Lp(a) elevated (≥50 mg/dL or ≥125 nmol/L)? No
lpa-not-elevatedNo one has reached this rule yetNo Lp(a)-specific action needed
No clinician has signed off this rule yet. It reflects our reading of the guidelines cited below, which has not been independently checked.
Word for word, as generated for the example person below. Figures in the text are theirs.
Your reported Lp(a) (18 mg/dL) is not in the elevated range.
Expert guidelinesOfficial guidelines recommend it, based on trials plus expert judgment.
Elevated is generally defined as ≥50 mg/dL or ≥125 nmol/L; the two units don't convert linearly, so ask your doctor to confirm which threshold applies to your lab's reporting.
ACC/AHA (US)
The 2026 ACC/AHA guideline defines elevated Lp(a) as 125 nmol/L or 50 mg/dL or higher. That definition is not itself a graded recommendation.
2026 ACC/AHA/Multisociety Guideline on the Management of Dyslipidemia · Recommendation behind this rule · carried over from an earlier review, not yet re-read
ESC (Europe)
The ESC uses a threshold of 50 mg/dL (105 nmol/L) for risk enhancement.
2025 ESC/EAS focused update on dyslipidaemias · Recommendation tables · class and level read from the guideline tables on 2026-09-30
2026 ACC/AHA/Multisociety Guideline on the Management of Dyslipidemia
“Lp(a) measured, normal” — an illustrative profile, not a real user.
Cited by the recommendations above.
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Runs in lib/engine/lpaFlag.ts as lpa-not-elevated.