Non-Traditional Risk Factors for Coronary Artery Disease
Homocysteine
Access HeartPoint for more information on Coronary Artery Disease and Homocysteine
• Increased in 20-30% of patients with coronary artery disease
• No evidence yet that lowering levels decreases cardiovascular risk
• Treatment consists of folic acid (1-5mg) and standard multivitamins
Small dense LDL
• Associated with diabetes, low HDL, and elevated triglyceride
• Treatment consists of low fat diet, exercise, fibrates, and niacin
Lipoprotein (a)
• Found in one-third of patients with coronary heart disease
• Highly determined by genetics
• Minimally modifiable
C Reactive Protein
• There appears to be an association with coronary heart disease, though a causative role has not yet been proven.
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