Lipids and Lipoproteins

Cholesterol

Chylomicron

Fatty Acid

Total cholesterol, triglyceride, HDL cholesterol, LDL cholesterol

In the fasting state, approximately 9 to 12 hours after eating

Cholesterol

Acetyl-coenzyme A

Lipase

Free cholesterol only

Chylomicrons

B-Hydroxybutyric acid

Sphingolipids

Cholesterol

Cholesterol

A specific enzyme deficiency or nonfunctional enzyme form

Lipids

High-density lipoproteins (HDLs)

Coronary artery disease

Fetal lung maturity

Triglyceride

LDL cholesterol

Heparin-manganese

Utilizes polymers and detergents that make the HIDL cholesterol soluble while keeping the other lipoproteins insoluble

20 mg/dL HDL cholesterol and 250 mg/dL total cholesterol

210

Twice average risk

Immunonephelometric assay

Lp(a)

Reference interval is artificially set to reflect good health even though Americans as a group have "normally" higher total cholesterol levels.

Send specimen to a lab that offers other techniques to separate more effectively the HDL cholesterol.

Increased total cholesterol, triglyc-eride, LDL, and VLDL

Was most likely not fasting when the specimen was drawn

Has secondary hyperlipidemia due to the diabetes