metricas
covid
Buscar en
Clinics
Toda la web
Inicio Clinics Relationship between lipoprotein (a) and subclinical carotid atherosclerosis in ...
Journal Information

Statistics

Follow this link to access the full text of the article

Original articles
Relationship between lipoprotein (a) and subclinical carotid atherosclerosis in asymptomatic individuals
Victor Françaa,
Corresponding author
victtor_franca@hotmail.com

Corresponding author.
, Érica Ivana Lázaro Gomesa, Edite Vieira Silva de Camposa, Vanessa Helena de Souza Zagob, Valéria Sutti Nunesc, Eliana Cotta de Fariaa
a Department of Clinical Pathology, Faculdade de Ciências Médicas da Universidade Estadual de Campinas, Campinas, SP, Brazil
b Pontifical Catholic University of Campinas, São Paulo, Brazil
c Laboratorio de Lipides (LIM10), Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
Read
1808
Times
was read the article
438
Total PDF
1370
Total HTML
Share statistics
 array:22 [
  "pii" => "S1807593222033087"
  "issn" => "18075932"
  "doi" => "10.1016/j.clinsp.2022.100107"
  "estado" => "S300"
  "fechaPublicacion" => "2022-01-01"
  "aid" => "100107"
  "copyrightAnyo" => "2022"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "fla"
  "cita" => "Clinics. 2022;77C:"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:1 [
    "total" => 0
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S1807593222033105"
    "issn" => "18075932"
    "doi" => "10.1016/j.clinsp.2022.100109"
    "estado" => "S300"
    "fechaPublicacion" => "2022-01-01"
    "aid" => "100109"
    "copyright" => "HCFMUSP"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "fla"
    "cita" => "Clinics. 2022;77C:"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:12 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Original articles</span>"
      "titulo" => "COVID-19 post-vaccination in healthcare workers and vaccine effectiveness&#44; Brazil&#44; 2021"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "en"
      ]
      "contieneResumen" => array:1 [
        "en" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:8 [
          "identificador" => "fig0001"
          "etiqueta" => "Fig&#46; 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1438
              "Ancho" => 2500
              "Tamanyo" => 194829
            ]
          ]
          "detalles" => array:1 [
            0 => array:3 [
              "identificador" => "alt0001"
              "detalle" => "Fig "
              "rol" => "short"
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spara001" class="elsevierStyleSimplePara elsevierViewall">Distribution of confirmed cases of COVID-19 in HC healthcare workers according to epidemiological week of symptoms onset&#44; from March to August 2021&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Caio Medeiros Fernandes, Shirley L&#46; Dias, Maira C&#46; Ferreira, Expedito J&#46;A&#46; Luna"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Caio Medeiros"
              "apellidos" => "Fernandes"
            ]
            1 => array:2 [
              "nombre" => "Shirley L&#46;"
              "apellidos" => "Dias"
            ]
            2 => array:2 [
              "nombre" => "Maira C&#46;"
              "apellidos" => "Ferreira"
            ]
            3 => array:2 [
              "nombre" => "Expedito J&#46;A&#46;"
              "apellidos" => "Luna"
            ]
          ]
        ]
      ]
      "resumen" => array:1 [
        0 => array:3 [
          "titulo" => "Highlights"
          "clase" => "author-highlights"
          "resumen" => "<span id="abss0001" class="elsevierStyleSection elsevierViewall"><p id="spara015" class="elsevierStyleSimplePara elsevierViewall"><ul class="elsevierStyleList" id="celist0001"><li class="elsevierStyleListItem" id="celistitem0001"><span class="elsevierStyleLabel">&#8226;</span><p id="para0001" class="elsevierStylePara elsevierViewall">Vaccination with any vaccine was effective in preventing confirmed COVID-19 cases&#46;</p></li><li class="elsevierStyleListItem" id="celistitem0002"><span class="elsevierStyleLabel">&#8226;</span><p id="para0002" class="elsevierStylePara elsevierViewall">CoronaVac was effective in preventing COVID-19 related hospitalizations&#46;</p></li><li class="elsevierStyleListItem" id="celistitem0003"><span class="elsevierStyleLabel">&#8226;</span><p id="para0003" class="elsevierStylePara elsevierViewall">Vaccination had a significant impact in reducing cases and hospitalizations&#46;</p></li><li class="elsevierStyleListItem" id="celistitem0004"><span class="elsevierStyleLabel">&#8226;</span><p id="para0004" class="elsevierStylePara elsevierViewall">Predominance of mild cases&#44; with respiratory symptoms&#44; myalgia&#44; and headache&#46;</p></li><li class="elsevierStyleListItem" id="celistitem0005"><span class="elsevierStyleLabel">&#8226;</span><p id="para0005" class="elsevierStylePara elsevierViewall">Vaccine protection waned over time&#46;</p></li></ul></p></span>"
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1807593222033105?idApp=UINPBA00004N"
    "url" => "/18075932/000000770000000C/v3_202308251443/S1807593222033105/v3_202308251443/en/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S1807593222033154"
    "issn" => "18075932"
    "doi" => "10.1016/j.clinsp.2022.100114"
    "estado" => "S300"
    "fechaPublicacion" => "2022-01-01"
    "aid" => "100114"
    "copyright" => "HCFMUSP"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "fla"
    "cita" => "Clinics. 2022;77C:"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:12 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Original articles</span>"
      "titulo" => "Higher visceral adiposity index is associated with increased likelihood of abdominal aortic calcification"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "en"
      ]
      "contieneResumen" => array:1 [
        "en" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:8 [
          "identificador" => "fig0002"
          "etiqueta" => "Fig&#46; 2"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr2.jpeg"
              "Alto" => 1210
              "Ancho" => 2500
              "Tamanyo" => 105813
            ]
          ]
          "detalles" => array:1 [
            0 => array:3 [
              "identificador" => "alt0004"
              "detalle" => "Fig "
              "rol" => "short"
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spara002" class="elsevierStyleSimplePara elsevierViewall">Subgroup analysis for the association between VAI and severe AAC&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Zheng Qin, Luojia Jiang, Jiantong Sun, Jiwen Geng, Shanshan Chen, Qinbo Yang, Baihai Su, Ruoxi Liao"
          "autores" => array:8 [
            0 => array:2 [
              "nombre" => "Zheng"
              "apellidos" => "Qin"
            ]
            1 => array:2 [
              "nombre" => "Luojia"
              "apellidos" => "Jiang"
            ]
            2 => array:2 [
              "nombre" => "Jiantong"
              "apellidos" => "Sun"
            ]
            3 => array:2 [
              "nombre" => "Jiwen"
              "apellidos" => "Geng"
            ]
            4 => array:2 [
              "nombre" => "Shanshan"
              "apellidos" => "Chen"
            ]
            5 => array:2 [
              "nombre" => "Qinbo"
              "apellidos" => "Yang"
            ]
            6 => array:2 [
              "nombre" => "Baihai"
              "apellidos" => "Su"
            ]
            7 => array:2 [
              "nombre" => "Ruoxi"
              "apellidos" => "Liao"
            ]
          ]
        ]
      ]
      "resumen" => array:1 [
        0 => array:3 [
          "titulo" => "Highlights"
          "clase" => "author-highlights"
          "resumen" => "<span id="abss0001" class="elsevierStyleSection elsevierViewall"><p id="spara008" class="elsevierStyleSimplePara elsevierViewall"><ul class="elsevierStyleList" id="celist0001"><li class="elsevierStyleListItem" id="celistitem0001"><span class="elsevierStyleLabel">&#8226;</span><p id="para0002" class="elsevierStylePara elsevierViewall">Higher Adiposity Index &#40;VAI&#41; tertile shows higher rates of Abdominal Aortic Calcification &#40;AAC&#41;&#46;</p></li><li class="elsevierStyleListItem" id="celistitem0002"><span class="elsevierStyleLabel">&#8226;</span><p id="para0003" class="elsevierStylePara elsevierViewall">Each unit increase in VAI was associated with&#160;4&#37; higher likelihood of severe AAC&#46;</p></li><li class="elsevierStyleListItem" id="celistitem0003"><span class="elsevierStyleLabel">&#8226;</span><p id="para0004" class="elsevierStylePara elsevierViewall">Increased visceral adiposity evaluating by VAI associated with a higher AAC score&#46;</p></li><li class="elsevierStyleListItem" id="celistitem0004"><span class="elsevierStyleLabel">&#8226;</span><p id="para0005" class="elsevierStylePara elsevierViewall">This positive relationship was more significant in normal weight population&#46;</p></li></ul></p></span>"
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1807593222033154?idApp=UINPBA00004N"
    "url" => "/18075932/000000770000000C/v3_202308251443/S1807593222033154/v3_202308251443/en/main.assets"
  ]
  "en" => array:18 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Original articles</span>"
    "titulo" => "Relationship between lipoprotein &#40;a&#41; and subclinical carotid atherosclerosis in asymptomatic individuals"
    "tieneTextoCompleto" => true
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Victor Fran&#231;a, &#201;rica Ivana L&#225;zaro Gomes, Edite Vieira Silva de Campos, Vanessa Helena de Souza Zago, Val&#233;ria Sutti Nunes, Eliana Cotta de Faria"
        "autores" => array:6 [
          0 => array:4 [
            "nombre" => "Victor"
            "apellidos" => "Fran&#231;a"
            "email" => array:1 [
              0 => "victtor_franca@hotmail.com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0001"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0001"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "&#201;rica Ivana L&#225;zaro"
            "apellidos" => "Gomes"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0001"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Edite Vieira Silva"
            "apellidos" => "de Campos"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0001"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Vanessa Helena de Souza"
            "apellidos" => "Zago"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0002"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "Val&#233;ria Sutti"
            "apellidos" => "Nunes"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0003"
              ]
            ]
          ]
          5 => array:3 [
            "nombre" => "Eliana Cotta"
            "apellidos" => "de Faria"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0001"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:3 [
          0 => array:3 [
            "entidad" => "Department of Clinical Pathology&#44; Faculdade de Ci&#234;ncias M&#233;dicas da Universidade Estadual de Campinas&#44; Campinas&#44; SP&#44; Brazil"
            "etiqueta" => "a"
            "identificador" => "aff0001"
          ]
          1 => array:3 [
            "entidad" => "Pontifical Catholic University of Campinas&#44; S&#227;o Paulo&#44; Brazil"
            "etiqueta" => "b"
            "identificador" => "aff0002"
          ]
          2 => array:3 [
            "entidad" => "Laboratorio de Lipides &#40;LIM10&#41;&#44; Hospital das Clinicas HCFMUSP&#44; Faculdade de Medicina&#44; Universidade de Sao Paulo&#44; Sao Paulo&#44; SP&#44; BR"
            "etiqueta" => "c"
            "identificador" => "aff0003"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0001"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0001" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0008">Introduction</span><p id="para0008" class="elsevierStylePara elsevierViewall">Lipoprotein &#40;a&#41; &#8210; Lp&#40;a&#41; is a lipoprotein fraction similar to the Low-Density Lipoprotein &#40;LDL&#41;&#44; that contains an apolipoprotein &#40;a&#41; linked to its structure&#46; Plasma levels of Lp&#40;a&#41; display a wide range in the general population and is primarily controlled by hepatic synthesis of apo &#40;a&#41;&#44; which in turn varies according to the presence of polymorphisms in the <span class="elsevierStyleItalic">LPA</span> gene&#46;<a class="elsevierStyleCrossRef" href="#bib0001"><span class="elsevierStyleSup">1</span></a> Despite the similarities with plasminogen structure&#44; apolipoprotein &#40;a&#41; contains only the Kringle &#40;K&#41; IV and V in its structure&#46; Among the subtypes of KIV&#44; specifically&#44; subtype two of KIV &#40;KIV2&#41; presents a variable number of copies&#44; reaching more than&#160;40&#44; thus it is possible to reach up to&#160;34&#160;different apo &#40;a&#41; isoforms&#46;<a class="elsevierStyleCrossRef" href="#bib0002"><span class="elsevierStyleSup">2</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bib0003"><span class="elsevierStyleSup">3</span></a></p><p id="para0009" class="elsevierStylePara elsevierViewall">Levels of Lp&#40;a&#41; are considered an independent risk factor for cardiovascular disease according to epidemiologic and genetic studies carried out in different populations&#46; In spite of it&#44; reference risk values are not usually adopted&#46;<a class="elsevierStyleCrossRef" href="#bib0001"><span class="elsevierStyleSup">1</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bib0004"><span class="elsevierStyleSup">4</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">5</span></a></p><p id="para0010" class="elsevierStylePara elsevierViewall">Lp&#40;a&#41; levels remain relatively constant in an individual throughout life and are not significantly affected by diet&#44; age&#44; and physical activity&#46;<a class="elsevierStyleCrossRef" href="#bib0006"><span class="elsevierStyleSup">6</span></a> Still&#44; they vary according to ethnicity&#58; individuals of African American descent have two to three times higher concentrations compared to Caucasians<a class="elsevierStyleCrossRef" href="#bib0007"><span class="elsevierStyleSup">7</span></a> although Lp&#40;a&#41; levels may have a greater influence on plaque burden in white than in black individuals&#46;<a class="elsevierStyleCrossRef" href="#bib0008"><span class="elsevierStyleSup">8</span></a></p><p id="para0011" class="elsevierStylePara elsevierViewall">The association of Lp&#40;a&#41; and cardiovascular diseases is justified by the atherogenic risk attached to the LDL structure and is aggravated by the similarity of apo &#40;a&#41; structure to plasminogen that could interfere in hemostasis&#46; This effect may explain the role of Lp&#40;a&#41; in the promotion of cardiovascular diseases&#44; eventually favoring atherogenic and prothrombotic processes&#46;<a class="elsevierStyleCrossRef" href="#bib0001"><span class="elsevierStyleSup">1</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bib0009"><span class="elsevierStyleSup">9</span></a></p><p id="para0012" class="elsevierStylePara elsevierViewall">There is evidence that high Lp&#40;a&#41; levels&#44; especially above&#160;30&#160;mg&#47;dL&#44; contribute to the progression of atherosclerotic plaque and increased carotid Intima-Media Thickness &#40;cIMT&#41;&#46;<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">10&#8211;13</span></a> However&#44; this issue remains under debate&#46; While some studies associate Lp&#40;a&#41; independently with cIMT and plaque development&#44; other studies have not shown such an association&#46;<a class="elsevierStyleCrossRefs" href="#bib0014"><span class="elsevierStyleSup">14&#8211;18</span></a> Furthermore&#44; given the important role of Lp&#40;a&#41; in the development of cardiovascular diseases&#44; the present study aimed to explore the association between Lp&#40;a&#41; levels and subclinical carotid atherosclerosis measured as cIMT as well as the presence of carotid plaques in asymptomatic individuals&#46;</p></span><span id="sec0002" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0009">Materials and methods</span><span id="sec0003" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0010">Study population</span><p id="para0013" class="elsevierStylePara elsevierViewall">This is a cross-section&#44; retrospective study&#44; for which were selected&#160;317&#160;individuals from both genders&#44; aged between&#160;19&#160;and&#160;77&#160;years old&#44; between the years&#160;2008 and&#160;2013&#44; who participated in the FAPESP Thematic Project&#160;2006&#47;60585-9&#44; after authorization by the Research Ethics Committee of the Faculty of Medical Sciences&#47;UNICAMP&#46; The study was carried out in accordance with the Declaration of Helsinki&#46;</p><p id="para0014" class="elsevierStylePara elsevierViewall">This project was carried out in partnership with the Municipal Health Department of Campinas&#44; which provided the laboratory results of the lipid profile of individuals who spontaneously sought healthcare in the Basic Health Units of the city of Campinas&#44; S&#227;o Paulo&#44; Brazil&#46; As previously reported by Parra et al&#46;<a class="elsevierStyleCrossRef" href="#bib0019"><span class="elsevierStyleSup">19</span></a> the volunteers were initially selected according to plasma LDL-C &#40;&#8804; 130&#160;mg&#47;dL&#41; and triglycerides &#40;&#8804; 150&#160;mg&#47;dL&#41; levels&#46; Thus&#44; they were contacted by telephone and answered a screening questionnaire regarding medication use&#44; Body Mass Index &#40;BMI&#41;&#44; and current and pre-existing diseases&#46; The individuals who met the inclusion criteria were invited to attend clinical and laboratory evaluations&#46;</p><p id="para0015" class="elsevierStylePara elsevierViewall">On admission&#44; all volunteers signed the Informed Consent Form &#40;ICF&#41; before a complete clinical&#44; anthropometric&#44; and laboratory evaluation&#46; Peripheral venous blood samples were drawn in EDTA-containing tubes after a&#160;12-hour fasting period&#46; Serum and plasma were separated by centrifugation &#40;4&#176;C&#44; 1000g&#44; 10&#160;minutes&#41; and stored at&#160;-80&#176;C until further analysis&#46;</p><p id="para0016" class="elsevierStylePara elsevierViewall">The inclusion criteria were both genders&#44; BMI between&#160;20 and&#160;30&#160;kg&#47;m<span class="elsevierStyleSup">2</span>&#59; LDL-C&#160;&#8804; 130&#160;mg&#47;dL and triglycerides&#160;&#8804; 150&#160;mg&#47;dL levels&#44; Systolic Blood Pressure &#40;SBP&#41;&#160;&#8804; 140&#160;mmHg or Diastolic Blood Pressure &#40;DBP&#41;&#160;&#8804; 90&#160;mmHg&#46; Exclusion criteria comprised BMI higher than&#160;30&#160;kg&#47;m<span class="elsevierStyleSup">2</span>&#44; regular use of medical treatment&#44; especially those which interfere with lipids metabolism &#40;statins&#44; fibrates&#44; oral contraceptives&#44; and hormonal replacement therapy&#41;&#44; and clinical and&#47;or laboratory evidence of thyroid dysfunction&#44; dyslipidemia&#44; diabetes&#44; metabolic syndrome&#44; pregnancy&#44; hypertension&#44; liver&#44; kidney or pulmonary disease&#44; alcoholism&#44; and smoking&#46; Individuals who attend the inclusion criteria were invited to undergo carotid ultrasonography in a second visit&#46;</p></span><span id="sec0004" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0011">Clinical and anthropometrical evaluation</span><p id="para0017" class="elsevierStylePara elsevierViewall">Volunteers answered a detailed questionnaire regarding their medical history&#44; and their race was self-reported as white&#44; black&#44; or mixed&#46;</p><p id="para0018" class="elsevierStylePara elsevierViewall">Determinations included systolic and diastolic blood pressure &#40;SBP and DBP&#44; respectively&#41; body weight &#40;kg&#41;&#44; height &#40;cm&#41;&#44; and circumferences of the waist and hips &#40;WC&#44; cm&#41;&#46; Thus&#44; BMI&#44; waist-to-hip and waist-to-height ratios&#44; all considered adiposity markers were calculated&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">20</span></a> The Lipid Accumulation Product &#40;LAP&#41; was also calculated according to the waist circumference and triglycerides levels &#40;mmoL&#47;dL&#41; as described previously&#46;<a class="elsevierStyleCrossRef" href="#bib0021"><span class="elsevierStyleSup">21</span></a></p></span><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0012">Biochemical analysis</span><p id="para0019" class="elsevierStylePara elsevierViewall">Total Cholesterol &#40;TC&#41;&#44; High-Density Lipoprotein Cholesterol &#40;HDL-C&#41;&#44; triglycerides&#44; glucose&#44; uric acid&#44; urea&#44; alanine aminotransferase&#44; aspartate aminotransferase&#44; gamma-glutamyl transferase&#44; creatinine and alkaline phosphatase were determined in the automatized system Modular&#174; Analytics Evo &#40;Roche Diagnostics&#44; Burgess Hill&#44; West Sussex&#44; UK&#41; using commercially available Roche Diagnostics&#174; &#40;Mannheim&#44; Germany&#41; assays&#46; Thyroid Stimulation Hormone &#40;TSH&#41; and Thyroxin &#40;T4L&#41; were also determined in the automated system Elecsys&#160;2010 &#40;Roche&#44; Basel&#44; Switzerland&#41; using Roche Diagnostics&#174; &#40;Mannheim&#44; Germany&#41; assays&#46;</p><p id="para0020" class="elsevierStylePara elsevierViewall">Low-Density Lipoprotein Cholesterol &#40;LDL-C&#41;&#44; and Very-Low Density Lipoprotein Cholesterol &#40;VLDL-C&#41; were determined by Friedewald&#39;s equation&#44; and by triglycerides&#47;5&#44; respectively&#44;<a class="elsevierStyleCrossRef" href="#bib0022"><span class="elsevierStyleSup">22</span></a> Non-HDL Cholesterol &#40;NHDL-C&#41; were calculated by subtracting the HDL-C levels from total cholesterol&#46;</p><p id="para0021" class="elsevierStylePara elsevierViewall">Apolipoproteins A-I &#40;apo A-I&#41;&#44; B-100 &#40;apo&#160;B-100&#41; and &#91;Lp&#40;a&#41;&#93; were determined by nephelometry in the automated system BN II &#40;Siemens Healthcare Diagnostics&#44; Marburg&#44; Germany&#41; using commercially available assays &#40;Dade-Boehringer&#174;&#44; Deerfield&#44; IL&#44; USA&#41;&#46; C-Reactive Protein &#40;CRP&#41; was measured by immunoturbidimetry using the Tina-quant&#174; CRP &#40;latex&#41; high-sensitivity assay &#40;Roche Diagnostics&#174;&#44; Mannheim&#44; Germany&#41;&#46;</p><p id="para0022" class="elsevierStylePara elsevierViewall">Plasma Paraoxonase-1 activity &#40;PON1&#41; was evaluated through an enzymatic method using paraoxon &#40;diethyl-p-nitrophenylphosphate&#44; Sigma&#44; St&#46; Louis&#44; MO&#41; as substrate&#46;<a class="elsevierStyleCrossRef" href="#bib0023"><span class="elsevierStyleSup">23</span></a></p></span><span id="sec0006" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0013">Carotid Intima-Media Thickness &#40;cIMT&#41; determination and carotid plaques detection</span><p id="para0023" class="elsevierStylePara elsevierViewall">The determinations of cIMT and plaques were performed by a single trained radiologist&#44; blind to the study participants&#46; Determinations were made by high-resolution B-mode ultrasonography using a&#160;6&#8211;9&#160;MHz linear array ultrasound imaging system ATL HDI&#160;3500 Ultrasound System &#40;Advanced Technology Laboratories Ultrasound&#44; Bothell&#44; USA&#41;&#46; The volunteers were examined in dorsal decubitus and five longitudinal measurements of segments of left&#44; and right common carotid arteries at the distal wall and 1&#160;cm from the bifurcation were performed&#46; Mean cIMT &#40;mm&#41; was calculated as the average of these measurements&#44; and cIMT below&#160;0&#46;90&#160;mm was considered a normal reference&#46;<a class="elsevierStyleCrossRef" href="#bib0024"><span class="elsevierStyleSup">24</span></a> In addition&#44; it was considered as plaque the presence of at least one of the following parameters&#58; focal wall thickening with at least&#160;0&#46;5&#160;mm toward the vessel lumen&#44; focal wall thickening at least&#160;50&#37; greater than that of the surrounding vessel wall&#44; or focal region with cIMT above&#160;1&#46;5&#160;mm that protrudes into the lumen that is distinct from the adjacent boundary&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">25</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bib0026"><span class="elsevierStyleSup">26</span></a></p></span><span id="sec0007" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0014">Statistical analysis</span><p id="para0024" class="elsevierStylePara elsevierViewall">The statistical analyses were performed using the software SAS&#160;9&#46;2 &#40;SAS Institute Inc&#46;&#44; Cary&#44; NC&#44; USA&#41; and the SPSS&#160;16&#46;0 &#40;SPSS Inc&#46; Released 2007&#46; SPSS for Windows&#44; Version&#160;16&#46;0&#46; Chicago&#44; SPSS Inc&#46;&#41;&#46; A two-sided p-value&#160;&#8804; 0&#46;05 was considered statistically significant&#44; and p-values&#160;&#62; 0&#46;05 and&#160;&#60; 0&#46;08 were determined as borderline&#46;</p><p id="para0025" class="elsevierStylePara elsevierViewall">Data normality was verified by the Shapiro-Wilk test&#46; Due to the absence of normal distribution&#44; numeric data were expressed as median and interquartile ranges and were adopted non-parametric tests&#46; In order to explore the relationship between Lp&#40;a&#41; and the studied variables&#44; the Spearman correlation test was performed&#46; In addition&#44; the parameters were compared by the Mann-Whitney test according to Lp&#40;a&#41; levels &#40;&#8804; 30&#160;mg&#47;dL and &#62; 30&#160;mg&#47;dL&#41;&#46;</p><p id="para0026" class="elsevierStylePara elsevierViewall">Univariate and multivariate linear regression analyses were performed to evaluate the influence of Lp&#40;a&#41; levels on the other studied parameters&#46; Numeric variables were transformed into ranks due to the absence of normal distribution&#44; and the results were as coefficients of determination &#40;partial R<span class="elsevierStyleSup">2</span> and R<span class="elsevierStyleSup">2</span>&#41;&#46; Logistic regression analysis was performed in order to determine the Odds Ratio &#40;OR&#41; for plaque presence in the studied population&#46;</p></span></span><span id="sec0008" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0015">Results</span><p id="para0027" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#tbl0001">Table 1</a> presents the descriptive analysis for clinical&#44; anthropometrical&#44; and biochemical parameters&#46; The total population &#40;n&#160;&#61;&#160;317&#59; 51&#37;&#160;female&#41; was asymptomatic&#44; with normal weight&#44; blood pressure&#44; and plasma lipids&#44; in accordance with the respective guidelines adopted&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">20</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRefs" href="#bib0027"><span class="elsevierStyleSup">27&#8211;29</span></a> Among the volunteers&#44; 23&#37;&#160;present increased cIMT &#40;&#8805;0&#46;90&#160;mm&#41;&#44; and 18&#37; were identified with carotid plaques&#46;</p><elsevierMultimedia ident="tbl0001"></elsevierMultimedia><p id="para0028" class="elsevierStylePara elsevierViewall">The variables were compared between groups stratified according to Lp&#40;a&#41; levels &#40;<a class="elsevierStyleCrossRef" href="#tbl0002">Table 2</a>&#41;&#46; The group with levels above&#160;30&#160;mg&#47;Dl&#160;&#40;21&#37;&#41; exhibited a higher median age&#44; apolipoprotein B-100&#44; PON1 activity&#44; and GGT levels&#46; In addition&#44; the presence of plaques and non-white individuals was also significantly more frequent in this group&#46;</p><elsevierMultimedia ident="tbl0002"></elsevierMultimedia><p id="para0029" class="elsevierStylePara elsevierViewall">Spearman&#39;s correlation between Lp&#40;a&#41; and the other parameters revealed positive and significant correlations with age &#40;R&#160;&#61;&#160;0&#46;167&#59; p &#60; 0&#46;01&#41;&#44; SBP &#40;R&#160;&#61;&#160;0&#46;136&#59; p &#60; 0&#46;02&#41;&#44; DBP &#40;R&#160;&#61;&#160;0&#46;109&#59; p&#160;&#61;&#160;0&#46;05&#41;&#44; ApoB-100 &#40;R&#160;&#61;&#160;0&#46;258&#59; p &#60; 0&#46;01&#41;&#44; PON1 &#40;R&#160;&#61;&#160;0&#46;108&#59; p&#160;&#61;&#160;0&#46;05&#41;&#44; GGT &#40;R&#160;&#61;&#160;0&#46;123&#59; p&#160;&#61;&#160;0&#46;03&#41;&#44; hsCRP &#40;R&#160;&#61;&#160;0&#46;157&#59; p &#60; 0&#46;01&#41;&#44; and a tendency towards cIMT &#40;R&#160;&#61;&#160;0&#46;099&#59; p&#160;&#61;&#160;0&#46;08&#41;&#46;</p><p id="para0030" class="elsevierStylePara elsevierViewall">The possible associations between Lp&#40;a&#41; and the other variables were explored in the analysis of univariate and multivariate linear regression&#44; whose significant parameters are shown in <a class="elsevierStyleCrossRef" href="#tbl0003">Table 3</a>&#46; Direct and significant associations with age and race were observed&#44; both in the univariate and multivariate analyses&#46; SBP and DBP are also directly associated with Lp&#40;a&#41; in univariate analysis&#44; however&#44; they did not show significance in multivariate analysis&#46; The LAP&#44; an adiposity parameter&#44; was indirectly related to Lp&#40;a&#41; in both univariate and multivariate analyses&#46;</p><elsevierMultimedia ident="tbl0003"></elsevierMultimedia><p id="para0031" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#tbl0004">Table 4</a> shows the analysis of univariate and multivariate logistic regression to explore the association between the presence of plaques&#44; Lp&#40;a&#41;&#44; and other parameters&#46; With each year of life&#44; the odds ratio for plaque increases by about&#160;1&#46;11&#160;times&#160;&#40;11&#37;&#41;&#46; For non-white individuals&#44; the odds ratio for the plaque is approximately&#160;1&#46;97&#160;times&#160;&#40;97&#37;&#41; in univariate&#44; and&#160;2&#46;5&#160;times&#160;&#40;250&#37;&#41; in the multivariate analysis&#46; Regarding Lp&#40;a&#41; concentrations above&#160;30&#160;mg&#47;dL&#44; there is a&#160;2&#37;&#160;increase in the odds ratio for plaque in univariate analysis&#46;</p><elsevierMultimedia ident="tbl0004"></elsevierMultimedia></span><span id="sec0009" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0016">Discussion</span><p id="para0032" class="elsevierStylePara elsevierViewall">The present study investigated the possible relationships between plasma Lp&#40;a&#41; levels and subclinical atherosclerosis determined by cIMT&#44; as well as the presence of carotid plaques in asymptomatic adults&#46; The group selected for this study consisted of individuals of both genders&#44; predominantly self-declared as white &#40;82&#37;&#41; and clinically assessed as normotensive&#44; normolipidemic&#44; and eutrophic&#44; with no evidence of pre-established cardiovascular diseases or other pathologies&#46; In addition&#44; the group consists of adults &#40;with a median age of&#160;43&#160;years&#41;&#44; of whom carotid plaques were reported in&#160;18&#37;&#46;</p><p id="para0033" class="elsevierStylePara elsevierViewall">The contribution of cIMT to the prediction of cardiovascular risk is widely reported in the literature&#44; and the presence of plaques adds significant value to this determination illustrating the heterogeneity of the atherosclerotic disease&#46; On the one hand&#44; the cIMT reflects the thickening process of the intima-medial layer that normally increases with age and smooth muscle hypertrophy&#46; In contrast&#44; the presence of plaques is specific and shows the established atherosclerotic disease&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">30</span></a></p><p id="para0034" class="elsevierStylePara elsevierViewall">The occurrence of carotid atherosclerotic plaques is recognized to increase with age&#44; however&#44; the prevalence in populations can vary significantly according to the methods applied for its determination and the definition of plaque adopted&#46; Another sensitive point is the population itself&#44; concerning the presence of comorbidities&#44; lifestyle&#44; and type of diet&#44; among other factors&#46; For example&#44; Ihle-Hansen and colleagues<a class="elsevierStyleCrossRef" href="#bib0031"><span class="elsevierStyleSup">31</span></a> evaluated cIMT and the presence of plaques in&#160;3683&#160;individuals aged between&#160;63 and 65&#160;years&#59; in this group&#44; 87&#37;&#160;had carotid plaques&#46; Not surprisingly&#44; the presence of risk factors was significant&#44; of which hypertension&#160;&#40;62&#37;&#41;&#44; hypercholesterolemia&#160;&#40;53&#37;&#41;&#44; obesity&#160;&#40;23&#37;&#41;&#44; and diabetes mellitus&#160;&#40;11&#37;&#41; stand out&#46; In this sense&#44; age plus the presence of these other well-established risk factors explain this high plaque prevalence&#46; Other studies in the general population corroborate the high prevalence of atherosclerotic plaques according to the age group and the presence of other risk factors&#44; whose severity increases significantly as these clinical aspects add up&#46;<a class="elsevierStyleCrossRef" href="#bib0032"><span class="elsevierStyleSup">32</span></a> Recently&#44; Song P&#46; and collaborators evaluated from a robust meta-analysis that the prevalence of atherosclerotic plaques in the population between&#160;30&#160;and&#160;79&#160;years is&#160;21&#46;13&#37;&#44; which is equivalent to more than&#160;800&#160;million people&#46;<a class="elsevierStyleCrossRef" href="#bib0033"><span class="elsevierStyleSup">33</span></a></p><p id="para0035" class="elsevierStylePara elsevierViewall">Studies assessing the cIMT and the prevalence of plaques in asymptomatic individuals and their association with non-established risk factors such as Lp&#40;a&#41; are scarce&#46; A study with 6617&#160;Chinese&#44; with no history of CVD&#44; diabetes mellitus&#44; hypertension&#44; and smoking found a mean cIMT of&#160;0&#46;60&#160;mm&#44; considering their age was&#160;49&#46;7 &#177; 5&#46;3&#46;<a class="elsevierStyleCrossRef" href="#bib0034"><span class="elsevierStyleSup">34</span></a> Regarding plaques&#44; the prevalence was&#160;9&#37;&#44; lower than that observed in the present study&#46; This finding&#44; on the one hand&#44; points to the possibility of the presence of an underlying factor&#44; hypothetically Lp&#40;a&#41;&#44; which&#44; apart from traditional factors&#44; may contribute to this relatively high prevalence&#46; On the other hand&#44; it shows the challenge in interpreting parameters that vary according to the technique used&#44; location and number of measurements&#44; number of individuals enrolled&#44; and software algorithm analysis&#46; In this sense&#44; it is possible to state that cIMT and plaques are unlikely to be directly compared&#44; even among groups of healthy individuals&#46;</p><p id="para0036" class="elsevierStylePara elsevierViewall">As expected&#44; age was a factor strongly associated with carotid plaques in this study&#44; although it was composed of healthy individuals&#46; However&#44; the association between Lp&#40;a&#41; levels higher than&#160;30&#160;mg&#47;dL&#44; and the odds ratio for plaques in the univariate analysis suggests a relationship that can be explored&#46; Tsimikas and colleagues &#40;1&#41; reported the presence of apo &#40;a&#41; in atherosclerotic plaques&#44; suggesting that Lp&#40;a&#41; in high concentrations may contribute to plaque progression&#46; There was a positive association between Lp&#40;a&#41; and carotid atherosclerosis in adults with ischemic stroke aged&#160;16&#160;to&#160;54&#160;years in France&#46;<a class="elsevierStyleCrossRef" href="#bib0012"><span class="elsevierStyleSup">12</span></a> The Lp&#40;a&#41; has also been associated with the development of atherosclerosis in individuals with primary hypercholesterolemia and Lp&#40;a&#41; concentrations greater than&#160;50&#160;mg&#47;dL in a group of individuals aged&#160;18&#160;to&#160;80&#160;years in Spain&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">35</span></a> Hippe and colleagues<a class="elsevierStyleCrossRef" href="#bib0013"><span class="elsevierStyleSup">13</span></a> reported that Lp&#40;a&#41; concentrations greater than&#160;64&#160;mg&#47;dL were independent predictors of carotid plaque progression in individuals with established cardiovascular disease&#44; even maintaining serum LDL-C concentrations below&#160;70&#160;mg&#47;dL&#46; However&#44; Huffman and colleagues<a class="elsevierStyleCrossRef" href="#bib0018"><span class="elsevierStyleSup">18</span></a> did not find an association between Lp&#40;a&#41; concentrations and atherosclerosis among South Asians living in America aged&#160;40&#160;to&#160;84&#160;years without cardiovascular disease&#46; Some studies independently associate Lp&#40;a&#41; with cIMT and carotid atherosclerotic plaques&#44; other studies&#44; however&#44; do not show this correlation&#44; and others in turn report that Lp&#40;a&#41; is more associated with established CVD than in asymptomatic individuals&#44; once that Lp&#40;a&#41; concentrations tend to increase in chronic inflammatory processes&#44; such as rheumatoid arthritis and systemic lupus erythematosus&#46;<a class="elsevierStyleCrossRef" href="#bib0002"><span class="elsevierStyleSup">2</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bib0003"><span class="elsevierStyleSup">3</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bib0014"><span class="elsevierStyleSup">14</span></a></p><p id="para0037" class="elsevierStylePara elsevierViewall">In this study&#44; no correlation was found between Lp&#40;a&#41; and cIMT&#46; Nonetheless&#44; Knoflach and collaborators<a class="elsevierStyleCrossRef" href="#bib0036"><span class="elsevierStyleSup">36</span></a> found a direct association between Lp&#40;a&#41; and cIMT in asymptomatic Austrian women aged&#160;18&#160;to&#160;22&#160;similarly to the study by Schreiner and collaborators<a class="elsevierStyleCrossRef" href="#bib0037"><span class="elsevierStyleSup">37</span></a> that found a positive correlation between Lp&#40;a&#41; and cIMT in Americans aged&#160;45&#160;to&#160;64&#44; suggesting that Lp&#40;a&#41; may be associated with development subclinical carotid atherosclerosis&#46; However&#44; Calmarza and colleagues<a class="elsevierStyleCrossRef" href="#bib0016"><span class="elsevierStyleSup">16</span></a> did not find such an association in a study of&#160;172&#160;asymptomatic Spanish individuals aged&#160;43&#160;to&#160;93&#160;years&#46; This association is&#44; in fact&#44; a sensitive point for analysis&#44; since the increase in cIMT can be associated with carotid plaque&#44; however&#44; cIMT cannot be considered an independent predictor of the development of carotid plaque&#44; although these events often coexist and share some vascular determinants common&#46;<a class="elsevierStyleCrossRef" href="#bib0038"><span class="elsevierStyleSup">38</span></a></p><p id="para0038" class="elsevierStylePara elsevierViewall">It is agreed that the plasma concentrations of Lp&#40;a&#41; are genetically determined more specifically by the presence of polymorphisms in the <span class="elsevierStyleItalic">LPA</span> gene that determine the size of the type 2 kringle IV peptide chain &#40;KIV-2&#41; &#40;3&#41;&#46; Thus&#44; the larger the size of KIV-2&#44; the greater the Lp&#40;a&#41;&#59; in contrast&#44; its plasma concentration is lower&#46; This reverse process is associated with the easier removal of larger particles&#44; while smaller ones tend to remain in circulation for longer periods&#46;<a class="elsevierStyleCrossRef" href="#bib0009"><span class="elsevierStyleSup">9</span></a> Evidence points to the participation of LDLR in the removal process&#44; including as a therapeutic target for reducing plasma Lp&#40;a&#41; concentrations&#46; Nonetheless&#44; many contradictions regarding the results observed with statins and PCSK9 inhibitors must be considered&#46;<a class="elsevierStyleCrossRef" href="#bib0001"><span class="elsevierStyleSup">1</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bib0003"><span class="elsevierStyleSup">3</span></a></p><p id="para0039" class="elsevierStylePara elsevierViewall">Given the complexity of this lipoprotein&#44; reference values have not been defined for the general population&#46; In fact&#44; studies in different ethnic and population groups point to a wide range&#46; Thus&#44; some studies indicate that values above&#160;50&#160;mg&#47;dL &#40;125&#160;nmoL&#47;L&#41; or the&#160;80<span class="elsevierStyleSup">th</span>&#160;percentile are considered high&#46;<a class="elsevierStyleCrossRef" href="#bib0009"><span class="elsevierStyleSup">9</span></a> Other studies&#44; on the other hand&#44; adopt the&#160;30&#160;mg&#47;dL cut&#46;<a class="elsevierStyleCrossRef" href="#bib0001"><span class="elsevierStyleSup">1</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bib0008"><span class="elsevierStyleSup">8</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bib0009"><span class="elsevierStyleSup">9</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRefs" href="#bib0039"><span class="elsevierStyleSup">39&#8211;42</span></a> In fact&#44; 21&#37;&#160;of the recruited individuals had Lp&#40;a&#41; above this value&#46; Some studies show that around&#160;30&#37; of the world population has high Lp&#40;a&#41;&#44; which represents approximately two billion individuals&#46;<a class="elsevierStyleCrossRef" href="#bib0001"><span class="elsevierStyleSup">1</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bib0009"><span class="elsevierStyleSup">9</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bib0018"><span class="elsevierStyleSup">18</span></a> The Lp&#40;a&#41; concentrations in the asymptomatic individuals of the present study were expressed with a median of&#160;12&#160;mg&#47;dL &#40;4&#8210;26<span class="elsevierStyleSup">th</span>&#160;percentiles&#41;&#44; indicating great similarity with other studies&#46;<a class="elsevierStyleCrossRef" href="#bib0043"><span class="elsevierStyleSup">43</span></a> In a study with Brazilian individuals aged&#160;46&#160;to&#160;68&#160;years&#44; to verify a possible association between concentrations of Lp&#40;a&#41; and coronary artery disease&#44; the control group showed average concentrations of&#160;11&#160;mg&#47;dL of Lp&#40;a&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0044"><span class="elsevierStyleSup">44</span></a> Another study carried out in the city of Ouro Preto&#44; state of Minas Gerais&#44; Brazil&#44; with&#160;400&#160;asymptomatic individuals&#44; showed Lp&#40;a&#41; concentrations with a median of&#160;18&#46;11&#160;mg&#47;dL with an average age of&#160;45&#160;years&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">45</span></a> Schoolchildren averaging&#160;10&#160;years-old&#44; also demonstrated Lp&#40;a&#41; concentrations with a median of&#160;25&#46;5&#160;mg&#47;dL in the Ouro Preto study&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">45</span></a> A recent study involving&#160;4&#44;140&#160;individuals in a cardiovascular reference center in S&#227;o Paulo&#44; showed an average Lp&#40;a&#41; concentration of&#160;24&#46;8&#160;mg&#47;dL&#46;<a class="elsevierStyleCrossRef" href="#bib0046"><span class="elsevierStyleSup">46</span></a></p><p id="para0040" class="elsevierStylePara elsevierViewall">In addition&#44; interesting relationships were observed in this study between Lp&#40;a&#41; levels and race&#46; Several shreds of evidence in the literature point to those non-white individuals having higher concentrations of Lp&#40;a&#41;&#44; about two to three times higher than Caucasians or Orientals&#44; revealing that there is ethnic variability between different population groups&#44; whose underlying causes have not yet been fully understood&#46;<a class="elsevierStyleCrossRef" href="#bib0003"><span class="elsevierStyleSup">3</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bib0047"><span class="elsevierStyleSup">47</span></a></p><p id="para0041" class="elsevierStylePara elsevierViewall">It was possible to perceive in the present study that serum Lp&#40;a&#41; concentrations in non-white individuals were higher&#44; with a median of&#160;22&#46;85&#160;mg&#47;dL &#40;5&#8210;36&#160;percentiles&#41;&#44; and in white individuals with a median of&#160;11&#46;10&#160;mg&#47;dL &#40;4&#8210;22&#160;percentiles&#41;&#44; with the significance level of&#160;p &#60; 0&#46;01 when compared by the Mann-Whitney test&#46; These concentrations can be partially explained by variations in the <span class="elsevierStyleItalic">LPA</span> locus&#44; mainly by the polymorphism of the apo &#40;a&#41; gene &#40;LPA&#59; MIM&#160;152200&#41;&#46; Among the variants&#44; notably Schmidt and colleagues evaluated three SNPs and reported that they contribute to different concentrations of Lp&#40;a&#41; in African-American and Caucasian individuals&#46;<a class="elsevierStyleCrossRef" href="#bib0047"><span class="elsevierStyleSup">47</span></a> Two SNPs &#40;T3888P and G&#160;&#43;&#160;1&#47;inKIV-8A&#41;&#44; suppressing the Lp&#40;a&#41; set&#44; were more common in Caucasians&#44; while the third SNP &#40;G-21A&#41; increased the activity of promoting apo &#40;a&#41;&#44; this being more common in African Americans&#46;<a class="elsevierStyleCrossRef" href="#bib0003"><span class="elsevierStyleSup">3</span></a></p><p id="para0042" class="elsevierStylePara elsevierViewall">Other studies looked at different populations and found low concentrations also in non-Hispanic Caucasians with a median of&#160;12&#160;mg&#47;dL &#40;5&#8210;32&#160;percentiles&#41;&#44; in Chinese with a median of&#160;11&#160;mg&#47;dL &#40;5&#8210;26&#160;percentiles&#41;&#44; in Japanese with a median of&#160;13&#160;mg&#47;dL &#40;5&#8210;26&#160;percentiles&#41;&#44; and in Hispanics with a median of&#160;19&#160;mg&#47;dL &#40;8&#8210;43&#160;percentiles&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0001"><span class="elsevierStyleSup">1</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bib0003"><span class="elsevierStyleSup">3</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bib0009"><span class="elsevierStyleSup">9</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bib0047"><span class="elsevierStyleSup">47</span></a> Even with different concentrations and isoforms in some populations&#44; Lp&#40;a&#41; was associated positively and similarly with the risk of cardiovascular events in a&#160;20-year longitudinal follow-up study among Caucasian individuals and individuals of African descent&#46;<a class="elsevierStyleCrossRef" href="#bib0001"><span class="elsevierStyleSup">1</span></a> Given this&#44; there is still a lot of discussion about the concentrations considered adequate for Lp&#40;a&#41; due to the great miscegenation of the population&#44; mainly in countries like Brazil&#46;<a class="elsevierStyleCrossRef" href="#bib0006"><span class="elsevierStyleSup">6</span></a></p><p id="para0043" class="elsevierStylePara elsevierViewall">Other factors such as age&#44; sex&#44; and environmental conditions do not have a major influence on Lp&#40;a&#41; concentrations in most studies&#46; However&#44; in the present study&#44; Lp&#40;a&#41; concentrations greater than&#160;30&#160;mg&#47;dL were found in older individuals&#46; Some studies suggest that among adults&#44; Lp&#40;a&#41; concentrations have been somewhat variable&#44; and an association between Lp&#40;a&#41; and longevity has been suggested among the elderly&#46;<a class="elsevierStyleCrossRefs" href="#bib0048"><span class="elsevierStyleSup">48&#8211;50</span></a> On the other hand&#44; a substantial number of studies report that there is not an association between age and Lp&#40;a&#41; concentrations&#44; however&#44; the question of the extent to which age can influence Lp&#40;a&#41; concentrations remains uncertain&#46;<a class="elsevierStyleCrossRef" href="#bib0006"><span class="elsevierStyleSup">6</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bib0049"><span class="elsevierStyleSup">49</span></a></p><p id="para0044" class="elsevierStylePara elsevierViewall">In the present study&#44; there was no significant difference between the concentrations of Lp&#40;a&#41; and gender&#46; However&#44; a meta-analysis with&#160;36&#160;studies showed that females had&#160;12&#37; higher concentrations of Lp&#40;a&#41; compared to males&#46;<a class="elsevierStyleCrossRef" href="#bib0051"><span class="elsevierStyleSup">51</span></a> Likewise&#44; it occurred with the BMI&#44; where there were no significant results for the BMI classes&#44; but it was the LAP&#44; also considered a parameter of adiposity&#44; which was indirectly related to the Lp&#40;a&#41;&#46; In a Japanese study&#44; with&#160;2&#44;997&#160;asymptomatic individuals aged between&#160;40 and&#160;69&#160;years&#44; Lp&#40;a&#41; concentrations were shown lower in non-obese individuals &#40;BMI&#160;&#8805; 26&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0052"><span class="elsevierStyleSup">52</span></a></p><p id="para0045" class="elsevierStylePara elsevierViewall">The concentration of GGT in the present study was directly correlated with the concentrations of Lp&#40;a&#41;&#46; Since there is a similarity between Lp&#40;a&#41; and the LDL particle&#44; some studies propose that Lp&#40;a&#41; also undergoes an oxidative process as LDL&#44; and during the atherosclerotic process and GGT activity can increase to compensate for the increase in oxidative stimulants&#44; increasing the synthesis of glutathione&#44; which is an important antioxidant&#46;<a class="elsevierStyleCrossRef" href="#bib0001"><span class="elsevierStyleSup">1</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bib0053"><span class="elsevierStyleSup">53</span></a> A study conducted by Ghatge and collaborators<a class="elsevierStyleCrossRef" href="#bib0054"><span class="elsevierStyleSup">54</span></a> also found a positive correlation between the concentrations of Lp&#40;a&#41; and GGT&#46;</p><p id="para0046" class="elsevierStylePara elsevierViewall">In this study&#44; PON1 also showed a significant correlation and increased activity in individuals whose Lp&#40;a&#41; concentrations were above&#160;30&#160;mg&#47;dL&#46; This was described in a study with individuals who had moderate to high concentrations of Lp&#40;a&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">55</span></a> It is not yet clear whether PON1 concentrations may have any benefit in individuals with high concentrations of Lp&#40;a&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">55</span></a> The serum concentrations of hsCRP were also correlated to Lp&#40;a&#41;&#44; and the comparison between individuals with the presence and absence of plaques was significant by the Man Whitney test &#40;p &#60; 0&#46;02&#41;&#44; which may suggest a possible underlying inflammatory process implied by atherosclerosis&#46;<a class="elsevierStyleCrossRef" href="#bib0053"><span class="elsevierStyleSup">53</span></a></p><p id="para0047" class="elsevierStylePara elsevierViewall">The present study has certain limitations since it has not analyzed genetic factors that influence the concentration of Lp&#40;a&#41; and the identification of apo &#40;a&#41; isoforms&#46; Another limitation is that only carotid ultrasound was performed and no other arterial systems susceptible to atherosclerosis were examined&#46; Therefore&#44; the outcome could have been different or increased from the present results if the coronary and femoral arteries had been analyzed&#46; Nevertheless&#44; a strict criterion was adopted for the selection of participants&#44; which caused a limited number of individuals&#44; and the analysis of Lp&#40;a&#41; was performed by nephelometry&#44; considered the gold standard for analysis of Lp&#40;a&#41;&#46;</p><p id="para0048" class="elsevierStylePara elsevierViewall">This study pointed out that Lp&#40;a&#41; concentrations above&#160;30&#160;mg&#47;dL were associated with the presence of carotid plaques in asymptomatic individuals with a median age of&#160;43&#160;years&#44; and a 2&#37;&#160;odds ratio for the presence of plaques&#46; In fact&#44; the relationship between Lp&#40;a&#41; and CVD in general&#44; is well established in the literature&#44; however&#44; the strength of these associations and the mechanism in which Lp&#40;a&#41; influences the atherosclerotic process must be explored further&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:9 [
        0 => array:3 [
          "identificador" => "xres1954058"
          "titulo" => "Highlights"
          "secciones" => array:1 [
            0 => array:1 [
              "identificador" => "abss0001"
            ]
          ]
        ]
        1 => array:3 [
          "identificador" => "xres1954059"
          "titulo" => "Abstract"
          "secciones" => array:4 [
            0 => array:2 [
              "identificador" => "abss0003"
              "titulo" => "Background"
            ]
            1 => array:2 [
              "identificador" => "abss0004"
              "titulo" => "Methods"
            ]
            2 => array:2 [
              "identificador" => "abss0005"
              "titulo" => "Results"
            ]
            3 => array:2 [
              "identificador" => "abss0006"
              "titulo" => "Conclusion"
            ]
          ]
        ]
        2 => array:2 [
          "identificador" => "xpalclavsec1682131"
          "titulo" => "Keywords"
        ]
        3 => array:2 [
          "identificador" => "sec0001"
          "titulo" => "Introduction"
        ]
        4 => array:3 [
          "identificador" => "sec0002"
          "titulo" => "Materials and methods"
          "secciones" => array:5 [
            0 => array:2 [
              "identificador" => "sec0003"
              "titulo" => "Study population"
            ]
            1 => array:2 [
              "identificador" => "sec0004"
              "titulo" => "Clinical and anthropometrical evaluation"
            ]
            2 => array:2 [
              "identificador" => "sec0005"
              "titulo" => "Biochemical analysis"
            ]
            3 => array:2 [
              "identificador" => "sec0006"
              "titulo" => "Carotid Intima-Media Thickness &#40;cIMT&#41; determination and carotid plaques detection"
            ]
            4 => array:2 [
              "identificador" => "sec0007"
              "titulo" => "Statistical analysis"
            ]
          ]
        ]
        5 => array:2 [
          "identificador" => "sec0008"
          "titulo" => "Results"
        ]
        6 => array:2 [
          "identificador" => "sec0009"
          "titulo" => "Discussion"
        ]
        7 => array:2 [
          "identificador" => "xack684958"
          "titulo" => "Acknowledgments"
        ]
        8 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2022-04-22"
    "fechaAceptado" => "2022-08-29"
    "PalabrasClave" => array:1 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec1682131"
          "palabras" => array:3 [
            0 => "Lipoprotein &#40;a&#41;"
            1 => "Carotid atherosclerosis"
            2 => "Carotid plaques"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "highlights" => array:2 [
      "titulo" => "Highlights"
      "resumen" => "<span id="abss0001" class="elsevierStyleSection elsevierViewall"><p id="spara009" class="elsevierStyleSimplePara elsevierViewall"><ul class="elsevierStyleList" id="celist0001"><li class="elsevierStyleListItem" id="celistitem0001"><span class="elsevierStyleLabel">&#8226;</span><p id="para0001" class="elsevierStylePara elsevierViewall">High lipoprotein &#40;a&#41; levels increase the risk of carotid plaques presence in asymptomatic subjects&#46;</p></li><li class="elsevierStyleListItem" id="celistitem0002"><span class="elsevierStyleLabel">&#8226;</span><p id="para0002" class="elsevierStylePara elsevierViewall">Carotid intima-media thickness is not affected by plasma lipoprotein &#40;a&#41; levels&#46;</p></li><li class="elsevierStyleListItem" id="celistitem0003"><span class="elsevierStyleLabel">&#8226;</span><p id="para0003" class="elsevierStylePara elsevierViewall">Age and race are directly associated with lipoprotein &#40;a&#41; levels&#44; suggesting an important influence even in a highly miscegenated population&#46;</p></li></ul></p></span>"
    ]
    "resumen" => array:1 [
      "en" => array:3 [
        "titulo" => "Abstract"
        "resumen" => "<span id="abss0003" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0003">Background</span><p id="spara010" class="elsevierStyleSimplePara elsevierViewall">This study aimed to evaluate the associations between Lipoprotein &#40;a&#41; &#8210; Lp&#40;a&#41; levels and carotid Intima-Media Thickness &#40;cIMT&#41; and with carotid plaques in healthy subjects because of previous contradictory data&#46;</p></span> <span id="abss0004" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0004">Methods</span><p id="spara011" class="elsevierStyleSimplePara elsevierViewall">A total of&#160;317&#160;healthy normolipidemic subjects &#40;20&#8210;77&#160;years old&#41; were selected&#46; The cIMT and atherosclerotic plaques were determined by B-mode ultrasonography&#46; Mann-Whitney tests were performed to compare the groups according to Lp&#40;a&#41; levels and to explore the associations between Lp&#40;a&#41;&#44; carotid plaques&#44; and cIMT&#44; logistic and linear regression analyses were performed&#46;</p></span> <span id="abss0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0005">Results</span><p id="spara012" class="elsevierStyleSimplePara elsevierViewall">Studied population &#40;51&#37;&#160;females&#44; median age&#160;43&#160;years old&#41; presented carotid plaques and cIMT&#160;&#8805; 0&#46;9&#160;mm in&#160;23&#37; and&#160;18&#37; of the participants&#44; respectively&#46; The group with Lp&#40;a&#41; levels&#160;&#62; 30&#160;mg&#47;dL presented significantly higher age and atherosclerotic plaques&#46; Indeed&#44; multivariate linear regression analysis showed a significant association between Lp&#40;a&#41;&#44; age&#44; and race&#46; On the other hand&#44; logistic regression analysis demonstrated that the subjects with Lp&#40;a&#41;&#160;&#62; 30&#160;mg&#47;dL have a significantly high risk of carotid plaques&#46;</p></span> <span id="abss0006" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0006">Conclusion</span><p id="spara013" class="elsevierStyleSimplePara elsevierViewall">The data from the present study indicate that Lp&#40;a&#41; levels above&#160;30&#160;mg&#47;dL contribute to the development of carotid plaques even in apparently healthy participants&#46;</p></span>"
        "secciones" => array:4 [
          0 => array:2 [
            "identificador" => "abss0003"
            "titulo" => "Background"
          ]
          1 => array:2 [
            "identificador" => "abss0004"
            "titulo" => "Methods"
          ]
          2 => array:2 [
            "identificador" => "abss0005"
            "titulo" => "Results"
          ]
          3 => array:2 [
            "identificador" => "abss0006"
            "titulo" => "Conclusion"
          ]
        ]
      ]
    ]
    "multimedia" => array:4 [
      0 => array:8 [
        "identificador" => "tbl0001"
        "etiqueta" => "Table 1"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "alt0001"
            "detalle" => "Table "
            "rol" => "short"
          ]
        ]
        "tabla" => array:2 [
          "leyenda" => "<p id="spara002" class="elsevierStyleSimplePara elsevierViewall">N&#44; Sample size&#59; Non-whites include&#58; Blacks&#44; mixed races&#44; and asian&#59; BMI&#44; Body mass index&#59; LAP&#44; Lipid accumulation product&#59; SBP&#44; Systolic blood pressure&#59; DBP&#44; Dastolic blood pressure&#59; cIMT&#44; Carotid intima media thickness&#59; HDL-C&#44; High-density lipoprotein cholesterol&#59; NHDL-C&#44; Non-high density lipoprotein cholesterol&#59; LDL-C&#44; Low-density lipoprotein cholesterol&#59; VLDL-C&#44; Very low-density lipoprotein cholesterol&#59; ApoA-I&#44; Apolipoprotein A&#8210;I&#59; ApoB-100&#44; Apolipoprotein B100&#59; Lp&#40;a&#41;&#44; Lipoprotein &#40;a&#41;&#59; hsCRP&#44; High sensitivity C-reactive protein&#59; PON1&#44; Paraoxonase-1&#59; ALT&#44; Alanine aminotransferase&#59; AST&#44; Aspartate aminotransferase&#59; ALP&#44; Alkaline phosphatase&#59; GGT&#44; Gamma glutamyl transferase&#59; TSH&#44; Thyroid stimulating hormone&#59; FT4&#44; Free thyroxine&#46; Literature used for reference values&#58; Brazilian Guidelines on Obesity&#160;2016 4<span class="elsevierStyleSup">th</span>&#160;edition&#59; World health organization &#8210; average body mass index&#59; Brazilian Guideline for Hypertension&#59; Update of the Brazilian guideline on dyslipidemia and prevention of atherosclerosis&#160;2017&#59; Guideline of the Brazilian Diabetes Society&#59; Clinical diagnosis and treatment by laboratory methods&#160;21&#160;edition&#59; Clinical practice guideline for the assessment and management of chronic kidney disease&#59; Brazilian consensus on thyroid&#46; Values are expressed as median and interquartile range &#40;25<span class="elsevierStyleSup">th</span>&#160;and&#160;75<span class="elsevierStyleSup">th</span>&#41;&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><a name="en0001"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0002"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">Median &#40;25th&#8210;75th&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0003"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">Parameters&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><a name="en0004"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">317&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0005"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">43 &#40;34&#8210;54&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0006"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">Age &#40;years&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0007"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">163&#47;154&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0008"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&#8210;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0009"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">Sex &#40;Female&#47;Male&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0010"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">259&#47;58&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0011"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&#8210;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0012"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">Race &#40;White&#47;Non-white&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0013"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">317&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0014"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">23 &#40;22&#8210;25&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0015"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">BMI &#40;kg&#47;m<span class="elsevierStyleSup">2</span>&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0016"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">317&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0017"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">74 &#40;68&#8210;81&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0018"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">Waist circunference &#40;cm&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0019"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">316&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0020"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">92 &#40;88&#8210;98&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0021"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">Hips circunference &#40;cm&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0022"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">316&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0023"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;8 &#40;0&#46;7&#8210;0&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0024"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">Waist-to-hip ratio&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0025"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">317&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0026"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;5 &#40;0&#46;4&#8210;0&#46;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0027"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">Waist-to-height ratio&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0028"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">317&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0029"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">9 &#40;4&#8210;17&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0030"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">LAP &#40;cm&#47;mmoL&#47;L&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0031"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">317&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0032"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">120 &#40;110&#8210;128&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0033"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">SBP &#40;mmHg&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0034"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">317&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0035"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">80 &#40;72&#8210;80&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0036"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">DBP &#40;mmHg&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0037"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">317&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0038"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;6 &#40;0&#46;5&#8210;0&#46;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0039"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">Left cIMT &#40;mm&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0040"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">317&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0041"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;6 &#40;0&#46;5&#8210;0&#46;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0042"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">Right cIMT &#40;mm&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0043"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">317&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0044"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;6 &#40;0&#46;5&#8210;0&#46;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0045"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">Mean cIMT mm&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0046"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">58&#47;259&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0047"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&#8210;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0048"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">Plaques &#40;Yes&#47;No&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0049"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">317&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0050"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">173 &#40;153&#8210;198&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0051"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">Total cholesterol &#40;mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0052"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">317&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0053"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">58 &#40;38&#8210;74&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0054"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">HDL-C &#40;mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0055"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">317&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0056"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">117 &#40;98&#8210;135&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0057"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">NHDL-C &#40;mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0058"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">317&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0059"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">73 &#40;55&#8210;95&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0060"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">Triglycerides &#40;mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0061"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">317&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0062"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">101 &#40;85&#8210;120&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0063"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">LDL-C &#40;mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0064"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">317&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0065"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">15 &#40;11&#8210;19&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0066"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">VLDL-C &#40;mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0067"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">317&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0068"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">149 &#40;118&#8210;176&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0069"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">ApoA-I &#40;mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0070"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">317&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0071"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">78 &#40;67&#8210;93&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0072"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">ApoB100 &#40;mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0073"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">317&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0074"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">12 &#40;4&#8210;26&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0075"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">Lp&#40;a&#41; &#40;mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0076"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">313&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0077"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;8 &#40;0&#46;4&#8210;1&#46;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0078"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">hsCRP &#40;mg&#47;L&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0079"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">315&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0080"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">32 &#40;13&#8210;53&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0081"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">PON1 &#40;&#181;moL&#47;min&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0082"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">317&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0083"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">84 &#40;78&#8210;88&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0084"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">Glucose &#40;mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0085"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">317&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0086"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">30 &#40;25&#8210;35&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0087"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">Urea &#40;mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0088"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">317&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0089"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;8 &#40;0&#46;7&#8210;0&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0090"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">Creatinine &#40;mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0091"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">317&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0092"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">4&#46;5 &#40;3&#46;8&#8210;5&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0093"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">Uric acid &#40;mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0094"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">317&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0095"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">17 &#40;13&#8210;22&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0096"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">ALT &#40;U&#47;L&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0097"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">297&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0098"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">19 &#40;16&#8210;23&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0099"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">AST &#40;U&#47;L&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0100"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">316&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0101"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">65 &#40;52&#8210;76&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0102"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">ALP &#40;U&#47;L&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0103"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">297&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0104"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">18 &#40;13&#8210;25&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0105"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">GGT &#40;U&#47;L&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0106"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">317&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0107"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">2 &#40;1&#46;4&#8210;2&#46;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0108"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">TSH &#40;uUI&#47;mL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0109"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">317&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0110"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">1&#46;3 &#40;1&#46;2&#8210;1&#46;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0111"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">FT4 &#40;ng&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab3252718.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spara001" class="elsevierStyleSimplePara elsevierViewall">Anthropometric&#44; clinical&#44; and biochemical characteristics of individuals&#46;</p>"
        ]
      ]
      1 => array:8 [
        "identificador" => "tbl0002"
        "etiqueta" => "Table 2"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "alt0002"
            "detalle" => "Table "
            "rol" => "short"
          ]
        ]
        "tabla" => array:2 [
          "leyenda" => "<p id="spara004" class="elsevierStyleSimplePara elsevierViewall">N&#44; Sample size&#59; Lp&#40;a&#41;&#44; Lipoprotein &#40;a&#41;&#59; Non-whites included&#44;&#58; Blacks&#44; mixed races&#44; and asian&#59; ApoB-100&#44; Apolipoprotein B100&#59; hsCRP&#44; high sensitivity&#160;C-reactive protein&#59; PON1&#44; Activity paraoxonase&#160;1&#59; GGT&#44; Gamma-glutamyltransferase&#59; Values are expressed as interquartile ranges &#40;25<span class="elsevierStyleSup">th</span> and 75<span class="elsevierStyleSup">th</span>&#41;&#59; significant p-value&#58;&#160;&#8804; 0&#46;05&#59; the numerical variables were compared by the Mann-Whitney test and the non&#8210;numerical variables by Chi-Square&#59; the variable Lp&#40;a&#41; was transformed into&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><a name="en0112"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="top" scope="col">Parameters&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0113"></a><th class="td-with-role" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t ; entry_with_role_colgroup " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Lp&#40;a&#41; &#8804; 30&#160;mg&#47;dL&#41;</th><a name="en0114"></a><th class="td-with-role" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t ; entry_with_role_colgroup " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Lp&#40;a&#41; &#62; 30&#160;mg&#47;dL</th><a name="en0115"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="top" scope="col">p&#8210;value&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr><tr title="table-row"><a name="en0112a"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0117"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0118"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">Median &#40;25<span class="elsevierStyleSup">th</span>&#8210;75<span class="elsevierStyleSup">th</span>&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0119"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0120"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">Median &#40;25<span class="elsevierStyleSup">th</span>&#8210;75<span class="elsevierStyleSup">th</span>&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0115a"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><a name="en0122"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">Age &#40;years&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0123"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">250&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0124"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">43 &#40;33&#8210;53&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0125"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">67&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0126"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">45 &#40;36&#8210;57&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0127"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top"><span class="elsevierStyleBold">0&#46;04</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0128"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">Race &#40;White&#47;No&#8210;white&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0129"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">215&#47;35&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0130"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0131"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">44&#47;23&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0132"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0133"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top"><span class="elsevierStyleBold">0&#46;01</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0134"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">Plaque &#40;Yes&#47;No&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0135"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">40&#47;210&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0136"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0137"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">18&#47;49&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0138"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0139"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top"><span class="elsevierStyleBold">0&#46;04</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0140"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_colgroup " colspan="6" align="left" valign="top">Biochemical parameters</td></tr><tr title="table-row"><a name="en0141"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">ApoB100 &#40;mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0142"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">250&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0143"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">76 &#40;65&#8210;91&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0144"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">67&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0145"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">86 &#40;75&#8210;102&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0146"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top"><span class="elsevierStyleBold">&#60; 0&#46;01</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0147"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">hsCRP &#40;mg&#47;L&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0148"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">247&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0149"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;80 &#40;0&#46;40&#8210;1&#46;50&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0150"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">66&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0151"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;93 &#40;0&#46;50&#8210;1&#46;90&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0152"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;07&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0153"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">PON1 &#40;&#181;moL&#47;min&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0154"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">249&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0155"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">28 &#40;12&#8210;52&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0156"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">66&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0157"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">42 &#40;19&#8210;57&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0158"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top"><span class="elsevierStyleBold">0&#46;01</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0159"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">GGT &#40;U&#47;L&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0160"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">236&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0161"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">17 &#40;13&#8210;23&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0162"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">61&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0163"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">21 &#40;15&#8210;30&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0164"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top"><span class="elsevierStyleBold">0&#46;02</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab3252717.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spara003" class="elsevierStyleSimplePara elsevierViewall">Significant comparisons of demographic and biochemical variables of individuals by serum Lp&#40;a&#41; concentrations&#46;</p>"
        ]
      ]
      2 => array:8 [
        "identificador" => "tbl0003"
        "etiqueta" => "Table 3"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "alt0003"
            "detalle" => "Table "
            "rol" => "short"
          ]
        ]
        "tabla" => array:2 [
          "leyenda" => "<p id="spara006" class="elsevierStyleSimplePara elsevierViewall">Linear regression analysis&#59; N&#44; Number of individuals&#59; &#946;&#44; Estimated parameter&#59; significant p-value&#160;&#8804; 0&#46;05&#59; Non-whites include blacks&#44; mixed races and asian&#59; LAP&#44; Lipid accumulation product&#59; SBP&#44; Systolic blood pressure&#59; DBP&#44; Diastolic blood pressure&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><a name="en0165"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0166"></a><th class="td-with-role" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t ; entry_with_role_colgroup " colspan="3" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Univariate</th><a name="en0167"></a><th class="td-with-role" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t ; entry_with_role_colgroup " colspan="4" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Multivariate</th></tr><tr title="table-row"><a name="en0168"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">Parameters&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0169"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0170"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&#914;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0171"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">p-value&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0172"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&#946;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0173"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">R<span class="elsevierStyleSup">2</span>-partial&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0174"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">R<span class="elsevierStyleSup">2</span>-total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0175"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">p-value&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><a name="en0176"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">Age &#40;years&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0177"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">317&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0178"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">1&#46;21&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0179"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top"><span class="elsevierStyleBold">&#60; 0&#46;01</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0180"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">1&#46;35&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0181"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top"><span class="elsevierStyleBold">0&#46;02</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0182"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top"><span class="elsevierStyleBold">0&#46;07</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0183"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top"><span class="elsevierStyleBold">&#60; 0&#46;01</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0184"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">Race &#40;White&#47;No-white&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0185"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">317&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0186"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">34&#46;73&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0187"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top"><span class="elsevierStyleBold">&#60; 0&#46;01</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0188"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">32&#46;07&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0189"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top"><span class="elsevierStyleBold">0&#46;04</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0190"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0191"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top"><span class="elsevierStyleBold">0&#46;01</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0192"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">LAP &#40;cm&#47;mmoL&#47;L&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0193"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">317&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0194"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&#8210;0&#46;65&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0195"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0196"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">-0&#46;87&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0197"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top"><span class="elsevierStyleBold">0&#46;01</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0198"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0199"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top"><span class="elsevierStyleBold">0&#46;05</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0200"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">SBP &#40;mmHg&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0201"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">317&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0202"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">0&#46;93&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0203"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top"><span class="elsevierStyleBold">0&#46;01</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0204"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0205"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0206"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0207"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0208"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">DBP &#40;mmHg&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0209"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">317&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0210"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">1&#46;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0211"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top"><span class="elsevierStyleBold">0&#46;02</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0212"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0213"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0214"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0215"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab3252715.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spara005" class="elsevierStyleSimplePara elsevierViewall">Linear regression analysis between Lp&#40;a&#41; and clinical and anthropometric parameters&#46;</p>"
        ]
      ]
      3 => array:8 [
        "identificador" => "tbl0004"
        "etiqueta" => "Table 4"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "alt0004"
            "detalle" => "Table "
            "rol" => "short"
          ]
        ]
        "tabla" => array:2 [
          "leyenda" => "<p id="spara008" class="elsevierStyleSimplePara elsevierViewall">OR&#44; Odds Ratio&#59; 95&#37;&#160;CI&#44; Confidence Interval 95&#37;&#59; Non-whites Include&#58; blacks&#44; mixed races and asian&#59; Lp&#40;a&#41;&#44; Lipoprotein &#40;a&#41;&#59; p-value &#8804; 0&#46;05&#59; Lp&#40;a&#41; was transformed into&#46;</p>"
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><a name="en0216"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0217"></a><th class="td-with-role" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t ; entry_with_role_colgroup " colspan="3" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Univariate</th><a name="en0218"></a><th class="td-with-role" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t ; entry_with_role_colgroup " colspan="3" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Multivariate</th></tr><tr title="table-row"><a name="en0219"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">Parameters&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0220"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">OR&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0221"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">95&#37;&#160;CI&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0222"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">p-value&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0223"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">OR&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0224"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">95&#37;&#160;CI&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0225"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">p-value&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><a name="en0226"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">Age &#40;years&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0227"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">1&#46;11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0228"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">1&#46;08&#8210;1&#46;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0229"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top"><span class="elsevierStyleBold">&#60; 0&#46;01</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0230"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">1&#46;11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0231"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">1&#46;08&#8210;1&#46;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0232"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top"><span class="elsevierStyleBold">&#60; 0&#46;01</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0233"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">Race &#40;White&#47;No-white&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0234"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">1&#46;97&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0235"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">1&#46;0&#8210;3&#46;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0236"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top"><span class="elsevierStyleBold">0&#46;05</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0237"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">2&#46;50&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0238"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">1&#46;2&#8210;5&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0239"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top"><span class="elsevierStyleBold">0&#46;02</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0240"></a><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="" valign="top">Lp&#40;a&#41; &#40;mg&#47;dL&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0241"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">1&#46;02&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0242"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">1&#46;0&#8210;1&#46;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0243"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top"><span class="elsevierStyleBold">0&#46;02</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0244"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0245"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0246"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab3252716.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spara007" class="elsevierStyleSimplePara elsevierViewall">Univariate and multivariate logistic regression analysis for the presence of plaques&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "cebibsec1"
          "bibliografiaReferencia" => array:55 [
            0 => array:3 [
              "identificador" => "bib0001"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A test in context&#58; lipoprotein&#40;a&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "S&#46; Tsimikas"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jacc.2016.11.042"
                      "Revista" => array:7 [
                        "tituloSerie" => "J Am Coll Cardiol"
                        "fecha" => "2017"
                        "volumen" => "69"
                        "numero" => "6"
                        "paginaInicial" => "692"
                        "paginaFinal" => "711"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28183512"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0002"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lp&#40;a&#41; &#40;Lipoprotein&#91;a&#93;&#41; Concentrations and incident atherosclerotic cardiovascular disease&#58; new insights from a large national biobank"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:7 [
                            0 => "AP Patel"
                            1 => "M Wang &#40;&#27754;&#25935;&#20808;&#41;"
                            2 => "JP Pirruccello"
                            3 => "PT Ellinor"
                            4 => "K Ng"
                            5 => "S Kathiresan"
                            6 => "AV Khera"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1161/ATVBAHA.120.315291"
                      "Revista" => array:7 [
                        "tituloSerie" => "Arterioscler Thromb Vasc Biol"
                        "fecha" => "2021"
                        "volumen" => "41"
                        "numero" => "1"
                        "paginaInicial" => "465"
                        "paginaFinal" => "474"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/33115266"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0003"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lipoprotein&#40;a&#41; the insurgent&#58; a new insight into the structure&#44; function&#44; metabolism&#44; pathogenicity&#44; and medications affecting lipoprotein&#40;a&#41; molecule"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "MM Jawi"
                            1 => "J Frohlich"
                            2 => "SY Chan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:3 [
                        "tituloSerie" => "J Lipids"
                        "fecha" => "2020"
                        "volumen" => "2020"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0004"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lipoprotein&#40;a&#41; as an old and new causal risk factor of atherosclerotic cardiovascular disease"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "H Tada"
                            1 => "M Takamura"
                            2 => "M&#46; Kawashiri"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.5551/jat.RV17034"
                      "Revista" => array:7 [
                        "tituloSerie" => "J Atheroscler Thromb"
                        "fecha" => "2019"
                        "volumen" => "26"
                        "numero" => "7"
                        "paginaInicial" => "583"
                        "paginaFinal" => "591"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31061262"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lipoprotein&#40;a&#41; and risk of myocardial infarction &#8211; genetic epidemiologic evidence of causality"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "PR Kamstrup"
                            1 => "A Tybj&#230;rg-Hansen"
                            2 => "BG&#46; Nordestgaard"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3109/00365513.2010.550311"
                      "Revista" => array:7 [
                        "tituloSerie" => "Scand J Clin Lab Invest"
                        "fecha" => "2011"
                        "volumen" => "71"
                        "numero" => "2"
                        "paginaInicial" => "87"
                        "paginaFinal" => "93"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21231777"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0006"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lipoprotein &#40;a&#41;&#58; impact by ethnicity and environmental and medical conditions"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "B Enkhmaa"
                            1 => "E Anuurad"
                            2 => "L Berglund"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1194/jlr.R051904"
                      "Revista" => array:8 [
                        "tituloSerie" => "J Lipid Res"
                        "fecha" => "2016"
                        "volumen" => "57"
                        "numero" => "7"
                        "paginaInicial" => "1111"
                        "paginaFinal" => "1125"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26637279"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0022347609008737"
                          "estado" => "S300"
                          "issn" => "00223476"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0007"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Fractional turnover of apolipoprotein&#40;a&#41; and apolipoprotein B-100 within plasma lipoprotein&#40;a&#41; particles in statin-treated patients with elevated and normal Lp&#40;a&#41; concentration"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "L Ma"
                            1 => "DC Chan"
                            2 => "EMM Ooi"
                            3 => "PHR Barrett"
                            4 => "GF&#46; Watts"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.metabol.2019.04.010"
                      "Revista" => array:6 [
                        "tituloSerie" => "Metabolism"
                        "fecha" => "2019"
                        "volumen" => "96"
                        "paginaInicial" => "8"
                        "paginaFinal" => "11"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30995439"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0008"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Race-based differences in lipoprotein&#40;a&#41;-associated risk of carotid atherosclerosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "BT Steffen"
                            1 => "G Thanassoulis"
                            2 => "D Duprez"
                            3 => "H James"
                            4 => "JH Stein"
                            5 => "Amy B Karger"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1161/ATVBAHA.118.312267"
                      "Revista" => array:7 [
                        "tituloSerie" => "Arterioscler Thromb Vasc Biol"
                        "fecha" => "2019"
                        "volumen" => "39"
                        "numero" => "3"
                        "paginaInicial" => "523"
                        "paginaFinal" => "529"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30727753"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0009"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lipoprotein&#40;a&#41; as a cardiovascular risk factor&#58; current status"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "BG Nordestgaard"
                            1 => "MJ Chapman"
                            2 => "K Ray"
                            3 => "J Bor&#233;n"
                            4 => "F Andreotti"
                            5 => "GF Watts"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1093/eurheartj/ehq386"
                      "Revista" => array:7 [
                        "tituloSerie" => "Eur Heart J"
                        "fecha" => "2010"
                        "volumen" => "31"
                        "numero" => "23"
                        "paginaInicial" => "2844"
                        "paginaFinal" => "2853"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20965889"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A comprehensive review on apolipoproteins as nontraditional cardiovascular risk factors in end-stage renal disease&#58; current evidence and perspectives"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "C Vlad"
                            1 => "A Burlacu"
                            2 => "L Florea"
                            3 => "B Artene"
                            4 => "S Badarau"
                            5 => "A Covic"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s11255-019-02170-w"
                      "Revista" => array:7 [
                        "tituloSerie" => "Int Urol Nephrol"
                        "fecha" => "2019"
                        "volumen" => "51"
                        "numero" => "7"
                        "paginaInicial" => "1173"
                        "paginaFinal" => "1189"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31119518"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib0011"
              "etiqueta" => "11"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lipoprotein&#40;a&#41; and its role in inflammation&#44; atherosclerosis and malignancies"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "E Ors&#243;"
                            1 => "G&#46; Schmitz"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s11789-017-0084-1"
                      "Revista" => array:7 [
                        "tituloSerie" => "Clin Res Cardiol Suppl"
                        "fecha" => "2017"
                        "volumen" => "12"
                        "numero" => "S1"
                        "paginaInicial" => "31"
                        "paginaFinal" => "37"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28188431"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib0012"
              "etiqueta" => "12"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lipoprotein &#40;a&#41; and carotid atherosclerosis in young patients with stroke"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "N Nasr"
                            1 => "JB Ruidavets"
                            2 => "A Farghali"
                            3 => "B Guidolin"
                            4 => "B Perret"
                            5 => "V Larrue"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1161/STROKEAHA.111.624684"
                      "Revista" => array:7 [
                        "tituloSerie" => "Stroke"
                        "fecha" => "2011"
                        "volumen" => "42"
                        "numero" => "12"
                        "paginaInicial" => "3616"
                        "paginaFinal" => "3618"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21940953"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib0013"
              "etiqueta" => "13"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lp&#40;a&#41; &#40;Lipoprotein&#40;a&#41;&#41; levels predict progression of carotid atherosclerosis in subjects with atherosclerotic cardiovascular disease on intensive lipid therapy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "DS Hippe"
                            1 => "BAP Phan"
                            2 => "J Sun"
                            3 => "DA Isquith"
                            4 => "KD O&#39;Brien"
                            5 => "JR Crouse"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1161/ATVBAHA.117.310368"
                      "Revista" => array:7 [
                        "tituloSerie" => "Arterioscler Thromb Vasc Biol"
                        "fecha" => "2018"
                        "volumen" => "38"
                        "numero" => "3"
                        "paginaInicial" => "673"
                        "paginaFinal" => "678"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29301785"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib0014"
              "etiqueta" => "14"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Carotid intima-media thickness in asymptomatic subjects with low lipoprotein&#40;a&#41; levels"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "K Kotani"
                            1 => "N&#46; Sakane"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.4021/jocmr849w"
                      "Revista" => array:7 [
                        "tituloSerie" => "J Clin Med Res"
                        "fecha" => "2012"
                        "volumen" => "4"
                        "numero" => "2"
                        "paginaInicial" => "130"
                        "paginaFinal" => "134"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22505987"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "15"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lipoprotein&#40;a&#41; and apolipoprotein&#40;a&#41; isoform size&#58; associations with angiographic extent and severity of coronary artery disease&#44; and carotid artery plaque"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "EM Ooi"
                            1 => "KL Ellis"
                            2 => "PHR Barrett"
                            3 => "GF Watts"
                            4 => "J Hung"
                            5 => "JP Beilby"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.atherosclerosis.2018.06.863"
                      "Revista" => array:6 [
                        "tituloSerie" => "Atherosclerosis"
                        "fecha" => "2018"
                        "volumen" => "275"
                        "paginaInicial" => "232"
                        "paginaFinal" => "238"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29960898"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib0016"
              "etiqueta" => "16"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Relationship between lipoprotein&#40;a&#41; concentrations and intima-media thickness&#58; a healthy population study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "P Calmarza"
                            1 => "J Trejo"
                            2 => "C Lapresta"
                            3 => "P&#46; Lopez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1177/1741826711423216"
                      "Revista" => array:7 [
                        "tituloSerie" => "Eur J Prev Cardiol"
                        "fecha" => "2012"
                        "volumen" => "19"
                        "numero" => "6"
                        "paginaInicial" => "1290"
                        "paginaFinal" => "1295"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21914687"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib0017"
              "etiqueta" => "17"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lack of association between carotid intima-media thickness and apolipoprotein &#40;a&#41; isoforms in a sample of Spanish general population"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "P Calmarza"
                            1 => "JM Trejo"
                            2 => "C Lapresta"
                            3 => "P&#46; Lopez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Cardiol"
                        "fecha" => "2013"
                        "volumen" => "61"
                        "numero" => "5"
                        "paginaInicial" => "372"
                        "paginaFinal" => "377"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib0018"
              "etiqueta" => "18"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Evaluating the potential association between lipoprotein&#40;a&#41; and atherosclerosis &#40;from the mediators of atherosclerosis among South Asians living in America Cohort&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "MD Huffman"
                            1 => "NR Kandula"
                            2 => "AS Baldridge"
                            3 => "MY Tsai"
                            4 => "D Prabhakaran"
                            5 => "AM&#46; Kanaya"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.amjcard.2018.12.013"
                      "Revista" => array:7 [
                        "tituloSerie" => "Am J Cardiol"
                        "fecha" => "2019"
                        "volumen" => "123"
                        "numero" => "6"
                        "paginaInicial" => "919"
                        "paginaFinal" => "921"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30626499"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib0019"
              "etiqueta" => "19"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Development of a clinical laboratory data base of hyper and hypo alpha lipoproteins in Campinas-SP and neighboring region"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "ES Parra"
                            1 => "S Zago VH de"
                            2 => "NB Panzoldo"
                            3 => "F Alexandre"
                            4 => "F Vendrame"
                            5 => "M Virginio VW de"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Bras Patol e Med Lab"
                        "fecha" => "2013"
                        "volumen" => "49"
                        "numero" => "1"
                        "paginaInicial" => "26"
                        "paginaFinal" => "33"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "20"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Commentary&#58; origins and evolution of body mass index &#40;BMI&#41;&#58; continuing saga"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "H Blackburn"
                            1 => "D Jacobs Jr"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Epidemiol"
                        "fecha" => "2014"
                        "volumen" => "43"
                        "numero" => "3"
                        "paginaInicial" => "665"
                        "paginaFinal" => "669"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib0021"
              "etiqueta" => "21"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A better index of body adiposity"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "RN Bergman"
                            1 => "D Stefanovski"
                            2 => "TA Buchanan"
                            3 => "AE Sumner"
                            4 => "JC Reynolds"
                            5 => "NG Sebring"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1038/oby.2011.38"
                      "Revista" => array:7 [
                        "tituloSerie" => "Obesity"
                        "fecha" => "2011"
                        "volumen" => "19"
                        "numero" => "5"
                        "paginaInicial" => "1083"
                        "paginaFinal" => "1089"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21372804"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib0022"
              "etiqueta" => "22"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Estimation of the concentration of low-density lipoprotein cholesterol in plasma&#44; without use of the preparative ultracentrifuge"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "WT Friedewald"
                            1 => "RI Levy"
                            2 => "DS&#46; Fredrickson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Clin Chem"
                        "fecha" => "1972"
                        "volumen" => "18"
                        "numero" => "6"
                        "paginaInicial" => "499"
                        "paginaFinal" => "502"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4337382"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib0023"
              "etiqueta" => "23"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Dietary determinants of serum paraoxonase activity in healthy humans"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "P Kleemola"
                            1 => "R Freese"
                            2 => "M Jauhiainen"
                            3 => "R Pahlman"
                            4 => "G Alfthan"
                            5 => "M&#46; Mutanen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/s0021-9150(01)00594-9"
                      "Revista" => array:7 [
                        "tituloSerie" => "Atherosclerosis"
                        "fecha" => "2002"
                        "volumen" => "160"
                        "numero" => "2"
                        "paginaInicial" => "425"
                        "paginaFinal" => "432"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11849667"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib0024"
              "etiqueta" => "24"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Use of carotid ultrasound to identify subclinical vascular disease and evaluate cardiovascular disease risk&#58; a consensus statement from the American Society of Echocardiography Carotid Intima-Media Thickness task force endorsed by the Society for Vascular"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:5 [
                            0 => "JH Stein"
                            1 => "CE Korcarz"
                            2 => "RT Hurst"
                            3 => "E Lonn"
                            4 => "CB Kendall"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.echo.2007.11.011"
                      "Revista" => array:7 [
                        "tituloSerie" => "J Am Soc Echocardiogr"
                        "fecha" => "2008"
                        "volumen" => "21"
                        "numero" => "2"
                        "paginaInicial" => "93"
                        "paginaFinal" => "111"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18261694"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "25"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Common carotid intima-media thickness and arterial stiffness&#58; indicators of cardiovascular risk in high-risk patients&#46; The SMART Study &#40;Second Manifestations of ARTerial disease&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "P&#46;S&#46; Simons"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1161/01.cir.100.9.951"
                      "Revista" => array:7 [
                        "tituloSerie" => "Circulation"
                        "fecha" => "1999"
                        "volumen" => "100"
                        "numero" => "9"
                        "paginaInicial" => "951"
                        "paginaFinal" => "977"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10468526"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib0026"
              "etiqueta" => "26"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Use of carotid ultrasound to identify subclinical vascular disease and evaluate cardiovascular disease risk&#58; a consensus statement from the American society of echocardiography carotid intima-media thickness task force endorsed by the society for vascular"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "JH Stein"
                            1 => "CE Korcarz"
                            2 => "RT Hurst"
                            3 => "E Lonn"
                            4 => "CB Kendall"
                            5 => "ER Mohler"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.echo.2007.11.011"
                      "Revista" => array:7 [
                        "tituloSerie" => "J Am Soc Echocardiogr"
                        "fecha" => "2008"
                        "volumen" => "21"
                        "numero" => "2"
                        "paginaInicial" => "93"
                        "paginaFinal" => "111"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18261694"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib0027"
              "etiqueta" => "27"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "ESC 2019 guidelines on chronic coronary syndromes&#58; could calcium scoring improve detection of coronary artery disease in patients with low risk score&#46; Findings from a retrospective cohort of patients in a district general hospital"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "S Fyyaz"
                            1 => "H Rasoul"
                            2 => "C Miles"
                            3 => "O Olabintan"
                            4 => "S David"
                            5 => "S Plein"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:3 [
                        "tituloSerie" => "JRSM Cardiovasc Dis"
                        "fecha" => "2021"
                        "volumen" => "10"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            27 => array:3 [
              "identificador" => "bib0028"
              "etiqueta" => "28"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The need for PCSK9 inhibitors and associated treatment costs according to the 2019 ESC dyslipidaemia guidelines vs&#46; the risk-based allocation algorithm of the 2017 ESC consensus statement&#58; a simulation study in a contemporary CAD cohort"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "C Blaum"
                            1 => "M Seiffert"
                            2 => "A Go&#223;ling"
                            3 => "F Kr&#246;ger"
                            4 => "B Bay"
                            5 => "T Lorenz"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1093/eurjpc/zwaa088"
                      "Revista" => array:7 [
                        "tituloSerie" => "Eur J Prev Cardiol"
                        "fecha" => "2021"
                        "volumen" => "28"
                        "numero" => "1"
                        "paginaInicial" => "47"
                        "paginaFinal" => "56"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/33580772"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            28 => array:3 [
              "identificador" => "bib0029"
              "etiqueta" => "29"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Association of carotid plaques and common carotid intima-media thickness with modifiable cardiovascular risk factors"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:7 [
                            0 => "PJ Santos-Neto"
                            1 => "EH Sena-Santos"
                            2 => "DP Meireles"
                            3 => "MS Bittencourt"
                            4 => "IS Santos"
                            5 => "IM Bensenor"
                            6 => "PA&#46; Lotufo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "J Stroke Cerebrovasc Dis"
                        "fecha" => "2021"
                        "volumen" => "30"
                        "numero" => "5"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            29 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "30"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Carotid intima-media thickness and plaque in cardiovascular risk assessment"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "TZ Naqvi"
                            1 => "M-S Lee"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jcmg.2013.11.014"
                      "Revista" => array:7 [
                        "tituloSerie" => "JACC Cardiovasc Imaging"
                        "fecha" => "2014"
                        "volumen" => "7"
                        "numero" => "10"
                        "paginaInicial" => "1025"
                        "paginaFinal" => "1038"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25051948"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            30 => array:3 [
              "identificador" => "bib0031"
              "etiqueta" => "31"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Prevalence of carotid plaque in a 63- to 65-Year-Old Norwegian cohort from the general population&#58; The ACE &#40;Akershus Cardiac Examination&#41; 1950 study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "H Ihle-Hansen"
                            1 => "T Vigen"
                            2 => "H Ihle-Hansen"
                            3 => "OM R&#248;nning"
                            4 => "T Berge"
                            5 => "B Thommessen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Am Heart Assoc"
                        "fecha" => "2018"
                        "volumen" => "7"
                        "numero" => "10"
                        "itemHostRev" => array:3 [
                          "pii" => "S0140673606679336"
                          "estado" => "S300"
                          "issn" => "01406736"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            31 => array:3 [
              "identificador" => "bib0032"
              "etiqueta" => "32"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Prevalence and determinants of carotid plaque in the cross-sectional REFINE-Reykjavik study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "R Sturlaugsdottir"
                            1 => "T Aspelund"
                            2 => "G Bjornsdottir"
                            3 => "S Sigurdsson"
                            4 => "B Thorsson"
                            5 => "G Eiriksdottir"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "BMJ Open"
                        "fecha" => "2016"
                        "volumen" => "6"
                        "numero" => "11"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            32 => array:3 [
              "identificador" => "bib0033"
              "etiqueta" => "33"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Global and regional prevalence&#44; burden&#44; and risk factors for carotid atherosclerosis&#58; a systematic review&#44; meta-analysis&#44; and modelling study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "P Song"
                            1 => "Z Fang"
                            2 => "H Wang"
                            3 => "Y Cai"
                            4 => "K Rahimi"
                            5 => "Y Zhu"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Lancet Glob Heal"
                        "fecha" => "2020"
                        "volumen" => "8"
                        "numero" => "5"
                        "paginaInicial" => "e721"
                        "paginaFinal" => "e729"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            33 => array:3 [
              "identificador" => "bib0034"
              "etiqueta" => "34"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Carotid intima-media thickness but not carotid artery plaque in healthy individuals is linked to lean body mass"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M Arnold"
                            1 => "A Linden"
                            2 => "R Clarke"
                            3 => "Y Guo"
                            4 => "H Du"
                            5 => "Z Bian"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "J Am Heart Assoc"
                        "fecha" => "2019"
                        "volumen" => "8"
                        "numero" => "15"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            34 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "35"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "La lipoprote&#237;na&#40;a&#41; se asocia a la presencia de arteriosclerosis en pacientes con hipercolesterolemia primaria"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "AM Bea"
                            1 => "R Mateo-Gallego"
                            2 => "E Jarauta"
                            3 => "R Villa-Pobo"
                            4 => "P Calmarza"
                            5 => "I Lamiquiz-Moneo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Cl&#237;nica e Investig en Arterioscler"
                        "fecha" => "2014"
                        "volumen" => "26"
                        "numero" => "4"
                        "paginaInicial" => "176"
                        "paginaFinal" => "183"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            35 => array:3 [
              "identificador" => "bib0036"
              "etiqueta" => "36"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cardiovascular risk factors and atherosclerosis in young women"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M Knoflach"
                            1 => "S Kiechl"
                            2 => "D Penz"
                            3 => "A Zangerle"
                            4 => "C Schmidauer"
                            5 => "A Rossmann"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1161/STROKEAHA.108.525675"
                      "Revista" => array:7 [
                        "tituloSerie" => "Stroke"
                        "fecha" => "2009"
                        "volumen" => "40"
                        "numero" => "4"
                        "paginaInicial" => "1063"
                        "paginaFinal" => "1069"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19211497"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            36 => array:3 [
              "identificador" => "bib0037"
              "etiqueta" => "37"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Race and gender differences in the association of Lp&#40;a&#41; with carotid artery wall thickness"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "PJ Schreiner"
                            1 => "G Heiss"
                            2 => "HA Tyroler"
                            3 => "JD Morrisett"
                            4 => "CE Davis"
                            5 => "R&#46; Smith"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1161/01.atv.16.3.471"
                      "Revista" => array:7 [
                        "tituloSerie" => "Arterioscler Thromb Vasc Biol"
                        "fecha" => "1996"
                        "volumen" => "16"
                        "numero" => "3"
                        "paginaInicial" => "471"
                        "paginaFinal" => "478"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8630675"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            37 => array:3 [
              "identificador" => "bib0038"
              "etiqueta" => "38"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The relationship between carotid intima-media thickness and carotid plaque in the Northern Manhattan Study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "T Rundek"
                            1 => "H Gardener"
                            2 => "D Della-Morte"
                            3 => "C Dong"
                            4 => "D Cabral"
                            5 => "E Tiozzo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.atherosclerosis.2015.05.027"
                      "Revista" => array:7 [
                        "tituloSerie" => "Atherosclerosis"
                        "fecha" => "2015"
                        "volumen" => "241"
                        "numero" => "2"
                        "paginaInicial" => "364"
                        "paginaFinal" => "370"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26071659"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            38 => array:3 [
              "identificador" => "bib0039"
              "etiqueta" => "39"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "2016 Canadian cardiovascular society guidelines for the management of dyslipidemia for the prevention of cardiovascular disease in the adult"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "TJ Anderson"
                            1 => "J Gr&#233;goire"
                            2 => "GJ Pearson"
                            3 => "AR Barry"
                            4 => "P Couture"
                            5 => "M Dawes"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.cjca.2016.07.510"
                      "Revista" => array:7 [
                        "tituloSerie" => "Can J Cardiol"
                        "fecha" => "2016"
                        "volumen" => "32"
                        "numero" => "11"
                        "paginaInicial" => "1263"
                        "paginaFinal" => "1282"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27712954"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            39 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "40"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lipoprotein&#40;a&#41;&#58; Cellular Effects and Molecular Mechanisms"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "K Riches"
                            1 => "KE&#46; Porter"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Cholesterol"
                        "fecha" => "2012"
                        "volumen" => "2012"
                        "paginaInicial" => "1"
                        "paginaFinal" => "10"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            40 => array:3 [
              "identificador" => "bib0041"
              "etiqueta" => "41"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Association between lipoprotein&#40;a&#41; levels&#44; apo&#40;a&#41; isoforms and family history of premature CAD in young Asian Indians"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "JK Gambhir"
                            1 => "H Kaur"
                            2 => "KM Prabhu"
                            3 => "JD Morrisett"
                            4 => "DS&#46; Gambhir"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.clinbiochem.2008.01.016"
                      "Revista" => array:7 [
                        "tituloSerie" => "Clin Biochem"
                        "fecha" => "2008"
                        "volumen" => "41"
                        "numero" => "7-8"
                        "paginaInicial" => "453"
                        "paginaFinal" => "458"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18280807"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            41 => array:3 [
              "identificador" => "bib0042"
              "etiqueta" => "42"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lipoprotein &#40;a&#41;&#58; a historical appraisal"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "KM Kostner"
                            1 => "GM Kostner"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1194/jlr.R071571"
                      "Revista" => array:7 [
                        "tituloSerie" => "J Lipid Res"
                        "fecha" => "2017"
                        "volumen" => "58"
                        "numero" => "1"
                        "paginaInicial" => "1"
                        "paginaFinal" => "14"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27821413"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            42 => array:3 [
              "identificador" => "bib0043"
              "etiqueta" => "43"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Effect of lipoprotein &#40;a&#41; levels on long-term cardiovascular outcomes in patients with myocardial infarction with nonobstructive coronary arteries"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "S Gao"
                            1 => "W Ma"
                            2 => "S Huang"
                            3 => "X Lin"
                            4 => "M&#46; Yu"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.amjcard.2021.05.003"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Cardiol"
                        "fecha" => "2021"
                        "volumen" => "152"
                        "paginaInicial" => "34"
                        "paginaFinal" => "42"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/34130824"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            43 => array:3 [
              "identificador" => "bib0044"
              "etiqueta" => "44"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "N&#237;veis plasm&#225;ticos elevados de lipoprote&#237;na&#40;a&#41; correlacionados com a gravidade da doen&#231;a arterial coronariana em pacientes submetidos &#224; angiografia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "LM Lima"
                            1 => "MDG Carvalho"
                            2 => "AA Loures-Vale"
                            3 => "AP Fernandes"
                            4 => "APL Mota"
                            5 => "CPDF Neto"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1590/s0066-782x2006001600006"
                      "Revista" => array:7 [
                        "tituloSerie" => "Arq Bras Cardiol"
                        "fecha" => "2006"
                        "volumen" => "87"
                        "numero" => "3"
                        "paginaInicial" => "260"
                        "paginaFinal" => "266"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17057924"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            44 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "45"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lipoprotein&#40;a&#41; as a risk factor associated with ischemic heart disease&#58; Ouro Preto Study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "APC C&#226;ndido"
                            1 => "S Ferreira"
                            2 => "AA Lima"
                            3 => "C Nicolato RL de"
                            4 => "SN de Freitas"
                            5 => "P Brand&#227;o"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.atherosclerosis.2006.04.031"
                      "Revista" => array:7 [
                        "tituloSerie" => "Atherosclerosis"
                        "fecha" => "2007"
                        "volumen" => "191"
                        "numero" => "2"
                        "paginaInicial" => "454"
                        "paginaFinal" => "459"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16843471"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            45 => array:3 [
              "identificador" => "bib0046"
              "etiqueta" => "46"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Analysis of elevated lipoprotein &#40;a&#41; levels in a referral cardiovascular center in sao paulo&#44; brazil"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "MH Mizuta"
                            1 => "MH Miname"
                            2 => "VZ Rocha"
                            3 => "APM Chacra"
                            4 => "W Salgado"
                            5 => "RD&#46; Santos"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Am Coll Cardiol"
                        "fecha" => "2020"
                        "volumen" => "75"
                        "numero" => "11"
                        "paginaInicial" => "2031"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            46 => array:3 [
              "identificador" => "bib0047"
              "etiqueta" => "47"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Structure&#44; function&#44; and genetics of lipoprotein &#40;a&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "K Schmidt"
                            1 => "A Noureen"
                            2 => "F Kronenberg"
                            3 => "G&#46; Utermann"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1194/jlr.R067314"
                      "Revista" => array:7 [
                        "tituloSerie" => "J Lipid Res"
                        "fecha" => "2016"
                        "volumen" => "57"
                        "numero" => "8"
                        "paginaInicial" => "1339"
                        "paginaFinal" => "1359"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27074913"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            47 => array:3 [
              "identificador" => "bib0048"
              "etiqueta" => "48"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Racial &#40;black-white&#41; differences in serum lipoprotein &#40;a&#41; distribution and its relation to parental myocardial infarction in children"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "SR Srinivasan"
                            1 => "GH Dahlen"
                            2 => "RA Jarpa"
                            3 => "LS Webber"
                            4 => "GS&#46; Berenson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1161/01.cir.84.1.160"
                      "Revista" => array:7 [
                        "tituloSerie" => "Bogalusa Heart Study&#46; Circulation&#46;"
                        "fecha" => "1991"
                        "volumen" => "84"
                        "numero" => "1"
                        "paginaInicial" => "160"
                        "paginaFinal" => "167"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1829398"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            48 => array:3 [
              "identificador" => "bib0049"
              "etiqueta" => "49"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lipoprotein&#40;a&#41; and ageing"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "G Lippi"
                            1 => "G Targher"
                            2 => "GL Salvagno"
                            3 => "M Montagnana"
                            4 => "M Franchini"
                            5 => "GC&#46; Guidi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Lab"
                        "fecha" => "2010"
                        "volumen" => "56"
                        "numero" => "9-10"
                        "paginaInicial" => "463"
                        "paginaFinal" => "466"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            49 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "50"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lipoprotein&#40;a&#41; and its position among other risk factors of atherosclerosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "L Zlatohl&#225;vek"
                            1 => "K Z&#237;dkov&#225;"
                            2 => "M Vrabl&#237;k"
                            3 => "T Haas"
                            4 => "M Prus&#237;kov&#225;"
                            5 => "H Svobodov&#225;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.33549/physiolres.931133"
                      "Revista" => array:7 [
                        "tituloSerie" => "Physiol Res"
                        "fecha" => "2008"
                        "volumen" => "57"
                        "numero" => "5"
                        "paginaInicial" => "777"
                        "paginaFinal" => "783"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18198982"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            50 => array:3 [
              "identificador" => "bib0051"
              "etiqueta" => "51"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lipoprotein&#40;a&#41; Concentration and the risk of coronary heart disease&#44; stroke&#44; and nonvascular mortality"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "Erqou"
                            1 => "S Kaptoge"
                            2 => "PL D Perry"
                            3 => "AE"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/jama.2009.1063"
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "2009"
                        "volumen" => "302"
                        "numero" => "4"
                        "paginaInicial" => "412"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19622820"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            51 => array:3 [
              "identificador" => "bib0052"
              "etiqueta" => "52"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lipoprotein&#40;a&#41; levels in the japanese population&#58; influence of age and sex&#44; and relation to atherosclerotic risk factors&#58; The Jichi medical school cohort study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "N Nago"
                            1 => "K Kayaba"
                            2 => "J Hiraoka"
                            3 => "H Matsuo"
                            4 => "T Goto"
                            5 => "K Kario"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1093/oxfordjournals.aje.a117516"
                      "Revista" => array:7 [
                        "tituloSerie" => "Am J Epidemiol"
                        "fecha" => "1995"
                        "volumen" => "141"
                        "numero" => "9"
                        "paginaInicial" => "815"
                        "paginaFinal" => "821"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7717357"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            52 => array:3 [
              "identificador" => "bib0053"
              "etiqueta" => "53"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Gamma glutamyltransferase&#44; inflammation and cardiovascular risk factors in isolated coronary artery ectasia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A Dogan"
                            1 => "A Arslan"
                            2 => "H Yucel"
                            3 => "F Aksoy"
                            4 => "A Icli"
                            5 => "M Ozaydin"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.repc.2015.05.009"
                      "Revista" => array:7 [
                        "tituloSerie" => "Rev Port Cardiol"
                        "fecha" => "2016"
                        "volumen" => "35"
                        "numero" => "1"
                        "paginaInicial" => "33"
                        "paginaFinal" => "39"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26711537"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            53 => array:3 [
              "identificador" => "bib0054"
              "etiqueta" => "54"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Association of &#947;-glutamyl transferase with premature coronary artery disease"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M Ghatge"
                            1 => "A Sharma"
                            2 => "RK&#46; Vangala"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3892/br.2016.576"
                      "Revista" => array:7 [
                        "tituloSerie" => "Biomed Rep"
                        "fecha" => "2016"
                        "volumen" => "4"
                        "numero" => "3"
                        "paginaInicial" => "307"
                        "paginaFinal" => "312"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26998267"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            54 => array:3 [
              "identificador" => "bib0055"
              "etiqueta" => "55"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Proteomics of Lipoprotein&#40;a&#41; identifies a protein complement associated with response to wounding"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "AV Zychlinski"
                            1 => "T Kleffmann"
                            2 => "MJA Williams"
                            3 => "SP&#46; McCormick"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jprot.2011.07.008"
                      "Revista" => array:7 [
                        "tituloSerie" => "J Proteomics"
                        "fecha" => "2011"
                        "volumen" => "74"
                        "numero" => "12"
                        "paginaInicial" => "2881"
                        "paginaFinal" => "2891"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21802535"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
    "agradecimientos" => array:1 [
      0 => array:4 [
        "identificador" => "xack684958"
        "titulo" => "Acknowledgments"
        "texto" => "<p id="para0050" class="elsevierStylePara elsevierViewall">The authors acknowledge the Municipal Health Department of Campinas for furnishing the data and authorization of their use&#46; We thank Dr&#46; Jamal Baraccat from the Department of Radiology at the School of Medical Sciences&#44; State University of Campinas &#40;UNICAMP&#41;&#44; for performing the carotid measurements&#46; We thank the Statistics Department&#44; Faculty of Medical Sciences&#44; and UNICAMP for the statistical assistance&#46; This work was supported by the State of Sao Paulo Research Foundation &#40;FAPESP&#41; grant number n&#176;&#160;2006&#47;60585-9 and by Coordination for the Improvement of Higher Education Personnel &#40;CAPES&#41; &#8210; Brazil &#8211; Grant number&#160;88882&#46;434895&#47;2019-01&#46;</p>"
        "vista" => "all"
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/18075932/000000770000000C/v3_202308251443/S1807593222033087/v3_202308251443/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "94924"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Original articles"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/18075932/000000770000000C/v3_202308251443/S1807593222033087/v3_202308251443/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1807593222033087?idApp=UINPBA00004N"
]
Article information
ISSN: 18075932
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 7 4 11
2024 October 62 21 83
2024 September 63 23 86
2024 August 73 19 92
2024 July 72 24 96
2024 June 60 18 78
2024 May 59 12 71
2024 April 69 23 92
2024 March 77 15 92
2024 February 68 16 84
2024 January 70 23 93
2023 December 54 22 76
2023 November 85 38 123
2023 October 64 36 100
2023 September 85 26 111
2023 August 100 8 108
2023 July 33 27 60
2023 June 85 25 110
2023 May 67 11 78
2023 April 40 6 46
2023 March 18 9 27
2023 February 20 14 34
2023 January 11 6 17
2022 December 28 12 40
2022 November 0 0 0
Show all

Follow this link to access the full text of the article

es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos