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Guidelines

Seven international stakeholder organisations convene a global think tank to answer clinicians top questions on managing Lp(a) (Prog Cardiovasc Dis 2022)

Original title: Global think tank on the clinical considerations and management of lipoprotein(a): The top questions and answers regarding what clinicians need to know

Prog Cardiovasc Dis · · 9

Virani SS, Koschinsky ML, Maher L, Mehta A, Orringer CE, Santos RD, Shapiro MD, Saseen JJ

Representatives from seven national and international stakeholder organisations convened a global think tank to provide practical answers to the clinical questions clinicians most need answered about Lp(a), given that existing guidelines and consensus statements vary in their recommendations. The panel addressed Lp(a) measurement standardisation, ethnic, sex and age considerations, how to factor Lp(a) into cardiovascular risk assessment, and current and emerging treatment options for elevated Lp(a). This manuscript summarises the think tank findings, identifies areas needing further investigation, and emphasises the need to harmonise Lp(a) reporting across laboratories and research studies worldwide.

Read the paper (DOI)PubMed

Original abstract

Evidence from Mendelian randomization studies suggest that lipoprotein(a) (Lp(a)) has a causal role in the development of atherosclerotic cardiovascular disease risk. However, guidelines and consensus statement recommendations vary regarding how clinicians should incorporate Lp(a) into patient care. To provide practical answers to key questions pertaining to Lp(a) that clinicians will find useful when assessing and treating patients, a global think tank was convened. Representatives from seven national and international stakeholder organizations answered questions that were focused on: Lp(a) measurement; ethnic, gender, and age considerations; factoring Lp(a) into risk assessment; and current and emerging treatment options for elevated Lp(a). This manuscript summarizes the finding from this global think tank. Areas requiring further investigation were identified, and the need to standardize reporting of Lp(a) levels to ensure harmonization and comparability across laboratories and research studies is emphasized.

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Summary written by lp-a.org from the published abstract; figures as published. Page updated 18 August 2026. Methods.