Skip to content
elevated lipoprotien (a)
Stentandthensome posted:

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!
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.

Helpful Tips

Nix Grapefruit & Statin DrugsExpert
Grapefruit & statin drugs can be a bad combination. Unlike other citrus fruits, grapefruit contains substances that disable certain ... More
Was this Helpful?
16 of 18 found this helpful

Expert Blog

The Heart Beat - James Beckerman, MD, FACC

Dr. James Beckerman shares how small, livable lifestyle changes can have a real impact on your risk of heart attack and stroke...Read More

Related Drug Reviews

  • Drug Name User Reviews

Report Problems With Your Medications to the FDA

FDAYou are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.

For more information, visit the Duke Health General and Consultative Heart Care Center