Although standard blood cholesterol tests (measuring total cholesterol, LDL, HDL, and triglycerides) have helped doctors to accurately assess heart disease risk in many patients, recent advances in medical science have demonstrated that conventional cholesterol testing provides only limited insight into the multiple factors that underlie cardiovascular disease. In fact, these tests identify only 40% of those at risk for coronary heart disease.

The good news is, scientists have developed a more advanced blood test that can far more accurately gauge your risk of heart disease. The Vertical Auto Profile (VAP) test augments the standard cholesterol profile with additional measurements that can identify the risk of cardiovascular disease.

Best of all, the VAP test not only offers a comprehensive assessment of cardiovascular risk, but also supplies vital information that can help you and your doctor formulate a customized disease-prevention program and measure its progress over time. This powerful diagnostic tool can help you take the steps necessary to avoid preventable health catastrophes — like heart attack and stroke — today.

The baby-boom generation understands that as they age, their risk for heart attacks, strokes, and other cardiovascular events continues to increase. Not content to succumb to disease and disability, this population is embracing a proactive, preventive approach to health care that includes advanced techniques of risk assessment such as the Vertical Auto Profile (VAP) cholesterol test.

Awareness of the VAP test is important for anyone who wants to stop cardiovascular disease in its tracks, even before signs and symptoms manifest. The VAP test is performed just like a traditional cholesterol panel: a technician or nurse draws blood and submits it to a laboratory. At reasonable cost, the VAP test provides more information than routine cholesterol tests and expands on this data. The comprehensive information derived from the VAP test enables physicians to more accurately predict their patients’ risk of heart disease, and to customize more aggressive, patient-specific treatment plans.

Even if your doctor’s office does not yet regularly utilize the VAP test, it is very likely that your physician will recognize the value of this advanced cholesterol screening tool, and will use the more detailed information it provides to devise the best treatment program to reduce your cardiovascular risk.

How the VAP Test Works

Routine cholesterol tests provide only the four following measurements:

1. Total cholesterol
2. Triglycerides
3. Low-density lipoprotein (LDL, the “detrimental” lipid), determined by a mathematical calculation, not by direct measurement
4. High-density lipoprotein (HDL, the “beneficial”lipid).

The standard lipid panel above is what physicians have relied on for years to assess their patients’ risk of cardiovascular disease. It has been a successful tool, helping physicians to lower patient cholesterol levels using a variety of medical therapies, including statin drugs, and motivating people to make lifesaving changes in their diet and lifestyle.

However, there are serious limitations to relying solely on the standard cholesterol panel. Most important, it can identify only about 40% of patients at risk for coronary heart disease.2 The truth is, many risk factors are involved in the development of heart disease, and for some people, high cholesterol may or may not be one of them. The well-known Framingham Study illustrated that the higher the cholesterol, the higher the statistical risk of a heart attack.3 Nonetheless, a frightening number of heart attacks still occur every day in people whose cholesterol values are seemingly normal. In fact, the American Heart Association reports that 50% of men and 64% of women who died suddenly of coronary heart disease had no previous symptoms!

Heart disease can lurk silently within, hidden and unsuspected. However, the additional information provided by the VAP test can help identify at-risk patients more accurately than routine cholesterol tests.

The expanded information from the VAP test includes:

• More accurate, direct measurement of LDL.
• Measurement of LDL pattern density. This is important because small, dense LDL (“Pattern B”) triples the likelihood of developing coronary plaque and suffering a heart attack.4
• Measurement of lipoprotein subclasses, which include HDL2 and HDL3, intermediate-density lipoprotein (IDL), very-low-density lipoproteins (VLDL1, VLDL2, VLDL3), and lipoprotein(a) [Lp(a)], a particularly dangerous lipoprotein that can lead to heart attacks and strokes.

Patients who test “normal”in a routine cholesterol panel often are found to be at risk for heart disease after taking the VAP test. This is crucially important, not only to diagnose a number of lipid disorders and optimize the choice of medications, but also for tracking improvement when patients are working to reduce their numbers, whether with drugs or lifestyle changes. Clearly, more information means more effective treatment, and thus better health outcomes.

In addition, VAP is the only cholesterol profile that tests for all the present and emerging risk factors identified in the National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III) cholesterol guidelines.

Prevention Is Key to Cardiovascular Health

I have performed a VAP test for the first time on many patients who have already had heart attacks or strokes, or who have undergone heart procedures such as bypass surgery or placement of a coronary stent. The results have often led me to think that if a VAP test had been performed earlier, maybe the heart attack or stroke could have been prevented, or the surgery would not have been necessary.

Too often in the United States, medical care is reactionary. A heart attack or stroke occurs, the sufferer rushes to the emergency room, and then doctors desperately try to rise to the rescue. All the physicians and patients I know appreciate that this is not the best approach. Part of the beauty of the VAP test is that it can help reduce the likelihood of this scenario occurring. Identifying risks for cardiovascular disease — and then working to correct them in order to prevent heart and vascular disease — is a better choice than costly surgical interventions.

Baby boomers, who have taken more hands-on responsibility for their health than any previous generation, can be even more strongly motivated to adopt wellness strategies when they better understand the specific risks facing them. It is one thing to tell patients that their cholesterol is high and they need to reduce it by changing their diet and lifestyle or by taking medication. It is something else to tell them that they can decrease their risk of heart attacks and emergency room visits by implementing strategies to adjust their cholesterol particles. The more definitively a health threat can be identified, the greater the patients’ compliance with treatment will be.

Since the National Cholesterol Education Program recommends people begin regular cholesterol testing at age 20, young adults can take a VAP test to learn about their cardiovascular disease risk early in life. This will allow them to take aggressive steps now — including diet and exercise — to maintain a healthy heart for life. Taking a VAP test now makes infinitely more sense than waiting until a cardiovascular catastrophe occurs, and then wondering if the event might have been prevented if a more complete cholesterol profile had been obtained earlier.

VAP Cholesterol Testing: What You Need to Know

• Cardiovascular disease is America’s number-one cause of premature death. As adults age, their risk for heart attacks, strokes, and other cardiovascular events escalates.
• Cardiovascular risk assessment using conventional lipid panels (measuring LDL, HDL, total cholesterol, and triglycerides) detects only about 40% of those at risk for a cardiovascular event. An advanced form of lipoprotein testing, the Vertical Auto Profile (VAP) cholesterol test, detects far more patients at risk of heart disease. The VAP test measures all the components of a standard lipid profile, as well as all cholesterol subclasses known to contribute to cardiovascular risk.
• The data provided by a VAP test allows physicians to detect cardiovascular risk long before symptoms manifest, and to use this data to develop personalized prevention and treatment protocols for patients of all ages. Early intervention can help prevent costly hospitalizations and invasive surgery later in life.
• All individuals who wish to fully and accurately understand their cardiovascular risk should consider a VAP test. In particular, adults at high risk — due to family history, previously diagnosed cardiovascular disease, or conditions such as high blood pressure, diabetes, obesity, or known lipid abnormalities — should undergo VAP testing.
• The advanced data provided by the VAP test allow doctors and patients to proactively implement strategies to prevent cardiovascular events and mortality.

Should Everyone Take the VAP Test?

This question is still being debated in the medical community. It is more expensive than routine cholesterol panels, but it provides more information. It is simply the best way for physicians to learn more about their patients and identify heart disease risk earlier. As time goes by, more physicians are recognizing the limitations of conventional lipid assessment and turning to advanced lipoprotein testing for better answers.

Certainly anyone who has reason to believe he or she may be at high risk for cardiovascular disease—because of family history, previously diagnosed coronary or vascular disease, or factors such as high blood pressure, diabetes, obesity, any measure of coronary plaque, or identified abnormalities in cholesterol or triglycerides — should strongly consider VAP testing. Even if you are simply concerned about heart disease, you can proactively encourage your doctor to perform this advanced test. It is now widely available in diagnostic laboratories around the country.

Being proactive means being eager to learn about ways to improve your health, and working with your doctor to create a personalized prevention and treatment plan. However, when it comes to tests that involve risk — such as imaging procedures that deliver radiation — I caution you to be wary. Sometimes, being proactive can lead you down that slippery slope to unnecessary surgical intervention. Fortunately, the VAP test has the distinct advantage of providing added information without added risk.

©2008 Michael Ozner, MD, FACC, FAHA

Author Bio
Michael Ozner, MD, FACC, FAHA, is one of America’s leading advocates for heart disease prevention. Dr. Ozner is a board-certified cardiologist, a Fellow of the American College of Cardiology and of the American Heart Association, medical director of Wellness & Prevention at Baptist Health South Florida and a well-known regional and national speaker in the field of preventive cardiology. He is the medical director of the Cardiovascular Prevention Institute of South Florida and symposium director for “Cardiovascular Disease Prevention,” an annual international meeting highlighting advances in preventive cardiology. He was the recipient of the 2008 American Heart Association Humanitarian Award. Dr. Ozner is also the author of the BenBella Books title The Miami Mediterranean Diet.

Michael Ozner, Md, Facc, Faha
http://www.articlesbase.com/diseases-and-conditions-articles/the-blood-test-that-can-save-your-life-693622.html

Cholesterol is a fat-like substance found in the cell membranes of all body tissues and transported through the blood plasma. In the human body there are two types of cholesterol carriers – ‘bad cholesterol’, low-density lipoprotein or LDL and ‘good cholesterol’, high-density lipoprotein or HDL. To put it simply, good cholesterol carriers help to keep the arteries healthy by clearing the cholesterol out of the system. The bad cholesterol carriers deposit cholesterol in the artery walls thus thickening them – a key cause of heart disease. The treatment of high cholesterol should be a priority!

The American Heart Association and the National Cholesterol Education Program (NCEP) recommend aiming for an HDL count of around 60 mg/ dL. An HDL count lower than 40 mg indicates an increased risk of coronary artery disease. The LDL reading should be around 130 mg/ dL. High LDL levels can be precipitated by a diet rich in saturated and trans fats and low in beneficial fats (monounsaturates and polyunsaturates). Smoking, a high alcohol intake, other poor dietary habits and lack of exercise can all contribute and should be targeted in the treatment of high cholesterol.

Total cholesterol of less than 200 mg/dL usually means that the risk of a heart attack is relatively low. To keep it low, it is best to follow a diet with plenty of fruits and fiber, low fat proteins and whole grain cereals. Less saturated fat, more monounsaturated fats and foods rich in Omega 3 would help in raising the level of good cholesterol and lowering bad cholesterol.

A large part of the American adult population has cholesterol levels of 200 to 239 mg/dL, classified as a borderline high risk. The risks are higher if the HDL level is below 40 mg/dL. Sometimes a cholesterol level of 200 to 239 mg/dL may not indicate a borderline high risk, because of a high HDL cholesterol count and a low LDL count. If other risk factors such as hypertension and diabetes(http://www.mitamins.com/disease/Diabetes.html) are present then regular check ups to ensure appropriate treatment of high cholesterol are essential.

Total cholesterol level of 240 or more puts a person at high risk of heart attack and strokes. At these levels, it becomes essential to change one’s diet completely and include heart friendly exercises like walking and swimming. The regime for the treatment of high cholesterol(http://www.mitamins.com/disease/High-Cholesterol.html) may include cholesterol-lowering drugs.

The American Dietetic Association advises that to maintain a cholesterol-friendly diet, it is best to eat plenty of vegetables, fruits and wholegrain foods. Other dietary advice useful in the treatment of high cholesterol is to limit saturated fats by choosing lean cuts of meat, chicken without the skin and low-fat dairy products. Keep fatty fast food and processed cakes, sweets and chips to a minimum. Ensure you choose heart healthy cooking oils such as canola and olive oil. Other beneficial oils can be found in oily fish such as mackerel and salmon, nuts and avocadoes. Limit dietary cholesterol from meat, egg yolks and offal.

Mitamins Team
http://www.articlesbase.com/health-articles/high-cholesterol-101032.html

According to the American Heart Association (www.americanheart.org), in addition to the fact that one out of every two persons will die of heart disease, over 70 million Americans currently have some type of heart disease. (Note: This does not include the tens of millions of people who are in the process of developing heart disease in coming years). The cost of treating heart disease (also know as cardiovascular disease, or CVD), in both direct and indirect costs is estimated to be over $400 billion annually.

Cardiovascular disease results in reduced quality of life, and an enormous cost to both society and taxpayers is avoidable, if only individuals would begin to take more responsibility to prevent heart disease through healthy eating and better lifestyle habits and regular doctor approved exercise. In addition you should consider including the proper use of nutritional supplements such as taking a high quality daily multi-vitamin and getting enough daily Essential Fatty Acids from eating healthy wild Salmon fish (non farmed raised), at least 2 to 3 times weekly and or taking quality fish oil supplements. There are also high quality nutritional supplements and natural enzymes that can help support better circulatory health. (see below)

About Cholesterol

Although, inflammation occurring in the body and high Homocysteine and C-Reactive Protein levels are still your most important tests to determine if you are a likely candidate for a heart attack, (see next week’s blog on those two issues), if your cholesterol is exceedingly high, usually being listed as over 240 mg, then generally those levels should be reduced to a more moderate 200 mg or less level. Remember, cholesterol is necessary for the body and brain to function well and studies have shown that reducing your cholesterol levels too low (less than 160 mg), can actually help shorten your life.

When you visit your doctor for your annual exam, he or she will most likely do a simple blood test to check your cholesterol levels. Do you know what the numbers mean?

First, it must be generally be understood that cholesterol usually can’t be dissolved in the blood, however, certain supplements and natural digestive enzymes: (nattokinase, bromelain), fish oiI, garlic and lecithin may help. (Also, a product called Circulatory Support mentioned at the end may be of aid). Cholesterol generally has to be transported to and from the cells by carriers called lipoproteins. Low-density lipoprotein, or LDL, is known as “bad” cholesterol. High-density lipoprotein, or HDL, is known as “good” cholesterol. These two types of lipids, along with triglycerides, make up your total cholesterol count.

LDL (Bad) Cholesterol

When too much LDL cholesterol circulates in the blood, it can slowly build up in the inner walls of the arteries that feed the heart and brain. Together with other substances, it can form plaque, a thick, hard deposit that can narrow the arteries and make them less flexible. This condition is known as atherosclerosis. If a clot forms and blocks a narrowed artery, heart attack or stroke can result.

HDL (good) Cholesterol

About one-fourth to one-third of blood cholesterol is carried by high-density lipoprotein (HDL). HDL cholesterol is known as “good” cholesterol, because high levels of HDL seem to protect against heart attack. Low levels of HDL (less than 40 mg/dL) also increase the risk of heart disease.

Triglycerides

Triglyceride is a form of fat made in the body. Many people with heart disease and/or diabetes also have high triglyceride levels.

Here are some guidelines from the American Heart Association:

Your Total Blood (or Serum) Cholesterol Level

Less than 200 mg/dL: Desirable

If your LDL, HDL, and triglyceride levels are also at desirable levels and you have no other risk factors for heart disease, total blood cholesterol below 200 mg/dL puts you at relatively low risk of coronary heart disease. Even with a low risk, however, it’s still smart to eat a heart-healthy diet, get regular physical activity and avoid tobacco smoke.

200-239 mg/dL: Borderline-High Risk

If your total cholesterol falls between 200 and 239 mg/dL, your doctor will evaluate your levels of LDL (bad) cholesterol, HDL (good) cholesterol, and triglycerides. It’s possible to have borderline-high total cholesterol numbers with normal levels of LDL (bad) cholesterol balanced by high HDL (good) cholesterol.

240 mg/dL and over: High Risk

People who have a total cholesterol level of 240 mg/dL or more typically have twice the risk of coronary heart disease as people whose cholesterol level is desirable (200 mg/dL).

Your LDL (Bad) Cholesterol Level

The lower your LDL cholesterol, the lower your risk of heart attack and stroke. In fact, it’s a better gauge of risk than total blood cholesterol. In general, LDL levels fall into these categories:

LDL Cholesterol Levels

Less than 100 mg/dL Optimal

100 to 129 mg/dL Near Optimal/ Above Optimal

130 to 159 mg/dL Borderline High

160 to 189 mg/dL High

190 mg/dL and above Very High

Your HDL (Good) Cholesterol Level

With HDL (good) cholesterol, higher levels are better. Low HDL cholesterol (less than 40 mg/dL for men, less than 50 mg/dL for women) puts you at higher risk for heart disease.

Smoking, being overweight, and being sedentary can all result in lower HDL cholesterol. To raise your HDL level, avoid tobacco smoke, maintain a healthy weight and get at least 30 to 60 minutes of physical activity more days than not.

People with high blood triglycerides usually also have lower HDL cholesterol and a higher risk of heart attack and stroke.

Your Triglyceride Level

Triglyceride is a form of fat. People with high triglycerides often have a high total cholesterol level, including high LDL (bad) cholesterol and low HDL (good) cholesterol levels.

Your triglyceride level will fall into one of these categories:

• Normal: less than 150 mg/dL

• Borderline-High: 150-199 mg/dL

• High: 200-499 mg/dL

• Very High: 500 mg/dL

Many people have high triglyceride levels due to being overweight/obese, physical inactivity, cigarette smoking, excess alcohol consumption, and/or a diet very high in carbohydrates (60 percent of more of calories).

To help lower cholesterol: eat and live a healthy lifestyle, get regular exercise and work with a knowledgeable nutritionally informed doctor. Also, consider taking a daily quality multi-vitamin and fish oil supplement. Additionally, I have discovered that two excellent circulatory support products are: Circulatory Support and CoQ10 Supreme which are also all part of a 4 product comprehensive Cardio Health Support Package available at http://www.doctorgreens.com Here’s to your better health, Hal Decker

Hal Decker
http://www.articlesbase.com/diseases-and-conditions-articles/what-high-cholesterol-blood-tests-mean-how-to-help-prevent-high-cholesterol-736111.html

Read more on Time Magazine

If doctor #1 says you are diabetic, and doctor #2 says you are Pre diabetic, find out what the A1c number actually is.

I would much rather be labeled diabetic. Insurance and medicare will pay for all testing supplies and if necessary the meds. They will also pay for your referal to dietician and to Certified Diabetes Educator and Diabetes Education classes. These are all very expensive except some of the meds.

I thought for years that I was eating healthy!! I taught foods and nutrition to children!! I lived, ate, and taught the food pyramid!!! Now I find that if I lop off the bottom layer of the food pyramid, lay off potatoes, carrots, peas, corn, dried beans, I can control my glucose levels much better.

Cholesterol meds do not lower cholesterol very much at all!!! Neither does eating fewer cholesterol containing foods. Maybe the statins do help with preventing kidney damage,

Loosing weight, tight control of glucose levels, and more exercise do work wonders in lowering Cholesterol.

Maybe you should go see a third doctor? This one an Endocrinologist?? At preferably a teaching hospital!!

Expert: Brenda Thompson
Bio: Brenda Thompson is a registered dietician and professional chef with the Westlake Market H.E.B. in Austin, Texas.
Filmmaker: Drew Noah

Duration : 0:2:4

Expert: Brenda Thompson
Bio: Brenda Thompson is a registered dietician and professional chef with the Westlake Market H.E.B. in Austin, Texas.
Filmmaker: Drew Noah

Duration : 0:1:36

Expert: Brenda Thompson
Bio: Brenda Thompson is a registered dietician and professional chef with the Westlake Market H.E.B. in Austin, Texas.
Filmmaker: Drew Noah

Duration : 0:1:36

Expert: Brenda Thompson
Bio: Brenda Thompson is a registered dietician and professional chef with the Westlake Market H.E.B. in Austin, Texas.
Filmmaker: Drew Noah

Duration : 0:1:46

Expert: Brenda Thompson
Bio: Brenda Thompson is a registered dietician and professional chef with the Westlake Market H.E.B. in Austin, Texas.
Filmmaker: Drew Noah

Duration : 0:1:46