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Apolipoprotein A1 + B + Ratio Assessment

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The Apolipoprotein A1 + B + Ratio Assessment provides a more detailed evaluation of cardiovascular risk than traditional lipid panels. This test measures apolipoprotein A-1 and apolipoprotein B levels, and their ratio, which studies suggest may better indicate the risk of coronary artery disease (CAD) compared to total cholesterol or LDL:HDL ratios. It offers a deeper insight into your heart health profile.

Quick facts

Sample type

Serum (preferred) or plasma

Turnaround

2–4 business days

Fasting

No Fasting Required

Doctor’s order included

Licensed physician review and requisition included with every test.

Apolipoprotein A1 + B + Ratio Assessment

  • Cardiovascular Health
  • Wellness & Preventive Health
    • Cpt Codes
    • 82172(x2)

    what is Apolipoprotein A1 + B + Ratio Assessment and why is it important?

    The Apolipoprotein A1 + B + Ratio Assessment provides a more detailed evaluation of cardiovascular risk than traditional lipid panels. This test measures apolipoprotein A-1 and apolipoprotein B levels, and their ratio, which studies suggest may better indicate the risk of coronary artery disease (CAD) compared to total cholesterol or LDL:HDL ratios. It offers a deeper insight into your heart health profile.

    Consider the Apolipoprotein A1 + B + Ratio test if:

    • Your healthcare provider recommends a detailed cardiovascular risk assessment to gain deeper insights into your heart health beyond standard lipid panels.
    • You have a personal or family history of heart disease, particularly if it occurred at an early age, indicating a genetic predisposition.
    • Your traditional cholesterol levels (LDL, HDL, total cholesterol) are borderline or abnormal, and you seek to identify additional, more specific risk factors for cardiovascular disease.
    • You are actively pursuing a comprehensive wellness plan focused on preventive heart health and wish to proactively monitor advanced markers of cardiovascular risk.
    • You want to assess the balance between "good" (Apo A-1) and "bad" (Apo B) cholesterol-carrying particles to understand your risk for atherosclerosis.

    This test is particularly beneficial for:

    • Individuals with a family history of heart disease, stroke, or high cholesterol, as it can reveal inherited predispositions to cardiovascular risk.
    • Anyone seeking a more advanced and precise assessment of their cardiovascular risk profile that goes beyond the conventional lipid panel.
    • People who have seemingly normal traditional lipid panel results but still have concerns about their heart health due to other risk factors like metabolic syndrome, obesity, or inflammation.
    • Athletes or highly health-conscious individuals who want to optimize their cardiovascular well-being and monitor advanced markers.
    • Those who have experienced unexplained cardiovascular events or symptoms and require a deeper diagnostic tool to understand potential underlying lipid imbalances.

    The Apolipoprotein A1 + B + Ratio test is commonly used to provide crucial insights for the risk assessment and management of:

    • Coronary Artery Disease (CAD): Particularly in individuals with a family history of premature CAD or those whose traditional lipid profiles do not adequately explain their risk. It helps identify a higher likelihood of plaque buildup in the arteries.
    • Atherosclerosis: As a key indicator of the underlying process of hardening and narrowing of arteries due to plaque accumulation. An unfavorable Apo B/Apo A-1 ratio can signify an increased atherogenic burden.
    • Metabolic Syndrome: While not a direct diagnostic for metabolic syndrome, abnormal apolipoprotein ratios often co-exist with its components (e.g., dyslipidemia, insulin resistance), helping to identify individuals at higher cardiometabolic risk.
    • Residual Cardiovascular Risk: For patients on lipid-lowering therapies (like statins) who still demonstrate cardiovascular events or have elevated risk, this test can reveal persistent dyslipidemia not captured by standard panels.
    • Genetic Predisposition to Dyslipidemia: Helps identify individuals with genetic variants affecting lipid metabolism that may predispose them to higher cardiovascular risk despite seemingly normal conventional cholesterol levels.
    • Monitoring Treatment Effectiveness: Can be used to monitor the effectiveness of lifestyle interventions or pharmacological treatments aimed at improving the lipid profile and reducing cardiovascular risk.

    Caution

    It is crucial to remember that test results should always be interpreted by a qualified healthcare provider in the context of your complete medical history, lifestyle, and other diagnostic findings. This test provides valuable information, but it is not a standalone diagnostic tool. Do not make any health decisions based solely on these results without professional medical consultation.

    Frequently Ordered Together

    How It Works?

    1
    Add Your Test to Cart and Check out

    once Test Order is received, Our physicians will review your request and email you the easy-to-follow requisition form.

    2
    Locate and Visit Your Nearest Laboratory

    Find the closest partner location—most are within 2–3 miles—and drop by for a quick, no‑appointment blood draw.

    3
    Get your Results Online

    Once your sample is processed, we’ll send your report straight to your inbox within 1–3 business days. Just click the link to view your results anytime.

    4
    Book a Optional Consult

    Have Questions about results? Book a phone or video visit with one of our doctors. They’ll walk you through your report, explain any findings, and recommend next steps