biomarkers and CHD severity, particularly in males, aiding in clinical risk assessment.
Abstract

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