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10.1111/joim.13338

http://scihub22266oqcxt.onion/10.1111/joim.13338
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34096654!8242884!34096654
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suck abstract from ncbi

pmid34096654      J+Intern+Med 2022 ; 291 (1): 101-107
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  • Lipoprotein(a) and SARS-CoV-2 infections: Susceptibility to infections, ischemic heart disease and thromboembolic events #MMPMID34096654
  • Di Maio S; Lamina C; Coassin S; Forer L; Wurzner R; Schonherr S; Kronenberg F
  • J Intern Med 2022[Jan]; 291 (1): 101-107 PMID34096654show ga
  • BACKGROUND: Comorbidities including ischemic heart disease (IHD) worsen outcomes after SARS-CoV-2 infections. High lipoprotein(a) [Lp(a)] concentrations are a strong risk factor for IHD and possibly for thromboembolic events. We therefore evaluated whether SARS-CoV-2 infections modify the risk of high Lp(a) concentrations for IHD or thromboembolic events during the first 8.5 months follow-up of the pandemic. METHOD: Cohort study using data from the UK Biobank during the SARS-CoV-2 pandemic. Baseline Lp(a) was compared between SARS-CoV-2 positive patients and the population controls. RESULTS: SARS-CoV-2 positive patients had Lp(a) concentrations similar to the population controls. The risk for IHD increased with higher Lp(a) concentrations in both, the population controls (n = 435,104) and SARS-CoV-2 positive patients (n = 6937). The causality of the findings was supported by a genetic risk score for Lp(a). A SARS-CoV-2 infection modified the association with a steeper increase in risk for infected patients (interaction p-value = 0.03). Although SARS-CoV-2 positive patients had a five-times higher frequency of thromboembolic events compared to the population controls (1.53% vs. 0.31%), the risk was not influenced by Lp(a). CONCLUSIONS: SARS-CoV-2 infections enforce the association between high Lp(a) and IHD but the risk for thromboembolic events is not influenced by Lp(a).
  • |Adult[MESH]
  • |Aged[MESH]
  • |COVID-19 Nucleic Acid Testing[MESH]
  • |COVID-19/blood/*diagnosis[MESH]
  • |Case-Control Studies[MESH]
  • |Cohort Studies[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Intensive Care Units[MESH]
  • |Lipoprotein(a)/*blood[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Myocardial Ischemia/*epidemiology[MESH]
  • |Nasopharynx/*virology[MESH]
  • |Risk Factors[MESH]
  • |SARS-CoV-2/genetics/*isolation & purification[MESH]


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