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脂蛋白

定义

Lipo蛋白质 are molecules made of 蛋白质 和脂肪. They carry cholesterol and similar substances through the blood.

A blood test can be done to measure a specific type of lipoprotein called lipoprotein-a, or Lp (a). A high level of Lp (a) is considered a risk factor for heart disease.

选择的名字

Lp (a)

How the Test is Performed

A 血液样本 是必要的.

How to Prepare for the Test

You will be asked not to eat anything for 12 hours before the test.

Do not smoke before the test.

How the Test will Feel

A needle is inserted to draw blood. You may feel slight pain, or only a prick or stinging sensation. Afterward, there may be some throbbing.

Why the Test is Performed

High levels of lipo蛋白质 can increase the risk for heart disease. The test is done to check your risk for 动脉粥样硬化, 中风, 心脏病发作.

It is not yet clear if this measurement leads to improved benefits for patients. Therefore, many insurance companies do not pay for it.

The American Heart Association and American College of Cardiology do not recommend the test for most adults who do not have symptoms. It may be useful for people at higher risk because of a strong family history of cardiovascular disease.

正常的结果

Normal values are below 30 mg/dL (milligrams per deciliter), or 1.7更易与L.

Note: Normal value ranges may vary slightly among different laboratories. Talk to your doctor about the meaning of your specific test results.

The example above shows the common measurements for results of these tests. Some laboratories use different measurements or may test different specimens.

What Abnormal Results Mean

Higher than normal values of Lp (a) are associated with a high risk for 动脉粥样硬化, 中风, 心脏病发作.

注意事项

Lp (a) measurements may provide more detail about your risk for heart disease, but the added value of this test beyond a standard lipid panel is unknown.

参考文献

Genest J, Mora S, 利比P. Lipoprotein disorders and cardiovascular disease. In: 利比P, Bonow RO, Mann DL, Tomaselli GF, Bhatt DL, Solomon SD, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 12日艾德. Philadelphia, PA: Elsevier; 2022:chap 27.

Goff DC Jr, Lloyd-Jones DM, Bennett G, et al. 2013 ACC/AHA guideline on the assessment of cardiovascular risk: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. 循环. 2013;129(25 Suppl 2):S49-S73. PMID: 24222018 pubmed.ncbi.nlm.国家卫生研究院.gov / 24222018 /.

利比P. The vascular biology of 动脉粥样硬化. In: 利比P, Bonow RO, Mann DL, Tomaselli GF, Bhatt DL, Solomon SD, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 12日艾德. Philadelphia, PA: Elsevier; 2022:chap 24.

Meeusen JW, Ueda M, Nordestgaard BG, Remaley AT. Lips and lipo蛋白质. In: Rifai N, Chiu RWK, Young I, Burnham C-A D, Wittwer CT, eds. Tietz Textbook of Laboratory Medicine. 7日艾德. St Louis, MO: Elsevier; 2023:chap 36.

罗宾逊詹. Disorders of lipid metabolism. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26日艾德. Philadelphia, PA: Elsevier; 2020:chap 195.

审核日期: 05/08/2022

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Information developed by A.D.A.M.公司. regarding tests and test results may not directly correspond with information provided by 加州大学旧金山分校健康. Please discuss with your doctor any questions or concerns you may have.

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