Own Your Heart Health with Dr. Regina Druz EP24: The Biggest Little Troublemaker: Unpacking Lipoprotein(a) with Dr. Guy Mintz

Episode 24: The Biggest Little Troublemaker: Unpacking Lipoprotein(a) with Dr. Guy Mintz

Guest: Dr. Guy Mintz

Podcast Summary

Lipoprotein(a) might be one of the most important pieces of the heart health puzzle that most people have never heard about.

Dr. Regina Druz sits down with cardiologist and lipidology expert Dr. Guy Mintz to discuss why this particle deserves far more attention in cardiology. Lipoprotein(a) is often left out of standard cholesterol tests, yet it is linked to early heart attacks, strokes, valve disease, and aggressive atherosclerosis. If lowering cholesterol only cuts cardiovascular risk in half, what explains the rest? Could Lipoprotein(a) be the missing factor that shapes a person’s long-term health?

The conversation looks closely at the science behind Lipoprotein(a), its genetic roots, and why doctors call it a “genetic tattoo.” You’ll hear why every adult should ask for this test, why family members of those with elevated levels need screening, and how new drugs in development may soon lower Lipoprotein (a) by up to 90%. Until then, heart attack prevention depends on various steps like lifestyle choices, aggressive cholesterol control, and in some cases, apheresis.

This episode encourages a broader view of heart health, one that goes beyond LDL cholesterol to include genetics, inflammation, and personalized care. What would change if you knew your Lipoprotein(a) level? How would that knowledge shape the way you approach prevention?