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elevated lipoprotien (a)
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Stentandthensome posted:
Hi!

Had blood work done post 8 month stent in LAD inserted. Lipids look good: Chol 140, Tri 81, HDL 74, LDL 50, CRP [1. My Lipoprotein (a) if extremely high at 156. It was high 3 months ago at 66 but elevated greatly. Any ideas? Suggestions on how to lower. My doctor says not to worry about it since general lipid profile is good? Thanks!
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billh99 responded:
My is also elevated, but not by a large amount, so I have researched this.

The only treatment that can lower Lp(a) is Niacin. And the Europeans recommend treating it. However, there are no studies that show reducing Lp(a) with niacin improves outcomes.

The general recommendation is to treat Lp(a) as another risk factor when setting an LDL goal. And at 50 you have already at ideal.

The actual risk of elevated Lp(a) is not clear and it depends on genetic repeat (which I don't understand).

Here are some references.

http://www.webmd.com/heart-disease/news/20090609/lipoprotein-a-linked-to-heart-attacks

http://www.consultantlive.com/display/article/10162/36354

http://mainheartclinic.com/2011/05/cholesterol-particle-size/


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