Factors besides LDL may determine why some patients with familial hypercholesterolemia develop CAD earlier in life than others.
We correlated coronary artery calcifications with PCSK9 and Lp(a) levels in 161 asymptomatic patients with molecular diagnosis of FH.
We report that both PCSK9 and Lp(a) are independently predictive of elevated coronary artery calcium scores, an excellent marker of atherosclerotic burden.