The Evolving Role of Coronary Artery Imaging in Assessing Cardiovascular Risk from Lipoprotein(a).
MT, S., HS, B., I, K., & MJ, W. (2026). The Evolving Role of Coronary Artery Imaging in Assessing Cardiovascular Risk from Lipoprotein(a).. Current atherosclerosis reports. https://doi.org/10.1007/s11883-026-01440-0
MT S, HS B, I K, MJ W. The Evolving Role of Coronary Artery Imaging in Assessing Cardiovascular Risk from Lipoprotein(a).. Current atherosclerosis reports. 2026; doi: 10.1007/s11883-026-01440-0
MT S, HS B, I K, et al. The Evolving Role of Coronary Artery Imaging in Assessing Cardiovascular Risk from Lipoprotein(a).[J]. Current atherosclerosis reports. 2026. DOI: 10.1007/s11883-026-01440-0.
@article{mt2026,
author = {Savides MT and Bhatia HS and Kuznetsova I and Wilkinson MJ},
title = {The Evolving Role of Coronary Artery Imaging in Assessing Cardiovascular Risk from Lipoprotein(a).},
journal = {Current atherosclerosis reports},
year = {2026},
doi = {10.1007/s11883-026-01440-0},
note = {PMID: 42429866},
}
TY - JOUR AU - Savides MT AU - Bhatia HS AU - Kuznetsova I AU - Wilkinson MJ TI - The Evolving Role of Coronary Artery Imaging in Assessing Cardiovascular Risk from Lipoprotein(a). T2 - Current atherosclerosis reports PY - 2026 DO - 10.1007/s11883-026-01440-0 AN - PMID:42429866 ER -
PURPOSE OF REVIEW: Summarize current literature on the use of coronary artery imaging modalities in examining the atherosclerotic and arterial inflammatory manifestations of elevated lipoprotein(a) [Lp(a)]. Evaluate the evolving role of coronary imaging in risk stratification and treatment decisions. RECENT FINDINGS: While Lp(a) and calcium scoring (CAC) are independently associated with cardiovascular risk, Lp(a) is associated with CAC incidence and progression. Lp(a) is associated with greater plaque prevalence, multivessel disease, and high-risk morphologies, while also being linked to accelerated progression of mixed and lipid-rich plaque by coronary CT angiography. Intravascular imaging modalities further show associations between Lp(a) and thin-cap fibroatheroma, lipid-rich plaque, percent atheroma volume, and plaque progression. Lp(a) is associated with non-calcified or mixed coronary plaque morphology and progression, as well as increased risk of high-risk plaque features. While additional research is needed, current literature suggests that coronary imaging may be an important tool in cardiovascular risk stratification for individuals with elevated Lp(a).