Updated
Updated · The Wire · Aug 8
Guidelines Urge Lipid Screening From Age 9, Adding Once-in-Life Lp(a) Tests
Updated
Updated · The Wire · Aug 8

Guidelines Urge Lipid Screening From Age 9, Adding Once-in-Life Lp(a) Tests

3 articles · Updated · The Wire · Aug 8

Summary

  • Universal screening should start at ages 9 to 11, with baseline lipid testing from age 19 and repeat checks at least every five years in adults, according to March 2026 dyslipidaemia guidelines.
  • Lp(a) should be measured at least once in all adults to uncover inherited cardiovascular risk, while ApoB testing is advised for higher-risk patients such as those with diabetes, high triglycerides or established heart disease.
  • The push reflects the scale of hidden risk: India records about 5,700 heart attacks a day, and cardiovascular disease causes roughly 2.8 million deaths a year, or 27% of all deaths.
  • The guidelines frame dyslipidaemia as a long-building driver of atherosclerosis, with elevated LDL and triglycerides silently promoting plaque buildup years before heart attacks or strokes appear.

Insights

A one-time blood test can reveal lifelong heart risk—so what should patients actually do if their Lp(a) comes back high?
If one in five adults may carry a hidden inherited heart risk, why isn’t the Lp(a) test already routine with cholesterol screening?