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As Rudyard Kipling taught us, these six questions form the foundation of understanding Lipoprotein(a)
Lipoprotein(a) — often called Lp(a) — is a type of cholesterol particle in your blood that carries cholesterol, fats, and proteins. Unlike other cholesterol types, Lp(a) has an additional protein called apolipoprotein(a) that makes it particularly sticky and dangerous.
High levels of Lp(a) are a major independent risk factor for heart disease and stroke. Research shows people with high Lp(a) have 2-4 times greater risk of cardiovascular events.
Lp(a) has been underrecognized for several reasons. First, it's not included in standard cholesterol panels. Second, until recently, treatment options were limited. Third, awareness campaigns have traditionally focused on LDL cholesterol.
However, the medical community now recognizes Lp(a) as a critical independent risk factor. Major health organizations now recommend testing, especially for those with family history of heart disease or personal history of early cardiac events.
Testing is recommended if you have:
The test is a simple blood test that can be done at any age. Since levels are genetically determined, one test is usually sufficient.
You can request an Lp(a) test from your primary care physician or cardiologist. The standard U.S. test code is CPT 83695 (codes vary by country).
Results interpretation:
Values above 180 mg/dL (430 nmol/L) indicate very high risk. Our manual provides specific guidance based on your results.
While anyone can have high Lp(a), certain groups are at particular risk:
Lp(a) levels are genetically determined and remain relatively stable throughout life, though they may increase slightly with age.
Management focuses on comprehensive risk reduction:
Our manual provides evidence-based protocols tailored to your specific risk profile and Lp(a) level.
This overview addressed fundamental questions using Kipling's framework. Our complete eBook provides detailed answers to 26 specific questions with the latest clinical guidance and emerging therapies.
Get the full FAQs in the eBookSelect the resource that best matches your current needs. Every path leads to a deeper understanding of your heart health.
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The Emergency Action Guide is the most complete
starting point for anyone with a high test result.