Related Experiment Video
Updated: May 11, 2026

Cell-free Biochemical Fluorometric Enzymatic Assay for High-throughput Measurement of Lipid Peroxidation in High Density Lipoprotein
Published on: October 12, 2017
[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.
Objective:
To explore the effects of lipoprotein(a) (Lp(a)) and fibrinogen (Fib) in senior patients with coronary heart disease (CHD) and examine the relationship of Lp(a) and Fib.
Methods:
Based upon the results of coronary artery angiography (CAG), 784 subjects aged over 65 years were divided into control (n = 116) group, one-vessel (n = 106) group, two-vessel (n = 120) and three-vessel (n = 442) groups. And the levels of Lp(a) and Fib were measured.
Results:
(1) With increasing number of involved branches, the level of Lp(a) gradually rose in male group ((0.22 ± 0.16), (0.28 ± 0.23), (0.32 ± 0.19), (0.34 ± 0.21) g/L; F = 9.22, P < 0.01); (2) whether for males or females, with increasing number of involved branches, the levels of Fib gradually rose in male group ((3.24 ± 0.82), (3.41 ± 0.82), (3.45 ± 0.89), (3.61 ± 0.90) g/L; F = 3.09, P < 0.05) and in female group ((3.58 ± 0.97), (3.69 ± 1.20), (3.77 ± 0.88), (4.09 ± 1.05) g/L; F = 4.34, P < 0.01); (3) the level of Lp(a) had a positive correlation with Fib in male group (r = 0.15, P < 0.01); (4) multi-Logistic regression analysis showed that Lp(a) and Fib were influencing factors of CHD (OR = 0.31, 1.32, both P < 0.05).
Conclusion:
There are significant correlations between Lp(a), Fib and the severity of CHD in senior male patients.
Related Concept Videos
Blood Studies for Cardiovascular System III: Serum Lipid Profile
Serum lipids are fats and fatty substances in the blood and are crucial for various bodily functions, including energy storage, cellular structure, and hormone production. Serum lipids consist of cholesterol, triglycerides, and phospholipids.
Cholesterol is a soft, fat-like substance found in all body cells. It is crucial for producing hormones, vitamin D, and substances that aid...
Atherosclerosis III: Management
Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Distribution
Coronary Artery Disease II: Pathophysiology
Atherosclerosis I: Introduction
Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Metabolism