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femmedem

(8,554 posts)
39. It sounds to me as if you might have high lipoprotein (a), which is genetic.
Sun Mar 15, 2026, 07:08 PM
Sunday

Last edited Mon Mar 16, 2026, 01:31 PM - Edit history (1)

Inclisiran injections reduce it somewhat, but for the first time, there are more effective treatments doing well in phase 3 clinical trials. I believe one of the drugs' clinical trials will be ending this year, and others within the next several years.

I understand your concern about spending money on someone nearing the end of their lifespan, and I don't know how old you are. But I think the argument about how many resources to spend on saving your life as opposed to a younger person's would be more applicable to something like an organ transplant, where there are only so many organs to go around. There's lots of money in this world, and most of it is being spent on worse things than extending your life.

And if you can get a valve replacement or other effective treatment for the aortic stenosis, if I'm right and the root problem is high lipoprotein (a), if you can make it through these next couple of years, incredibly effective treatment is on its way.

And for folks who don't know about lipoprotein(a), doctors usually don't test for it unless you ask. But because of the new treatments on the horizon, it might make sense to get tested, especially if you have a family history of early cardiovascular problems. I do, so I got tested. Mine is stratospherically high--in the worst 1%, almost 4x the point at which people see problems. So I'm reducing any other risk factors as much as possible, hoping to increase my odds of being here when those drugs become available.

Recommendations

1 members have recommended this reply (displayed in chronological order):

I want you to stick around. murielm99 Sunday #1
I wish you the best of luck Nnadir. Swede Sunday #2
The etymology of my screen name is rather simple. NNadir Sunday #5
Do you know that Jeff Tiedrich (smirking chimp) has a substack niyad Sunday #34
I know 2 people who just had surgery to replace that valve. Both doing fine surfered Sunday #3
Yes, I've looked into it. I find it amazing that it can now be done without open heart surgery, via catheter. NNadir Sunday #6
I hope it is approved and that it works. Even a few years more, once we are quite elderly, is a true gift. Let us know ratchiweenie Sunday #4
This is purely anecdotal... LuckyCharms Sunday #7
Keep up with this optimistic anecdotal stuff and... NNadir Sunday #9
. LuckyCharms Sunday #10
Hey, who said you could have my dark thoughts??? niyad Sunday #32
Oh, geez, do I have to separate you two AGAIN? niyad Sunday #31
You are not allowed to leave, just yet. Polly Hennessey Sunday #8
Keep us informed. I hope this works for you. OLDMDDEM Sunday #11
Need ya to stick around and keep irritating folks with the facts and edumacating the rest of us ;). Good luck !! n/t Cheezoholic Sunday #12
I got my aortic valve replaced 5 years ago. EndlessMaze Sunday #13
Please stick around as i enjoy your science writings n/t gay texan Sunday #14
Positive thoughts for approval. Whatever treatment you ultimately choose, I pray that it LoisB Sunday #15
I am sorry to hear that NNadir jfz9580m Sunday #16
Hoping for the best for you! AltairIV Sunday #17
Mine was rejected. I ended up with Repatha. My LDL's are negligible at this point. Gore1FL Sunday #18
I wish you the best. area51 Sunday #19
So . . . AverageOldGuy Sunday #20
So we can figure a three year review for possible approval? Norrrm Sunday #21
Nothing to add to all of the already heartwarming posts, but hamsterjill Sunday #22
Ask to see an interventional cardiologist about TAVR dalton99a Sunday #23
I've already looked into this case. It's intriguingly cool. NNadir Sunday #36
I wish you the best LetMyPeopleVote Sunday #24
I know you're a spring cluck, but aren't you on Medicare? And if so, is it covered? erronis Sunday #25
Thank you. I needed this today. h2ebits Sunday #26
All the best to you jfz9580m Sunday #27
Thanks for your thoughts. h2ebits Sunday #30
NN, I'm befuddled by this and frustrated with my lack of a response for this news. littlemissmartypants Sunday #28
Rooting for you, NNadir. blm Sunday #29
Vibes for the very best possible outcome, my friend. niyad Sunday #33
Best of luck. I have 4 cardiologist and I proved them all wrong. multigraincracker Sunday #35
Do not short change yourself - valve replacements are done every day. harumph Sunday #37
I'm sure you've looked into it. What are the outcomes of the replacement vs the injection for a man of your age and retread Sunday #38
It sounds to me as if you might have high lipoprotein (a), which is genetic. femmedem Sunday #39
Thanks. To be perfectly honest I only see four trials for PCSK9 inhibitors in aortic stenosis, three in China, one... NNadir 9 hrs ago #43
I understand what you mean about the positives of mortality. femmedem 8 hrs ago #44
Thanks. The drugs listed in the link are all "me too" PCSK9 inhibitors in the siRNA class except Muvalaplin, which... NNadir 7 hrs ago #45
Make sure they are measuring your apolipoprotein B (apo(b)) Ms. Toad Sunday #40
Wishing you good health for years to come! yardwork Sunday #41
not sure which is worse Skittles Sunday #42
Fingers crossed for approval . . . . hatrack 5 hrs ago #46
Have you looked into Repatha? GaYellowDawg 2 hrs ago #47
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