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Updated: Mar 7, 2026

Isolation and Analysis of Plasma Lipoproteins by Ultracentrifugation
Published on: January 28, 2021
Primary and secondary prevention of cardiovascular disease in patients with hyperlipoproteinemia (a)
P Grützmacher1, B Öhm2, S Szymczak2
12nd Medical Clinic - Nephrology, Hypertension and Vascular Diseases, AGAPLESION Markus-Hospital, Frankfurt/Main, Germany. peter.gruetzmacher@fdk.info.
Insights
Lipoprotein (a) screening identifies high cardiovascular disease risk. While current treatments are limited, lipoprotein (a) apheresis offers a secondary prevention option for progressive cardiovascular disease.
Area of Science:
- Cardiology
- Lipidology
- Preventive Medicine
Background:
- Elevated Lipoprotein (a) [Lp(a)] is a significant risk factor for cardiovascular disease (CVD).
- Early detection of asymptomatic atherosclerotic disease is crucial for timely intervention.
- Current medical treatments for managing high Lp(a) and associated CVD risk remain suboptimal.
Purpose of the Study:
- To highlight the importance of general Lipoprotein (a) screening for identifying at-risk individuals.
- To discuss the role of non-invasive methods in detecting early-stage atherosclerotic disease.
- To evaluate current and potential therapeutic strategies for managing hyperlipoproteinemia (a).
Main Methods:
- Review of current screening protocols for Lipoprotein (a).
- Assessment of non-invasive diagnostic techniques for incipient atherosclerotic disease.
- Analysis of established and emerging treatment modalities, including apheresis and pharmacotherapy.
Main Results:
- General Lipoprotein (a) screening effectively identifies patients at elevated risk for cardiovascular events.
- Non-invasive methods enable early detection of subclinical atherosclerosis.
- Lipoprotein (a) apheresis is an established secondary prevention strategy in specific regions (e.g., Germany).
Conclusions:
- Routine Lipoprotein (a) screening should be considered for comprehensive cardiovascular risk assessment.
- Statin therapy and antiplatelet agents form the cornerstone of current medical management.
- Target levels for LDL-cholesterol may require adjustment in patients with hyperlipoproteinemia (a).
Abstract:
General lipoprotein (Lp) (a) screening can help to identify patients at high risk for cardiovascular disease. Non-invasive methods allow early detection of clinically asymptomatic incipient atherosclerotic disease. Medical treatment options are still unsatisfactory. Lp(a) apheresis is an established treatment in Germany for secondary prevention of progressive cardiovascular disease. Statin-based lowering of LDL cholesterol and thrombocyte aggregation inhibitors still represent the basis of medical treatment. Target levels for LDL-cholesterol should be modified in patients with hyperlipoproteinemia (a).
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