Lipids & Cardiovascular
Lipoprotein (a)
Lipids & Cardiovascular
Genetic cardiovascular risk marker. Only needs testing once — level is genetically determined.
VAT-exempt medical service
Lipoprotein(a), or Lp(a), is a type of lipoprotein that transports cholesterol in the blood. Unlike other lipid markers, Lp(a) levels are largely genetically determined and are not significantly affected by diet or exercise. Elevated Lp(a) contributes to atherosclerotic plaque formation and can increase heart attack and stroke risk even in people with otherwise normal cholesterol. About 50% of heart attack patients have normal cholesterol, which is why researchers developed Lp(a) as an additional risk indicator. Wellth offers this test through accredited Swedish laboratories.
Testing Lp(a) is particularly important if you have a family history of cardiovascular disease, especially at a young age, or a personal history of heart attack or stroke with a normal or only slightly elevated lipid profile. Since Lp(a) is genetically determined, it only needs to be tested once in most cases. However, identifying elevated Lp(a) allows you and your healthcare provider to take targeted preventive action against other modifiable risk factors.
What a high value can mean
High Lp(a) increases the risk of cardiovascular disease by promoting atherosclerotic plaque development on blood vessel walls. It can occur in individuals with completely normal standard lipid profiles. Since Lp(a) is genetically determined, certain health conditions can further increase levels, and your doctor may investigate these. Symptoms associated with elevated Lp(a) include chest pain, shortness of breath, persistent fatigue, high blood pressure, heart palpitations, and yellowish cholesterol deposits under the skin (xanthomas).
What a low value can mean
Low or undetectable Lp(a) is generally considered beneficial and is associated with a reduced risk of cardiovascular disease. Many people have no detectable Lp(a) in their blood. Low Lp(a) is not a cause for concern and does not produce symptoms.
No advance preparation is needed for a standalone Lp(a) test. However, if it is ordered as part of a lipid profile, you may be advised to fast. Read the instructions carefully when ordering. Bring valid identification to the lab.
Order your test
Choose your test and pay online. Your lab referral is created straight away.
Give your sample
Visit any of our partner sampling locations. No appointment needed at most of them.
The lab analyses it
Your sample is analysed at an accredited Swedish laboratory.
Get your results
Your values appear in your account with reference ranges and an explanation of each marker.
Yes. Lp(a) levels are almost entirely determined by genetics. Unlike LDL cholesterol, they are not significantly affected by diet, exercise, or most medications. This is why testing once is usually sufficient.
Currently, there are no widely available treatments specifically targeting Lp(a), though clinical trials are ongoing. However, knowing your Lp(a) level allows you to aggressively manage other cardiovascular risk factors such as LDL, blood pressure, and lifestyle.
Knowing your Lp(a) level helps you and your doctor determine your total cardiovascular risk and make informed decisions about managing modifiable risk factors more aggressively if needed.
Since Lp(a) is genetically determined, a single test is usually sufficient. Retesting may be warranted if your initial result was borderline or if your doctor suspects a secondary cause of elevation.