A B C D E F G H I J K L M N O P Q R S T U V W X Y Z # |
Cardio IQ® Apolipoprotein Evaluation
Test Code91727
CPT Codes
82172 (x2)
Includes
Apolipoprotein A1
Apolipoprotein B
Apolipoprotein B/A1 Ratio
Apolipoprotein B
Apolipoprotein B/A1 Ratio
Preferred Specimen
1 mL serum
Minimum Volume
0.5 mL
Transport Container
Transport tube
Transport Temperature
Refrigerated (cold packs)
Specimen Stability
Room temperature: 7 days
Refrigerated: 7 days
Frozen: 30 days
Refrigerated: 7 days
Frozen: 30 days
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Grossly lipemic
Methodology
Immunoturbidimetric
Setup Schedule
Sun-fri
Reference Range
Apolipoprotein A1
Cardiovascular event risk category cut points (optimal, high) are based on the AMORIS study, Walldius G et al. J Intern Med. 2004;255:188-205.
A desirable treatment target may be <80 mg/dL or lower depending on the risk category of the patient including patients on lipid lowering therapies, patients with ASCVD, diabetes with >1 risk factors, Stage 3 or greater CKD with albuminuria, or heterozygous familial hypercholesterolemia. ApoB relative risk category cut points are based on AACE/ACE and ACC/AHA recommendations (Grundy SM, et al. 2019. doi:10.1016/j.jacc.2018.11.002; Handelsman Y, et al. 2020. doi:10.4158/CS-2020-0490).
Apolipoprotein B/A1 Ratio
Cardiovascular event risk category cut points (optimal, moderate, high) are based on the AMORIS study, Walldius G et al. J Intern Med. 2004;255:188-205.
Male | ≥115 mg/dL | |
Female | ≥125 mg/dL | |
Risk Category | Male | Female |
Optimal | ≥115 mg/dL | ≥125 mg/dL |
High | <115 mg/dL | <125 mg/dL |
Apolipoprotein B | <90 mg/dL |
Risk Category | |
Optimal | <90 mg/dL |
Moderate | 90-129 mg/dL |
High | ≥130 mg/dL |
Apolipoprotein B/A1 Ratio
Male | <0.77 | |
Female | <0.63 | |
Risk Category | Male | Female |
Optimal | <0.77 | <0.63 |
Moderate | 0.77-0.95 | 0.63-0.78 |
High | >0.95 | >0.78 |
Clinical Significance
Apolipoprotein A1 is the primary protein associated with HDL cholesterol. Like HDL cholesterol, increased concentrations are associated with reduced risk of cardiovascular disease. Apolipoprotein B-100 is the primary protein associated with LDL cholesterol and other lipid particles. Like LDL cholesterol, increased concentrations are associated with increased risk of cardiovascular disease. The ratio of these two apolipoproteins correlates with risk of cardiovascular disease.
Performing Laboratory
Cleveland HeartLab, Inc |
6701 Carnegie Avenue, Suite 500 |
Cleveland, OH 44103-4623 |
Last Updated: November 6, 2024