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High Lipoprotein(a) but CAC Score 0

Heart & Blood Health | Last Active: 1 day ago | Replies (78)

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Profile picture for mcchesney @kathleen1314

I recently went thru some testing, mainly because I requested some extra testing due to both my grandmother's stroke history.

I have a very high HDL and relatively high LDL, but a good ratio with low triglycerides. Most doctors don't even think about doing further testing because of the unusually high HDL and good HDL to LDL ratio and low triglycerides. Further tests though showed that I do have a slightly elevated ApoB (Apolipoprotein B) and a mild elevation of Lp(a) (Lipoprotein a) although my homocysteine levels are in the normal range. So the picture became more muddled.

So I have a mixed picture of cardio health....so CAC enters the picture.....

My doctor scheduled a CAC test. This showed a below 11 count in one artery and "mild" plaque on one valve. Copilot told me that both these places are where plaque is prone to accumulate, based on how the blood flows and moves. An ultrasound is scheduled to check to make sure that that small amount is not impeding the valve.

Then to gain a clearer picture.....

I took all the numbers and fed them to copilot to look up all the research and standards and tell me what all these tests together mean to me, and if I need any further tests to further clarify.
Copilot told me that the tests with the LDL and the APoB combined with the CAC showed that the LDL particles are likely larger and less numerous and the plaque CAC biology information showed that plaque accumulation is slow and non-aggressive due to my age, 73 and the low level of plaque even in the areas most prone to plaque accumulation with age.
Copilot: A Carotid Ultra Sound was recommended in the future for me because of the potential stroke risk in my family.

What I am saying is that the tests layer over one another to form a picture of cardio health.

It is like those progression pictures that we saw years ago where there was several pages that were meant to layer on top of one another; when they were all in place the picture emerged. All the tests layer onto one another and a full picture emerges when you put all the tests together.

I have found that copilot has been invaluable in helping me understand what is happening and how it affects and reflects my health. My doctor appreciates me using copilot because I am able to listen and understand her quickly because I have done the research before I see her, and I am not calling or going on line to ask her questions constantly about procedures, reasons and what this means. I can spend my time with my doctor more productively, and I am less stressed. Plus, plus!

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Replies to "I recently went thru some testing, mainly because I requested some extra testing due to both..."

@kathleen1314 , hi. Thanks for sharing your story. We're a little similar except my Lpa was much higher. I never thought to try co-pilot. I just tried it and helped with some of my questions for the cardiologist.