Skip to content

    Announcements

    Exciting News for WebMD Members!

    We've been busy behind the scenes building new message boards for you. You'll have new and easier ways to find messages, connect with others, and share your stories.

    And, this will all be available on your smartphone or other mobile device!

    What Do You Need to Do?

    The message board you're used to will be closing in the coming weeks. While many of your boards will be making the move to our new home, your posts will not. Want to keep a discussion going? Save posts you want to continue (this includes your member profile story), so that you can re-post them in the new message boards.

    Keep an eye here and on your email inbox, we'll be back in touch soon to give you all the information you need!


    Yours in health,
    WebMD Message Boards Management

    elevated lipoprotien (a)
    avatar
    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!
    Reply
     
    avatar
    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/


    Helpful Tips

    Heart by pass
    Hi, just wanted to tell you I had triple heart bypass and entered a cardiac rehab program with exercises three times a week,heart ... More
    Was this Helpful?
    1 of 1 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