Having high Lp(a) or a strong family history of heart disease is detrimental, and having both is the worst-case scenario.

“published yesterday in the journal of the american college of cardiology is a study and a fantastic editorial and they looked at people with terrible family histories of heart disease and people who had lp little a issues or they didn't and the conclusion was simple don't have high lp little a if somehow you can avoid that which you can't don't have a terrible family history of coronary artery disease and i don't know how you avoid that but if you want the worst scenario don't have both lp little”