Hi Sue, RELAX! (I hope that suggestion helps!) it could be an aberration. And there’s a lot to know and a lot for the specialist to learn. I had a high number of 66 and I freaked out but because of the family history of dad and cousins all having heart attacks in their 50s and strokes my doctors cooperated with necessary assessments of my vascular system. Meaning they looked at the walls of my heart arteries for vascular deposits. I had three clear heart arteries and one artery was 1/3 blocked. I am 67. I’ve watched my diet and exercised my whole life because my dad had his first heart attack at 58. I pushed to go on the LEVQIO because I can’t take statins and I’m gluten and lactose intolerant. It’s a twice a year injection and zero side effects. As far as I can tell it dropped my cholesterol 70 points in the first testing period of three months I told all my relations that they had to get tested for the familial CAD, I think some thought I was crazy. Oh well to each his own just because you have a high number on some test does not mean you have the disease and if you have other things that substantiate that you don’t that’s what your doctors are probably look looking at , the LPL a seems to indicate one carries around a familial disease, but I don’t see that it means a direct correlation to manifesting CAD. I hope that helps. Good luck!