Update on the management of elevated Lp(a) - CME

Dr. Carranza Leon discusses the pathophysiology of lipoprotein(a) and its pro-atherogenic effects, appropriate testing of lipoprotein(a) levels, describes the current treatment paradigm for high-risk patients with elevated lipoprotein(a) and reviews treatment options.

[michaelhimes]

I’ve known about my high Lp(a) for about a year and a half. Age 49, I have never had an event and was referred for PVCs. Because I’m youngish, fit, and had a zero CAC, my cardiologist is just having me wait… wanted to see me in 3 years.

With the push to get this out there now, the reality of how serious this is is setting in. It looks like the current state is to just get as healthy as possible and wait for the first heart attack if insurance is to cover anything. Very depressing.

[NatuProg]

I don’t understand the rationale of waiting until a person has shown dangerous signs of the development of CVD to start looking for a major risk factor in the development of CVD. I guess the European position of testing lp(a) on everyone makes more sense to me. Especially if you consider that lp(a) represents a risk factor that is cumulative from childhood.

[pininfarinarossa]

In Europe/ Germany statins are prescribed and they wait for ME as well.😮

[Spicydoc]

I’ve been watching other channels, and there is a dietary modification with the use of high doses of vitamin C, amino acids proline, and lysine called the Pauling protocol. Looked that up. I’m also interested in that.

[laurengianna]

I’m worried about apoB not my lp(a) being 12.

[RealDealRenfro]

Thoughts on saturated fats lowering lp (a) and polyunsaturated fats increasing lp (a)?