{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T18:37:40Z","timestamp":1777401460268,"version":"3.51.4"},"reference-count":36,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2024,2,29]],"date-time":"2024-02-29T00:00:00Z","timestamp":1709164800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Peaking Project of Foshan","award":["2020A022"],"award-info":[{"award-number":["2020A022"]}]},{"name":"the Medical Research Project of Foshan Municipal Health Bureau","award":["20220320"],"award-info":[{"award-number":["20220320"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Angiology"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:p>\n                    Lipoprotein-associated phospholipase A2 (Lp-PLA2) is an inflammatory marker associated with atherosclerotic and cardiovascular diseases. This study aimed to explore the association of Lp-PLA2 with carotid intima-media thickness (cIMT) in patients with acute ischemic stroke (AIS) and explore a threshold level to predict the risk of vulnerable plaques. This retrospective observational study included patients with AIS in the Neurology Department of our Hospital between January 2018 and December 2019. The study included 293 patients aged 65.29 \u00b1 12.11\u00a0years, including 212 males, of whom 124 had carotid intima-media thickening (42.32%). Multivariable logistic regression showed that Lp-PLA2 level was an independent risk factor for cIMT (odds ratio [OR] = 1.004, 95% confidence interval [95% CI] 1.001\u20131.008,\n                    <jats:italic>P<\/jats:italic>\n                    = .008). Threshold effect analysis showed that the risk of vulnerable carotid plaque occurrence increased by 2% for every 1\u00a0ng\/mL increase in Lp-PLA2 level with serum Lp-PLA2 levels between 157 and 279\u00a0ng\/mL; this increase was statistically significant (OR = 1.02, 95% CI 1.01\u20131.03,\n                    <jats:italic>P<\/jats:italic>\n                    &lt; .001). Serum Lp-PLA2 is an independent risk factor for increased cIMT in patients with AIS, and a threshold Lp-PLA2 level between 157 and 279\u00a0ng\/mL showed a higher risk of carotid plaque rupture.\n                  <\/jats:p>","DOI":"10.1177\/00033197241233774","type":"journal-article","created":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:38:30Z","timestamp":1709253510000},"page":"648-655","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Association of Lipoprotein-associated phospholipase A2 With Carotid Intima-Media Thickness in Acute Cerebral Infarction Patients"],"prefix":"10.1177","volume":"76","author":[{"given":"Libing","family":"Liang","sequence":"first","affiliation":[{"name":"Department of Neurology, The Third Affiliated Hospital of Southern Medical University, Guangzhou, China"},{"name":"Department of Neurology, The First People\u2019s Hospital of Foshan, Foshan, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jingjuan","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Neurology, The First People\u2019s Hospital of Foshan, Foshan, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chengguo","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Neurology, The First People\u2019s Hospital of Foshan, Foshan, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Baigui","family":"Luo","sequence":"additional","affiliation":[{"name":"Science and Education Department, The First People\u2019s Hospital of Foshan, Foshan, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tianen","family":"Zhou","sequence":"additional","affiliation":[{"name":"Emergency Department, The First People\u2019s Hospital of Foshan, Foshan, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-0871-4417","authenticated-orcid":false,"given":"Xiaofeng","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Neurology, The Third Affiliated Hospital of Southern Medical University, Guangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yukai","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Neurology, The First People\u2019s Hospital of Foshan, Foshan, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,2,29]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2018.10.044"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)32152-9"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.3325\/cmj.2016.57.311"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/718329"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12265-013-9508-6"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.5551\/jat.21386"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13167-011-0063-4"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1161\/ATVBAHA.112.249854"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.5339\/gcsp.2015.6"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.medcli.2020.11.034"},{"key":"e_1_3_5_12_2","first-page":"284","article-title":"Lp-PLA2 predicts the risk of ischemic stroke: a prospective cohort study in the Chinese population","volume":"26","author":"Chong Y","year":"2021","unstructured":"Chong Y, Wen M, Feng F. 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