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Clinical Chemistry 36: 20-23, 1990;
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Clinical Chemistry, Vol 36, 20-23, Copyright © 1990 by American Association for Clinical Chemistry

Lipoprotein(a) is an independent risk factor for myocardial infarction at a young age

M Sandkamp, H Funke, H Schulte, E Kohler and G Assmann
Institut fur Klinische Chemie und Laboratoriumsmedizin, Universitatskliniken der Westfalischen Wilhelms-Universitat Munster, F.R.G.

We quantified lipoprotein(a) [Lp(a)] immunochemically in young (less than 46 y) male survivors of myocardial infarction and in age-matched controls recruited from participants of the Prospective Cardiovascular Munster (PROCAM) study. We further determined apolipoprotein E polymorphism and measured triglycerides, total cholesterol, high- and low-density lipoprotein cholesterol (HDL and LDL), and apolipoproteins AI, AII, and B in the serum of these subjects. Lp(a) concentrations in serum were not correlated with other well-recognized risk factors for early myocardial infarction such as apolipoproteins AI and B, LDL cholesterol, and HDL cholesterol. Apolipoprotein E polymorphism did not affect Lp(a) concentrations, but had a major influence on apolipoprotein B concentration. Lp(a) concentrations were not influenced by age. Our data suggest that (a) an increased concentration of Lp(a) constitutes an independent risk factor for early myocardial infarction and (b) the concentrations of Lp(a) and LDL cholesterol (apolipoprotein B) in serum are under separate metabolic control.


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