Lipoprotein(a), often written Lp(a), is a particle that carries cholesterol in the blood. A higher level is linked with a greater risk of heart and blood-vessel disease. The amount is largely inherited.
Yes. A routine cholesterol result does not tell you the Lp(a) level. Measuring it separately can add information about risk, including when heart disease has occurred early in a family.
It is a risk factor, not proof that an artery is blocked or that a heart attack will happen. A clinician considers it alongside the rest of your health information.
Diet and exercise usually have little effect on Lp(a) itself. Looking after blood pressure, avoiding smoking and managing other cholesterol levels can still lower overall cardiovascular risk. The plan should address that overall risk, rather than only the Lp(a) number.

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