I have a 10 yo M, southasian/Indian who was sent to me for borderline LDL of 128. He is obese, BMI 96%.
Father has "high cholesterol," and in his 20-30's had stents placed as per mother. His parents lived to 90-100's. No other FHx known.
Repeated the child's profile fasting TC 154, LDL 104, HDL 45, TG 73. I sent a lipo(a) and its 333 (normal<75).
I don't have the parent's lipid profiles yet.
Lifestyle changes are obviously necessary because of the obesity.
The very high lipo(a) and father's hx makes me worried though. Thoughts?
Thanks for answering all these (maybe easy?) questions.
Aaron Turkish, M.D.
Assistant Professor of Clinical Pediatrics
New York Presbyterian Queens
Weill-Cornell Medical College
Pediatric Gastroenterology, Hepatology & Nutrition