However, the presence of stenotic atherosclerosis of lower limb arteries was not significantly associated with an LMR below the median in the setting of Lp(a) concentration > 30 mg/dL (OR = 1.7, 95% CI: 0.9–3.2, p < 0.1) compared to patients with Lp(a) level < 30 mg/dL and LMR above the median distribution. This evidence concerns the gene LPA and atherosclerosis.