2026 Lp(a), AHA, and OBG: What Now?

About this episode

The episode discusses the implications of the 2026 ACC/AHA Guideline on Lipoprotein(a) for women's health and related clinical considerations.

The March 2026 ACC/AHA Guideline on the Management of Dyslipidemia made a major pivot regarding Lipoprotein(a) by establishing a formal recommendation for universal screening in adults. This 2026 guideline, published in the Journal of the American College of Cardiology, issued a Class 1 recommendation stating that every adult should have their Lp(a) measured at least once in their lifetime. Because Lp(a) levels are genetically determined and remain highly stable throughout a person's life, a single lifetime check is sufficient for the vast majority of the population to establish their baseline risk. Well, that’s great for Family medicine or internal medicine, but how does that affect us in women’s health? Well, it’s complicated: lipoprotein(a) has been associated with an increased risk of VTE and has also been associated, in some studies, with FGR, preeclampsia, and preterm birth! So, can these patients receive oral contraceptives? What about Perioperative and postop care? Do these patients require anticoagulation? What about pregnancy- is LDA recommended here? And lastly, what about TXA use in patients with HMB? This podcast topic comes from one of our podcast family members who…

People in this episode

Host: Hector Chapa

Topics covered

• Lipoprotein(a)
• Dyslipidemia management
• Women's health
• VTE risk
• Pregnancy considerations
• Oral contraceptives
• Anticoagulation

Keywords

• Lp(a)
• dyslipidemia
• women's health
• VTE
• preeclampsia
• oral contraceptives
• anticoagulation
• pregnancy
• TXA
• HMB

Sponsors

TONA ACTIVE WEAR

Mentioned in this episode

Organizations: American College of Cardiology

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