A 55-year-old man develops acute coronary syndrome. His lipid panel shows total cholesterol of 220 mg/dL and LDL of 140 mg/dL, both moderate elevations. However, his Lp(a) level is markedly elevated at 120 nmol/L (normal <50). Genetic analysis shows a polymorphism in the LPA gene affecting lipoprotein(a) production. Which of the following best explains his cardiovascular risk despite moderate LDL levels?

  1. A)Lp(a) carries apoB-100 and LDL-C, increasing atherosclerotic burden independently of LDLGABARITO
  2. B)Lp(a) directly activates lipoprotein lipase in coronary arteries
  3. C)Lp(a) deficiency is associated with premature myocardial infarction
  4. D)Lp(a) competes with HDL for hepatic uptake receptors
  5. E)Lp(a) inhibits hepatic LDL receptor expression

Explicação

Lipoprotein(a) [Lp(a)] is a lipoprotein particle consisting of an LDL-like core (apoB-100, cholesterol ester, triglyceride) covalently bound to apolipoprotein(a). Elevated Lp(a) is an independent cardiovascular risk factor. Lp(a) promotes atherosclerosis throu... Ver explicação completa e trilha adaptativa →

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