You might think from reading this weeks article in the Dayton City Paper that if you improve your potassium intake and reduce your salt intake that you're on your way to a clean bill of health and a healthy heart. Dr. Roizen and Dr. Oz are MOSTLY on target with some other precautions.
I strongly focus on Apoliproprotein(a), which has been commonly called “ugly” cholesterol. This is actually a misnomer because Apoliproprotein(a) is actually one of many cholesterol transporters in our blood. Cholestorol is a very critical molecule in our body from which most of our hormones are manufactured and as a construction material in our cell walls. I would suggest Apoliproprotein(a) is like a small fishing boat that is dragging its net and catching snags and defects on the arterial surfaces and lifting them up so that bad cholesterol can deposit and cause plaque buildup. This plaque can damage heart valves over time and lead to blockages in vasculature and an increased likelihood of a plaque rupture leading to a heart attack or stroke. Apoliproprotein is elevated in about 25% of the patient population and is mostly a genetic or inherited hand we are dealt.
I always offer a screen of Apoliproprotein(a) in my preventive medicine workups. This screen along with several other newly identified risk factors truly help us identify those who are at risk of developing heart disease and artherosclerosis as they move into middle age and beyond. I believe it is wrong that everyone is not screened for this risk factor in the early 20's; it is such a bad player.
In addition to my recommendation that everyone needs to be screened, I feel just as strongly that physicians, including Dr. Oz and Dr. Roinzen know and put into practice that the most successful pharmacological agent for lowering Ugly Cholesterol (Apoliproprotein(a)) is Niacin. Niacin has long been a main line drug for controlling cholesterol and it is one of the B vitamins- thus it is not a synthetic agent such as the Statin drugs. It has been clearly shown that Niacin is the most successful treatment for high Apoliproprotein(a). Dr. Roinzen and Dr. Oz are incorrect in asserting that Statin drugs are the appropriate treatment for Apoliporprotein(a).
Please contact Synergistic Health Centers for an accurate assessment of your risk of developing athlerosclerosis, and heart disease as you age. We work closely with local hospitals including Miami Valley Hospital in coupling our assessments with cutting edge imaging off your coronary arteries to truly gauge your risk. We take the Synergistic Approach to reduce your risk of ever suffering a heart attack, valve damage, or stroke.