what is the best test to see if I have heart diease? Calcium score? lp(a) test? something else?
I think Lp(a) test as no Radiation and so I can see if pauling therapy is working..
I thought a calcium score was the standard
-The coronary artery calcium score is a measurement of the amount of calcium in the walls of the arteries that supply your heart muscle, using a special computed tomography (CT) scan of your heart. It shows the amount of hardening of the artery wall (a disease called atherosclerosis) that you have
but maybe a simple Lp(a) test, NO RADIATION, is better
A new study has found that when added to a traditional lipid panel – a blood test that measures lipids – measurements of apparently healthy patients' blood levels of LP(a) can help doctors more accurately predict the patient's risk of developing heart disease over the next 15 years
--cleavland clinichttps://health.clevelandclinic.org/2014 ... ease-risk/http://www.lipoproteinafoundation.org/? ... erstandlpa
Lipoprotein(a), is a particle in your blood which carries cholesterol, fats and proteins. The amount your body makes is inherited from one or both parents and is determined by the genes passed on from your parent(s) when you are born. It does not change very much during your lifetime except if you are a women, levels increase as the natural estrogen level declines with menopause. Diet and exercise seems to have little to no impact on the lipoprotein(a) level.
A simple blood test can measure your Lp(a) level; however, it is not included in most standard cholesterol or lipid panels. Unfortunately, not all insurance companies cover testing for Lp(a) at this time so check with your insurance company or provider.
Levels of Lp(a) are reported in different units, either mg/dL or nmols/L. A normal level is less than 30 mg/dL or less than 75 nmols/L. Levels higher than this are associated with an increased risk of heart attack, stroke, or narrowed arteries supplying blood to vital organs, often at an early age (younger than 55 in men and 65 in women). Your doctor or nurse cannot tell you have high Lp(a) by examining you.
Reasons an Lp(a) test may be right for you. Ask your nurse or doctor if you have questions:
You or a family member have had a heart attack or stroke at an early age including circulation trouble in the legs and/or narrowing of the aorta. For men it would be younger than 55 years of age and women less than 65 years of age.
Someone in your family has high Lp(a). If an adult has high Lp(a), their children have a 1 in 2 chance of inheriting it.
Heart attack or stroke with no other known risk factors such as smoking, high LDL or “bad” cholesterol, diabetes or obesity. An estimated 50% of people who have heart attacks have normal levels of LDL-cholesterol.
High LDL-cholesterol levels even while taking statins or other LDL lowering medications.
Having FH, Familial Hypercholesterolemia, an inherited condition of very high LDL cholesterol levels.
A high level of Lp(a) is a genetic condition. As a result, when one person is diagnosed with high Lp(a) it is important to also test other blood-related family members including parents, siblings (brothers and sisters) and children.