Association between lipoprotein-associated phospholipase A2 levels and risk of recurrent cerebrovascular events in patients with ischemic stroke: A systematic review and meta-analysis.
Xiaofeng Zhang, Ji Li, Qiuping Xu et al.
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In 30 seconds
This systematic review and meta-analysis evaluated the relationship between lipoprotein-associated phospholipase A2 (Lp-PLA2) levels and recurrent cerebrovascular events in 2,527 patients with ischemic stroke. The analysis found that higher Lp-PLA2 levels were associated with a significantly increased risk of recurrent events, with a pooled relative effect estimate of 2.99 (95% CI 2.24-3.99; P < 0.001).
Key findings
- Higher Lp-PLA2 levels were associated with a pooled relative effect estimate of 2.99 for recurrent cerebrovascular events.
- Excluding one study, the association remained stable with a pooled estimate of 2.76.
- Each 1-SD increase in Lp-PLA2 was linked to a pooled odds ratio of 2.62 for recurrent events.
Why it matters
Understanding the association between Lp-PLA2 levels and recurrent cerebrovascular events can help clinicians identify patients at higher risk and potentially guide secondary prevention strategies after ischemic stroke.