LP(a) is a risk factor, not an inevitable sentence to CVD. Don't smoke, stay active, maintain a normal weight, and eat a healthy diet. Try to achieve an optimal (not "normal") level of LDL if your LP(a) is elevated. Be concerned but not paralyzed!
How come there are some elderly patients who have had a LIFETIME of very high levels of Lp(a) and those same humans have perfectly clean coronary arteries (i.e. ZERO plaque) on their coronary angiograms and pristine aortic valves on their CT scans?
Life would have been easier if atherosclerosis had just one direct cause. Unfortunately it is more complex than that. LDL and Lp(a) are causal but lifestyle is, still, responsible for 80% of atherosclerotic disease. Smoking, exercise, diet, diabetes, and blood pressure can significantly modulate the disease process and progression.
@@CardioBuzz Thank you very much, Dr. Hishmat, for your prompt response. I will continue on my educational journey to learn everything I can about CAD.
@JMK-vo8pv Let's add on the fact that it can be reversed as my CAC coronary artery calcium score has gone from 660 to 458. This was done with the Linus Pauling Heart Protocol. Pauling uses Lysine and Proline amino acid supplements to bind Lp-a in the blood when this happens the Lp-a is neutralized.
@@Notme-tq4xsLp-a is a substitute for vitamin C, it the first responder to a vitamin C deficient artery sticking to exposed Lysine and Proline strands.
My wife her lipoprotein A is 402 and her hs-crp is 19.4 all her doctors did was give crestor 10 mg. Trying to get her on lipoprotein apheresis but the doctor dont know because her ldl is 45 on statin. Shes also pre diabetic which adds To the problem
Thank you for the infor. My lipids (LDL, HDL, TG, total cholesterol) are all within normal limits without any meds but lipoprotein a is 160 and HS CRP is >10. Should I be worried about the numbers?
I had a stemi a month ago 100% blockage. Confirmed elevated lpa. I was running with my sons dog at the time. I dont drink , smoke have dairy oils or eggs and am vegan. Had a major heart attack was life flighted from one hospital ro another had 2 stents. Im 54 and am nervous as the surgeon said that my lifestyle is what he prescribes to his patients. I jyst dont want to be on all of these pills a year from now espexially the statin😭
Sorry to hear that! I hope you are making a good recovery. We hope that future therapies for LDL and Lp(a) are injectables so that we don't need the daily pills 🤞🤞
Hello - great update here. Back 10+ yrs ago couple studies showed L-carnitine supplement and flax seeds can lower LPa by ~ 5 to 30%. Please any new studies or just your scientific thinking on any benefits of this two compounds>. Thank you
Yes, L-Carnitine, in small studies, reduced Lp(a) but without effects on cardiovascular outcomes. Besides, animal studies suggested that L-carnitine accelerated atherosclerosis!
Could you please refer me to ANY RCT's that PROVE a CAUSAL relationship between Lp(a) levels and cardiovascular disease? From what I can find in the literature, the ONLY studies on Lp(a) and CVD are purely associational and, as we know, association/correlation does NOT inform on CAUSATION.
Thanks for your question. There is a general consensus that causation can be established through Mendelian randomization studies. Here is an example of one of these randomization studies. Best regards
HI there, epidemiology cannot show causation only association. Consensus isn't truth, but simply multiple people agreeing with one another @@CardioBuzz
It says very LOW levels of lpa increases the risk of Diabetes. Is it the LOW OR HIGH LEVELS of lp a ,causes diabetes risk and what is the mechanism. Thanks
This is the most excellent lesson on LPa, great data, Thank You
Excellent presentation. Thanks so very much.
Love your question answer format and direct delivery. New subscriber!
Awesome! Thank you! Welcome aboard
LP(a) is a risk factor, not an inevitable sentence to CVD. Don't smoke, stay active, maintain a normal weight, and eat a healthy diet. Try to achieve an optimal (not "normal") level of LDL if your LP(a) is elevated. Be concerned but not paralyzed!
Without LDL we would cease to exist.
Very clear and complete. Love it.
Started PCSK9 4 months ago, due to stent , high cholesterol and high LPa, which decreased from 85 to 69 mg/dl.
Great to hear that you are taking good caring of your heart💖
Your doctor is also doing a great job ⭐️
Just slightly disappointed that Praluent 75 or even 150 ml decreased mbiweekly y LDL only like 25%….!?! 😥
What were the initial values?@@thibaudjacquemaire7076
Pre Praluent: LDL 125 mg, now 85 mg.
That's a 32% reduction.
When did you move to the 150mg dose?
How come there are some elderly patients who have had a LIFETIME of very high levels of Lp(a) and those same humans have perfectly clean coronary arteries (i.e. ZERO plaque) on their coronary angiograms and pristine aortic valves on their CT scans?
Life would have been easier if atherosclerosis had just one direct cause. Unfortunately it is more complex than that. LDL and Lp(a) are causal but lifestyle is, still, responsible for 80% of atherosclerotic disease. Smoking, exercise, diet, diabetes, and blood pressure can significantly modulate the disease process and progression.
@@CardioBuzz Thank you very much, Dr. Hishmat, for your prompt response. I will continue on my educational journey to learn everything I can about CAD.
yes. lp(a) isn't the cause.
@JMK-vo8pv Let's add on the fact that it can be reversed as my CAC coronary artery calcium score has gone from 660 to 458. This was done with the Linus Pauling Heart Protocol.
Pauling uses Lysine and Proline amino acid supplements to bind Lp-a in the blood when this happens the Lp-a is neutralized.
@@Notme-tq4xsLp-a is a substitute for vitamin C, it the first responder to a vitamin C deficient artery sticking to exposed Lysine and Proline strands.
My wife her lipoprotein A is 402 and her hs-crp is 19.4 all her doctors did was give crestor 10 mg. Trying to get her on lipoprotein apheresis but the doctor dont know because her ldl is 45 on statin. Shes also pre diabetic which adds
To the problem
Wait for new targeted therapies
i had a 100% blocked widow maker a few months ago, i got my lp(a) today and only have a value of 7!
Good Info
Are you sure ?
Raise the volume of your voice and more importantly stop playing the background music (decreases the ability to listen to your content)
Thank you for informing me about the production issues. I think we have fixed them in the videos that followed.
Japanese study says otherwise. French over 100yrs old all have higher lp(a). Check out other studies.
Thank you for the infor. My lipids (LDL, HDL, TG, total cholesterol) are all within normal limits without any meds but lipoprotein a is 160 and HS CRP is >10. Should I be worried about the numbers?
It depends on the values of LDL and the cardiovascular risk
Yes
Hello friend how r u? Now what is ur level of lpa a ? Any treatment r u taking?
I had a stemi a month ago 100% blockage. Confirmed elevated lpa. I was running with my sons dog at the time. I dont drink , smoke have dairy oils or eggs and am vegan. Had a major heart attack was life flighted from one hospital ro another had 2 stents. Im 54 and am nervous as the surgeon said that my lifestyle is what he prescribes to his patients. I jyst dont want to be on all of these pills a year from now espexially the statin😭
Sorry to hear that! I hope you are making a good recovery. We hope that future therapies for LDL and Lp(a) are injectables so that we don't need the daily pills 🤞🤞
Eating carbohydrates and being overweight causes atherosclerosis, but doctors don't know that. Keto diet is the only thing that helps.
Estoy probando esta dieta cetogenica
Hello - great update here. Back 10+ yrs ago couple studies showed L-carnitine supplement and flax seeds can lower LPa by ~ 5 to 30%. Please any new studies or just your scientific thinking on any benefits of this two compounds>. Thank you
Yes, L-Carnitine, in small studies, reduced Lp(a) but without effects on cardiovascular outcomes. Besides, animal studies suggested that L-carnitine accelerated atherosclerosis!
مرحبا استاذنا وحشتنا
Could you please refer me to ANY RCT's that PROVE a CAUSAL relationship between Lp(a) levels and cardiovascular disease? From what I can find in the literature, the ONLY studies on Lp(a) and CVD are purely associational and, as we know, association/correlation does NOT inform on CAUSATION.
Thanks for your question. There is a general consensus that causation can be established through Mendelian randomization studies. Here is an example of one of these randomization studies. Best regards
www.atherosclerosis-journal.com/article/S0021-9150(22)00192-7/fulltext
Firefighters are at fires. They don't start them ! lp(a) is repair. It repairs wounds. Am I wrong ?
HI there, epidemiology cannot show causation only association. Consensus isn't truth, but simply multiple people agreeing with one another @@CardioBuzz
NO you're not wrong you are correct. @@Notme-tq4xs
👍👍👍
Sir,
My lp (a) is 83. Will my children automatically also have high reading of lp (a)?
Hi David! I can't give comments on individual situations but we know that the heritability of Lp(a) is very high, exceeding 90%
In my family, we are 2 children out of 3 to get high LPa from our dad.
So that is not automatic 100%.
Is lipoproteinA the same as lipoprotein(a)?
The small (a) refers to the protein component of LPa. The capital (A) refers to the protein component of HDL
@@CardioBuzz thank you
Thanks for the video. My LP(a) is 250 😭🥹
Take time when pronouncing words, you seem to eat syllables and that makes it difficult to follow you at times.
It says very LOW levels of lpa increases the risk of Diabetes. Is it the LOW OR HIGH LEVELS of lp a ,causes diabetes risk and what is the mechanism. Thanks
Inverse relation: low Lp(a) is associated with increased risk of diabetes. The mechanism is unclear.
cardiab.biomedcentral.com/articles/10.1186/s12933-017-0520-z
Association is not causation. This is basic stuff @@CardioBuzz