{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T19:12:07Z","timestamp":1791832327575,"version":"4.3.4"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"16","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2022,8,16]]},"abstract":"<jats:sec sec-type=\"background\" xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">Heterozygous familial hypercholesterolemia (HeFH) more likely exhibits extensive atherosclerotic disease at multiple vascular beds. Lipoprotein(a) (Lp(a)) is an atherogenic lipoprotein that elevates HeFH\u2010related atherosclerotic cardiovascular disease risks. Whether circulating Lp(a) level associates with polyvascular propagation of atherosclerosis in subjects with HeFH remains uncertain.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              The current study analyzed 370 subjects with clinically diagnosed HeFH who received evaluation of systemic arteries. Polyvascular disease (polyVD) was defined as more than 2 coexisting atherosclerosis conditions including coronary artery disease, carotid stenosis, or peripheral artery disease. Clinical characteristics and lipid features were analyzed in subjects with HeFH and polyVD; 5.7% of patients with HeFH (21\/370) had polyVD. They were more likely to have a clustering of risk factors, tendon (\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001) and skin xanthomas (\n              <jats:italic>P<\/jats:italic>\n              =0.004), and corneal arcus (\n              <jats:italic>P<\/jats:italic>\n              =0.026). Furthermore, an elevated Lp(a) level (\n              <jats:italic>P<\/jats:italic>\n              =0.006) and a greater frequency of Lp(a) level \u226550\u2009mg\/dL (\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001) were observed in subjects with HeFH and polyVD. On multivariable analysis adjusting risk factors and lipid\u2010lowering agents, Lp(a) \u226550\u2009mg\/dL (odds ratio [OR], 5.66 [95% CI, 1.68\u201319.0],\n              <jats:italic>P<\/jats:italic>\n              =0.005), age, and family history of premature coronary artery disease independently predicted polyVD in subjects with HeFH. Of note, the prevalence of polyVD rose to 33.3% in patients with HeFH and age &gt;58\u2009years old, family history of premature coronary artery disease, and Lp(a) \u226550\u2009mg\/dL (OR, 10.3 [95% CI, 3.12\u201333.4],\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001).\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">An increased level of circulating Lp(a) levels predicted concomitance of polyVD in patients with HeFH. The current findings suggest subjects with HeFH and Lp(a) \u226550\u2009mg\/dL as a high\u2010risk category who require meticulous screening of systemic vascular beds.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.121.025232","type":"journal-article","created":{"date-parts":[[2022,8,5]],"date-time":"2022-08-05T09:18:44Z","timestamp":1659691124000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":12,"title":["Characterization of Polyvascular Disease in Heterozygous Familial Hypercholesterolemia: Its Association With Circulating Lipoprotein(a) Levels"],"prefix":"10.1161","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3673-4941","authenticated-orcid":false,"given":"Sayaka","family":"Funabashi","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Medicine National Cerebral &amp; Cardiovascular Centre Suita Osaka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6307-5593","authenticated-orcid":false,"given":"Yu","family":"Kataoka","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine National Cerebral &amp; Cardiovascular Centre Suita Osaka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5459-6984","authenticated-orcid":false,"given":"Mika","family":"Hori","sequence":"additional","affiliation":[{"name":"Department of Molecular Innovation in Lipidology National Cerebral &amp; Cardiovascular Center Research Institute Suita Osaka"},{"name":"Department of Endocrinology Research Institute of Environmental Medicine Nagoya University Nagoya Aichi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masatsune","family":"Ogura","sequence":"additional","affiliation":[{"name":"Department of Molecular Innovation in Lipidology National Cerebral &amp; Cardiovascular Center Research Institute Suita Osaka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takahito","family":"Doi","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine National Cerebral &amp; Cardiovascular Centre Suita Osaka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teruo","family":"Noguchi","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine National Cerebral &amp; Cardiovascular Centre Suita Osaka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariko","family":"Harada\u2010Shiba","sequence":"additional","affiliation":[{"name":"Department of Molecular Innovation in Lipidology National Cerebral &amp; Cardiovascular Center Research Institute Suita Osaka"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/eht273"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacasi.2021.07.004"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2010.1322"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.atherosclerosis.2011.05.039"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.atv.18.4.641"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacl.2020.03.002"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1038\/gim.2015.30"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.5551\/jat.14621"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.108.191768"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(98)22019-8"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1093\/clinchem\/18.6.499"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.atherosclerosis.2018.06.856"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1161\/ATVBAHA.116.307514"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2014.01.063"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1161\/ATVBAHA.121.316106"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-8587(16)30041-9"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2019.03.013"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.118.037184"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcdd8020011"}],"container-title":["Journal of the American Heart Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/JAHA.121.025232","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T11:25:59Z","timestamp":1715599559000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/JAHA.121.025232"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,16]]},"references-count":19,"journal-issue":{"issue":"16","published-print":{"date-parts":[[2022,8,16]]}},"alternative-id":["10.1161\/JAHA.121.025232"],"URL":"https:\/\/doi.org\/10.1161\/jaha.121.025232","relation":{},"ISSN":["2047-9980"],"issn-type":[{"value":"2047-9980","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,8,16]]},"assertion":[{"value":"2021-12-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-06-13","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-08-05","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e025232"}}