LPA and myocardial ischemia: Although the prevalence of elevated Lp(a) is lower among Asians than in Caucasians and Blacks (7), our previous work and this study put together showed that elevated Lp(a) is indeed an important cardiovascular risk factor among Asians; Elevated Lp(a) is a predictor of IHD onset and severity (22), as well as cardiovascular and all-cause mortality.