Lp-PLA2 was not related to all-cause mortality in coronary heart disease (CHD). Higher Lp-PLA2 was significantly associated with increased cardiovascular events risk in (CHD). It was superior for Lp-PLA2 predicting cardiovascular events in patients with stable (CHD) or without receiving therapies of inhibiting Lp-PLA2. Lp-PLA2 was a vascular-specific inflammatory biomarker to stratify the high-risk patients with (CHD).