SpectraCell Blog

UPDATE: 2011 Lipoprotein Particle Profile™ (LPP™) Report Enhancements

Posted by SpectraCell Laboratories, Inc. on Thu, Mar 31, 2011 @ 01:32 PM

Cardiovascular healthWe are excited to introduce our new report for the Lipoprotein Particle Profile™. We believe the changes that have been made will make the report easier to read and will facilitate your assessment of risk and the selection of patient specific treatment programs.

Addition of the Traditional Lipid Panel (Cholesterol, Triglycerides, HDL, LDL)

Many physicians continue to utilize the traditional cholesterol or lipid panel for guidance in the selection of an appropriate treatment strategy. Although we believe that the treatment is better determined by the application of the results from HDL and LDL subgroups and their particle numbers, the traditional lipid panel continues to be used for risk assessment and we are therefore including it in our report.

Elimination of CEQ

Many physicians and their patients found the practice of reporting lipoprotein test results in terms of cholesterol equivalents confusing. Therefore, we are eliminating this concept from our report.

Addition of ApoB, non-HDL cholesterol and non-HDL particle numbers

A value for non-HDL cholesterol has been included since it is likely to be the new NCEP ATP IV target of therapy when the guidelines are released later this year. Additionally we have added Apolipoprotein B and non-HDL particle numbers which were the focus of the Consensus Statement of the American College of Cardiology and the American Diabetes Association for better risk assessment. Individual variability in the triglyceride and cholesterol composition of the lipoprotein subgroups can make particle numbers more meaningful in risk assessment.

LPP Sample Test ReportOther report changes include:

• Lp(a) results have been moved to the Risk Modification section.

• The reporting units for hs-CRP have been changed from mg/dL to mg/L which changes the reference range to 0.00 – 3.00 mg/L.

• The LDL mean size/phenotype result has been deleted as this result can often be misleading as a result of variances in the total LDL result.

• The Apo B reference range has been changed to 40 – 100 mg/dL.

• The Apo A1 reference range has been changed to 115 – 224 mg/dL. This test is not a part of the LPP™ Basic or Plus panels, it must be ordered separately.

Are you using a cardiovascular risk assessment in your practice?

Topics: lipoprotein particle profile, LPP, Cholesterol, Cardiovascular Health, Heart Disease, Lp(a), Triglycerides, LDL and HDL, Apo A, Apo B

The Role of Micronutrients in Heart Disease

Posted by SpectraCell Laboratories, Inc. on Fri, Feb 11, 2011 @ 01:56 PM

Is Your Heart at Risk?

 

 

There is compelling evidence that deficiencies in vitamins, minerals and antioxidants are a major contributor to cardiovascular disease and its symptoms. Similarly, the use of many drugs in treating heart disease often lead to various nutrient deficiencies.

Micronutrients and High Blood Pressure:

High blood pressure can result in physical damage to thMicronutrients and High Blood Pressuree walls of our blood vessels. Although the causes of hypertension often overlap, micronutrient deficiencies can cause or worsen this condition. Several mineral deficiencies such as zinc, copper, calcium and magnesium have been linked to high blood pressure.

Research also suggests that a high level of oxidative stress eventually takes its toll on our arteries, ultimately causing hypertension. Several studies of coenzyme Q10 lowered blood pressure significantly. The antioxidant vitamins C and E help blood vessels maintain their flexibility, allowing them to easily dilate and contract. The powerful antioxidant lipoic acid reduces blood pressure by inhibiting inflammatory responses in the blood vessels. Vitamin D deficiency is linked to hypertension because it contributes to endothelial dysfunction, a condition where the lining of blood vessels cannot relax properly and secrete substances that promote inflammation of the blood vessel lining.

Prevent Arterial "Scarring":

Vitamin B6, B12, folate, serine and choline are all necessary to properly metabolize homocysteine and reduce the risk of arterial scarring. In fact, B-vitamin therapy has been an effective treatment for reducing heart disease and blood pressure.

Keeping the Heart Muscle StrongKeeping the Heart Muscle Strong:

The heart’s requirement for energy compared to other muscle tissues is incredibly high. Carnitine is an amino acid that facilitates the transport of fatty acids into heart cell mitochondria, thus helping the heart meet its strong demand for chemical energy. It also helps muscles, including the heart, recover from damage, such as from a heart attack. Vitamin B1 (thiamine) is another key component in energy metabolism by helping the heart increase its pumping strength. Deficiencies of vitamin B1 have been found in patients with congestive heart failure, as long-term use of diuretic drugs, which are often prescribed to those patients, deplete the body’s storage of thiamine. Coenzyme Q10 is also required by cardiac tissue in large amounts to properly function. Statin drugs deplete the body of CoQ10, so deficiencies of CoQ10 in statin-users are particularly common.

Heart Disease is an Inflammatory Process:

Scientists now emphasize that heart disease is actually an inflammatory condition within the blood vessels. Inflammation and oxidative stress work together damaging arteries and impairing cardiac function. Several antioxidant nutrients minimize this inflammatory process.

Glutathione is the most potent intracellular antioxidant and actually helps to regenerate other antioxidants in the body. Cysteine, glutathione, B2, selenium, Vitamin E and Vitamin C work together to reduce oxidative stress throughout the entire cardiovascular system.

How Well Do Your Arteries Fight Oxidative Stress?:

An optimal antioxidant status is particularly important in the Preventing Atherosclerosisprevention of chronic diseases such as heart disease and stroke. Since many antioxidants work together synergistically, measuring a single antioxidant may not provide an accurate picture of total antioxidant function. SpectraCell’s SPECTROX™ score will provide a complete and accurate picture of the overall antioxidant status of patients.

Preventing Atherosclerosis:

One of the major culprits in heart attacks and stroke is the buildup of plaque within the arteries throughout the body. Lipoproteins become dangerous when they are oxidized, making them “sticky” and causing blockage of the arteries (atherosclerosis). Micronutrient deficiencies accelerate atherosclerosis. One study showed that oleic acid (found primarily in olive oil) reduces oxidative damage to lipoproteins. It also facilitates absorption of vitamin A in the gut, which is important because vitamin A is linked to lower levels of arterial plaque, primarily due to its antioxidant effect in protecting lipids from oxidation.

Vitamin K supplementation to deficient people slowed the progression of plaque formation in major arteries. Vitamin B3 (niacin) lowers blood cholesterol (fats in the blood), inhibits the oxidation of LDL, and is currently the most effective drug available for raising the heart-protective, good HDL cholesterol. One study on chemicals made from vitamin B5 (pantothenic acids) showed a decrease in blood triglycerides and cholesterol, and evidence suggests that vitamin E can even retard existing atherosclerosis. Another study showed that inositol, a member of the B vitamin family, decreases dangerous small, dense lipoproteins that easily penetrate blood vessel walls and cause atherosclerosis.

Preventing StrokePreventing Stroke:

A recent study on more than 20,000 people concluded that adequate vitamin C levels reduced risk of stroke by over 40%. Similar studies on calcium, magnesium, folate and biotin all concluded that adequate levels of these nutrients contribute to a reduction in the incidence of stroke.

Share with us your experience with the role micronutrients have played in heart disease with your patient population! Do you have a particular success?

Topics: serine, micronutrients, micronutrient testing, Coenzyme Q10, Alpha-Lipoic Acid, zinc, folate, Vitamin D, Carnitine, Magnesium, Choline, Vitamin C, Vitamin E, Vitamin A, B Vitamins, Copper, Antioxidants, Heart Disease, Vitamin K, Calcium, Triglycerides, biotin, inositol, Heart Attack, Glutathione, High Blood Pressure, Oxidative Stress, Spectrox, Stroke, Lipoprotein Particles, LDL and HDL