Lipoprotein (a) as a cause of statin-resistance: how to treat? – Case report
Keywords:
Lipoprotein (a), LDL-cholesterol, cardiovascular risk, nicotinic acidAbstract
Lipoprotein (a) (Lp(a)) is considered to be a cardiovascular risk
factor, and nicotinic acid is the only available drug that reduces its levels.
The authors present the case of a 44-year-old male patient with
hypercholesterolemia that responded poorly to statin therapy. After
identifying elevated Lp(a) levels combined therapy with nicotinic
acid was initiated, resulting in normalization of LDL-cholesterol
levels. The authors also make a theoretical review of Lp(a) and
nicotinic acid.
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