@nicknorwitz I have a very high Lp(a),neither of my parents had any strokes/heart attacks, they are both in their 80s,still alive,walking 4-5 miles per day.I conclude that the whole thing around Lp(a) is total BS.The more I read these posts, the more I conclude y'all are struggling/clueless.
@drjohnm Why is it always "universal screening" vs "no screening"? Is there no nuance left anymore? Where I live CAC is $99. How much is 40 years of statins you may not need?
@ZReitano You are appropriately aggressive because you have all the problems in your immediate family. I have parents who are in their 80s with no heart attacks or strokes at all in their lives. Should I be as aggressive as you? (no)
@khurramn1@EricTopol Not a doctor but am one of the patients in exactly this category, 3% risk and CAC=0 at 52yo. So, made the decision to forego statins after 4 different cardiologists proscribed them i various doses. No CAD/CVD family history. Conversely: how many people <3% have CAC>0?
@DrSiyabMD Thanks. I just have this nagging feeling that medicine does not know everything and that there may be other factors that we do not understand that work "against" things like lp(a) etc. Thank you for your time, good Sir!
@DoctorTro 52yo,LDL=170 (been high all my life),trig/HDL normal,ApoB high,lp(a) high,CACS=0. I am getting ready to go for cleerly since I am being told now that CACS is meaningless. Not on statins. My parents are in their 80s so at least one of them has high lp(a), neither has heart issues.
@drterrysimpson Also, chemically (factory) produced seed oil like sunflower oil is VERY different than first cold pressed sunflower oil. Find a local farmer making this oil and you can save yourself a ton of money and help the environment by switching from olive oil.
@drterrysimpson Confused about lp(a).If high,one of your parents have it just as high? But if you parents are in their 80s and still alive and neither had a cardiac event, ever,is there something else besides lp(a) that counteracts the risk?
@MichaelAlbertMD I guess my question is: I have high lp(a), both my parents are alive - one is 84, the other one is 80, no MI, no heart failure, still walking 4 miles per day, every day - according to what you are saying, one of them should not be alive. According to you, am I adopted? ;)
@CRYPT0N1TE@DoctorTro I am 52 with LDL 180 and CAC=0. Now I am being told I need a CT angiogram like Cleerly to actually make sure I am ok. When I got the CAC I was told it carries a 10-yr "warranty" against cardio events. Now the story has changed.
@RepThomasMassie Most eastern european countries out of communism have home ownership rates at 90% and over. We are at 60-ish%? Their houses are built better as well, brick/stone/concrete. Ours are sticks, duct tape, nails and a prayer.
@land_browns@EricSpracklen haha if you believe the official numbers and how they are constructed. People who have had white collar jobs (with 3% rates) are not going to go to multi-gig employment delivering door dash to survive. If they do, they will not be happy and that's not a real economy.