Objective: The objective of this study is to evaluate the relevance of Lp-PLA(2) to risk prediction among coronary heart disease (CHD) patients. Methods: Lp-PLA(2) activity was measured in 2538 CHD patients included in the Bezafibrate Infarction Prevention (BIP) study. Results: Adjusting for patient characteristics and traditional risk factors, 1 standard deviation of Lp-PLA(2) was associated with a hazard ratio (HR) of 1.12 (95% confidence interval (CI): 1.00-1.25) for mortality and 1.03 (0.93-1.14) for cardiovascular events. Lp-PLA(2) did not significantly improve model discrimination, or calibration nor result in noteworthy reclassification. Conclusions: Our results do not support added value of Lp-PLA(2) for predicting cardiovascular events or mortality among CHD patients beyond traditional risk factor.