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Lipoprotein(a) [Lp(a)] concentration

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

This test measures the level of lipoprotein(a), a unique type of cholesterol-related protein that may increase your risk of heart disease.

Quick summary

["Lipoprotein(a) levels help assess cardiovascular risk beyond traditional cholesterol measures."]

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

Key facts at a glance

LOINC
31490-6
Short code
LE DNP IgG Ser-aCnc
Synonyms
LE DNP IgG Ser-aCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
82784
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What Is Lipoprotein(a)?

Lipoprotein(a) is a lipoprotein particle that combines cholesterol with a distinct protein called apolipoprotein(a). Unlike other cholesterol types, Lp(a) is genetically determined and does not change 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 healthcare provider may order this test if you have a family history of early heart disease, certain genetic conditions, or if you have high cholesterol that doesn’t improve with lifestyle changes. It’s also used in some risk assessments for people with conditions like aortic stenosis or peripheral artery disease.

How Is the Test Performed?

A blood sample is drawn from a vein, usually in your arm. The sample is sent to a lab where it’s analyzed using a specialized immunoassay method to measure Lp(a) levels.

What Do Results Mean?

Higher-than-normal Lp(a) levels may indicate an increased risk of cardiovascular problems, but results alone don’t diagnose a condition. They’re often used alongside other tests and risk factors to guide treatment or monitoring plans.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Lipoprotein(a) plays a role in artery plaque formation, contributing to cardiovascular disease risk. While not all high Lp(a) levels lead to problems, they may help identify individuals who could benefit from preventive strategies like cholesterol management or lifestyle interventions.

Short name

Lipoprotein(a) (Lp(a))

Frequently asked questions

What causes high lipoprotein(a) levels?
High Lp(a) levels are often genetic and can’t be changed with diet or exercise alone. Some medications (like certain cholesterol drugs) may help lower it, but treatment options are still being explored.
Can lifestyle changes affect lipoprotein(a) levels?
Unlike traditional cholesterol, Lp(a) is mostly influenced by genetics. However, managing overall heart health—such as quitting smoking, exercising regularly, and maintaining a healthy weight—can support cardiovascular wellness.
Is lipoprotein(a) tested in the same way as other cholesterol tests?
Yes, it’s measured in blood, but it requires a specialized immunoassay method to detect its unique protein structure. Your provider will clarify how results fit into your overall cholesterol profile.
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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