HEART DISEASE EXPERT FORUM
Cholesterol subfractions

Cholesterol subfractions

Certain laboratories offer a cholesterol panel that breaks down LDL different patterns (ie, pattern A, pattern B, pattern A/B) and HDL into HDL2 and HDL3 as well as other subfractions of VLDL and Lp(a).  These laboratories state that things like: LDL pattern B is more atherogenic than pattern A, HDL2 is more protective than HDL3, and that Lp(a) is particularly atherogenic, etc.  How strong is the evidence for these assertions?  

It seems like most cardilogists are managing to a total weight of LDL and/or HDL.  The above subfractions seem only to be looked at when on the fence regarding treatment.  Is this because the relevance of these subfractions are not well established?

Lastly, where can one find data on the affects of the various statin drugs on LDL patterns, HDL2, LDL particle numbers, and Lp(a)?

Thanks in advance
Related Discussions
242509_tn?1196926198
There is not a lot of clinical evidence stating that one kind of LDL is more dangerous than another, or one kind of HDL is more protective than another. From basic science studies performed in animals and from non randomized human data we know that some types of LDL are more dense and atherogenic than others. However, there is no data suggesting that if you convert one type to another the risk of atherosclerosis changes. Statins tend to decrease the density of LDL particles and change the ratio to a more favorable type, as does Niacin. Lipidologists, are in a way trying to figure out why statins have the benefits that they do, since only some of the benefit correlates to the LDL decreases.
Blank
Continue discussion Blank
Go
Request an Appointment
MedHelp Health Answers
Submit
Blank
Weight Tracker
Reach your weight goal faster
Start Tracking Now
RSS Expert Activity
1741471_tn?1336957856
Blank
LIVE WEBINAR TOMORROW!-SUPER BODY, ... Blank
May 22 by Michael Gonzalez-WallaceBlank
2126606_tn?1335910182
Blank
Fibromyalgia Awareness
May 11 by Clare Waismann Kavin, RASBlank
2126606_tn?1335910182
Blank
Opioid-induced hyperalgesia reduces...
May 03 by Clare Waismann Kavin, RASBlank