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C4P (Lipoprotein(a) – Mass Concentration in Plasma)

Published: August 9, 2026Updated: August 16, 2026

This test measures the amount of lipoprotein(a) in your blood plasma. Lipoprotein(a) is a type of cholesterol-related protein that may play a role in heart disease risk.

Quick summary

["Lipoprotein(a) levels can help assess your risk for cardiovascular problems."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
43582-6
Short code
C4PF
Synonyms
C4 Plr-mCnc
Category
chemistry
Sample
fluid
Container
Sterile, leak-proof, screw-cap plastic tube or vacuum collection tube without anticoagulant
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
Immunonephelometry
CPT
86161
SNOMED
39579001
Specimen volume
2-5 mL of pleural fluid
Stability
Room temperature: 2 hours; Refrigerated (2-8°C): 7 days; Frozen (-20°C or below): 30 days. Avoid repeated freeze-thaw cycles.
Hemolysis max
300
TAT
24–72 hours
Order
routine

What Is Lipoprotein(a)?

Lipoprotein(a), often called Lp(a), is a unique lipoprotein particle that combines cholesterol with a protein called apolipoprotein(a). Unlike other cholesterol types, Lp(a) is inherited and doesn’t change much with diet or exercise. It may contribute to plaque buildup in arteries, increasing the risk of heart attacks or strokes.

Why Might You Need This Test?

Your doctor may order this test if you have a family history of heart disease, high cholesterol, or other conditions linked to artery plaque buildup. It’s also used in some genetic testing or risk assessments for people with certain conditions like aortic valve stenosis.

How Is the Test Done?

A blood sample is drawn from a vein, usually in your arm. The plasma portion is then analyzed to measure the exact amount of lipoprotein(a) present.

What Do Results Mean?

Higher levels of lipoprotein(a) may increase your risk of cardiovascular issues, but results alone don’t diagnose a condition. Your doctor will consider your overall health, other risk factors, and medical history to interpret the results.

Reference range

Reference ranges for complement C4 in pleural fluid are not well-established. Results should be interpreted in conjunction with paired serum complement C4 levels and clinical findings.N/A

Specimen: fluid

No special patient preparation required. Pleural fluid is collected via thoracentesis performed by a qualified healthcare provider.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

Lipoprotein(a) [Lp(a)]

Frequently asked questions

Why might my doctor ask for this test?
Your doctor may request this test to evaluate your risk for heart disease, especially if you have a family history of high cholesterol, heart attacks, or strokes. It can also be part of a broader assessment for genetic conditions or conditions affecting your arteries.
What are the most common reasons for abnormal results?
Lipoprotein(a) levels can vary due to genetics, but they don’t always change with lifestyle factors like diet or exercise. High levels may raise concerns about artery health, but they’re not the only factor doctors consider. Abnormal results may prompt further testing or discussions about risk management strategies.
Can I lower my lipoprotein(a) levels?
Currently, there are no medications specifically approved to lower lipoprotein(a) levels. However, managing other risk factors—such as high cholesterol, blood pressure, and smoking—can indirectly support heart health. Lifestyle changes like a healthy diet, regular exercise, and avoiding smoking may also help improve overall cardiovascular health.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy