Dr. Jack Wolfson - Beyond Cholesterol Testing for Heart Disease

Cardiologist Dr. Jack Wolfson explains why total cholesterol measurements are a poor indicator of health disease risk, and shares with you the indicators (markers) of heart disease and heart attack risk you should know.

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Hi, this is Dr. Jack Wolfson, The Paleo Cardiologist, and today I want to talk to you about the markers you need to determine your heart risk.

Much more important than total cholesterol, we’re going to talk about the advanced cardiac markers that you need and how you can get those.

What I have for you today is something called Beyond the 1970’s Cholesterol Testing. And if we look at this page here – this is from a lab testing company called Vibrant America but there are other companies that do this as well.

But you need to get this information into your hands to be able to learn your heart risk and then get on a plan and then retest these markers down the road.

So, the top panel here that you can see with me circling my mouse, this is the 1970’s panel. When my father was a cardiologist back in the 1970’s, total cholesterol, LDL, HDL, and triglycerides. This is the 1970’s information.

But in reality, total cholesterol is actually a very poor marker of mortality risk and cardiovascular risk.

LDL, same thing.

HDL is a decent marker. The higher the HDL the better.

But that being said, there’s a quality of HDLs that you need to learn that information as well.

And then also on this is triglycerides and the lower your triglycerides, the lower your risk.

So, now we get into the middle panel and this is what really matters here when it comes to overall assessment of having a heart attack and that is this Apo A / Apo B ratio.

So, you look at Apo A’s, which are mostly found on HDLs. You look at Apo B’s, that are mostly found on LDL’s, VLDL’s, IDL’s, and you come up with the ratio, and the lower the ratio of Apo B’s to Apo A’s, the better.

Once again, the less Apo B’s, higher Apo A’s and there are strategies to do that. And your holistic doctor can help you figure that out. And if you watch some of my other videos, you’ll be able to find that information as well.

So, the lower the better on that. That is the most predictive cardiac risk factor that we know of.

And then finally, at the bottom of this, we look at small dense LDL’s. The lower the small dense LDL’s the better.

And then Lp little a nasty type of LDL particle. It is genetically linked, so people do have a family history of that. It can be hard to modify but I’m telling you I’ve seen so many patients achieve better results with my protocol. And we’re really making a difference as far as lowering Lp little a and once again I have a lot of blog posts on Lp little a, and I discuss it in my book as well.

So, once again, this is the information you need to determine your cardiovascular risk.

Stay tuned for more videos where we are going to be talking about more of the critical information as it pertains to heart health that you need.

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