Are you at risk for heart disease? Advanced Cardiovascular Testing (ACT) is the next generation of heart disease risk assessment. It supplies a lot of information this will help you doctors figure out whether you are at risk or don’t you.
You know that we all experiencing an epidemic of cardiovascular disease (CVD). Almost a million people die from CVD every years. In fact, it is the #1 cause of all deaths.
Almost 2,400 Americans die of CVD every day- an average of 1 death every 37 moment. More than 148,000 Americans killed by CVD in 2004 were kids than 65 involving age.
Almost 2.5 million new cases are diagnosed every year and about one out of 3 adults has some form of cardiovascular disease. Occasion truly an crisis c reactive protein high.
The way we test for cardiovascular disease now is by checking total cholesterol, triglycerides, HDL (“good”), LDL (“bad”), and the ratio between 2. This method isn’t very good considering that it misses many that have heart disease and falsely targets many who should never.
For example, close to 50% of the people who get cardiovascular system attack have normal cholesterol levels. And quite a few people with high cholesterol levels do not have heart disease. In fact, more strokes happen in people with cholesterol under 200 than over three. What is going with regards to?
The answer end up being do with lipoproteins. You see, cholesterol, both LDL and HDL travel in the blood attached to proteins. This combination is called lipoprotein (lipo means fat). When talking about cholesterol, most people imagine it as a single piece, however in reality cholesterol circulates in the blood as many myriad of tiny lipoprotein debris.
Each particle attributes a certain size and in this case size definitely matters. Both LDL and HDL cholesterol come in two sizes.
Small and dense LDL particles are worse than medium-sized. Small are bad because they can attach to the liner of the arteries with ease. Making use of cause inflammation that proceeds to cause plaque. They help your heart disease progress twice as fast and increase the actual of heart attack by 300%! On the other hand, medium particles are pretty harmless.
There are also two sizes in the HDL cholesterol – large and strategy. The large one is the most useful. Could like a sponge that soaks the loose small LDL particles and returns them to the liver for reprocessing. This HDL is often a real protector of heart health. Towards the other hand, medium HDL is not nearly as effective.
There are different kinds of lipoproteins, dependent what kinds of fat and cholesterol they are carrying. Some of them are worse than others.
For example, Lp(a) (pronounced lipoprotein little a) is probably the most damaging lipoprotein of them all because it makes small LDL particles extra “sticky” to ensure they hang on to the arterial wall extra tenacity, causing more inflammation and can damage.
Lp(a) alone has ten times plaque-causing power than small LDL particles. Too much Lp(a) increases the risk of heart attack by 300% although there are every other risk factors recent. Statin drugs are no help here, actually they may actually drive the gain levels.
About 25% of US population has high degree of Lp(a), most of them have no idea because it is not usually checked.
By now, I we do hope you understand that measuring only total cholesterol, LDL and HDL levels is not helpful almost all and can be very bogus. As I mentioned, almost 500,000 people per year have cardiac arrest even though their doctors gave them a clean bill of health since their cholesterol was “normal.” And millions of people with lots of large HDL particles take unnecessary statin drugs.
You need to know don’t just the total amount of cholesterol, however the size and the type of lipoproteins you. You would love “normal” LDL level, but if most of this is in small dense particles, are generally definitely at risk. On one other hand, you can have high LDL, if it is mainly medium-sized, do not need to have to worry about it and you do not require drugs to reduce it.
Similarly, might want to think in order to are OK because you’ve high HDL level, but if the HDL particles are small, they don’t really protect you all well.
What you must is request your doctor for fresh ACT trial run. It not only measures fundamental levels of LDL, HDL, and triglycerides. It supplies the size within the LDL and HDL particles (large or small) in addition to a total number of each.
It also checks degree of Lp(a) and other lipoproteins, like apolipoprotein A1 (good) and apolipoprotein B (bad). Plus, it also measures HS CRP (high sensitivity C-reactive protein) and Lp-PLA2 (lipoprotein-accodiated phospholipase A2), both that reflect the of inflammation inside the arteries. Inflammation is will cause the trouble for the lining of the arteries, leading eventually to plaques and heart health probem.
All in all, the act test any lot of useful information, which is not available with all the typical cholesterol test. It really tells you if you are at risk or not always.