Coronary Artery Disease
Conditions
Brief summary
Lipoprotein(a) \[Lp(a)\] is a risk factor for cardiovascular events, although the underlying mechanism remains unclear. This study evaluated the relationship between Lp(a) and high-risk attributes (HRA) by coronary computed tomography angiography (CCTA) as well as their prognostic value.
Interventions
Patients receive coroanry CTA at the discretion of the physicians in charge. And parameters including plaque burden, minimal lumen area, diameter stenosis, total plaque volume, high-risk plaque characteristics, fractional flow reserve, pullback pressure gradient, fat attenuation index will be analyzed.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with Lp(a) meaured within 1 week of CCTA examination.
Exclusion criteria
* unstable angina pectoris * acute myocardial infarction * New York Heart Association class III-IV heart failure * with a history of bypass surgery * active infection * respiratory failure * chronic kidney disease (estimated glomerular filtration rate \[eGFR\] \<60 ml/min/1.73 m2) * liver dysfunction (liver enzyme \>3 upper reference limit \[URL\] or bilirubin \>2 URL) * malignancy * systemic connective tissue disease * poor CCTA imaging quality not suitable for analysis * other situations not suitable for the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Association of Lp(a) level with CCTA measured Parameters | at the index procedure | Association of Lp(a) level with CCTA measured total plaque volume |
| Major adverse cardiac events | at 24 months from index procedure | a composite of cardiac death, any myocardial infarction, and stroke |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Cardiac death | at 24 months from index procedure | Cardiac death |
| Myocardial infarction | at 24 months from index procedure | Myocardial infarction |
| Stroke | at 24 months from index procedure | stroke |
Countries
China