The influence of lipoproteina(a) on cardio-vascular diseases

Monika Maj-Dziedzic, Anna Brzozowska, Marcelina Sikora, Marta Zarzycka, Ines Plewniok, Jeremiasz Dubiel, Adrian Maj, Greta Śmietana, Martyna Warno, Wiktor Kozik
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Abstract

Introduction The current evidence from 2022 published by European Atherosclerosis Society brings the importance of the level of lipoprotein(a) and its influence on the human health.  Especially atherosclerotic cardio-vascular events such as myocardial infarction, heart failure, stroke, atherosclerosis are taken into account. They prove, that the associations between the level of Lp(a) is linear with the occurrence of cardio-vascular events. High level of Lp(a), may contribute to the aortic stenosis, cause has pro-inflammatory and pro-atherosclerotic properties. The newest finding demonstrate that Lp(a) has no link with venous thrombosis. Nonetheless, very low level of may contribute with type 2 diabetes. It is recommended  to measure the level of lipoprotein(a) at least once in adults to search the patients with higher value than norm. Even at low level of LDL, high Lp(a) is a risk factor for ASCVD. It brings the clinical importance of early detection of potential cardio-vascular diseases and introduction of management. The newest statement form EAS also brings promising possibilities due to specific Lp(a)-lowering therapies is in phase II/III trials.   Aim of the study The following paper aims to present a review of the current knowledge about the influence of the level of Lp(a) on cardio-vascular disease and seeks to enhance knowledge and promote effective management of this prevalent condition. The primary goal is to promote the current problem to health care workers with up-to-date information to facilitate early recognition of cardiovascular events.   Materials and methods This article presents the current state of knowledge of lipoprotein(a) found in various scientific articles. The following English keywords and its Polish equivalents were used to search Google Scholar's medical databases: lipoprotein(a), cardio-vascular disease, cardiovascular risk,  aortic stenosis. The articles most pertinent to the subject have been chosen.
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脂蛋白a对心血管疾病的影响
导言:欧洲动脉粥样硬化协会于 2022 年发布的最新证据表明,脂蛋白(a)的水平及其对人体健康的影响非常重要。 尤其是动脉粥样硬化性心脑血管事件,如心肌梗塞、心力衰竭、中风、动脉粥样硬化等。研究证明,脂蛋白(a)水平与心血管事件的发生呈线性关系。高水平的脂蛋白(a)可能会导致主动脉狭窄,因为脂蛋白(a)具有促炎症和促动脉粥样硬化的特性。最新研究结果表明,脂蛋白(a)与静脉血栓没有关系。不过,极低水平的脂蛋白(a)可能与 2 型糖尿病有关。建议至少测量一次成年人的脂蛋白(a)水平,以寻找高于正常值的患者。即使低密度脂蛋白水平较低,高脂蛋白(a)也是导致急性心血管疾病的危险因素。因此,早期发现潜在的心血管疾病并采取相应的治疗措施具有重要的临床意义。最新的 EAS 报告还指出,降低脂蛋白(a)的特异性疗法正处于 II/III 期试验阶段,这为治疗带来了希望。 研究目的 下文旨在综述当前有关脂蛋白(a)水平对心血管疾病影响的知识,并力求增进对这一普遍疾病的了解和促进有效管理。主要目的是向医护人员宣传当前的问题,提供最新信息,以便及早识别心血管事件。 材料和方法 本文介绍了各种科学文章中有关脂蛋白(a)的知识现状。在搜索谷歌学术的医学数据库时使用了以下英文关键词及其波兰语对应词:脂蛋白(a)、心血管疾病、心血管风险、主动脉狭窄。选择了与该主题最相关的文章。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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