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The APOE gene influences both your risk of a heart attack, and your best approach to lower cholesterol levels. Find out your risk and the best treatment option for you.
Cardiovascular disease (CVD) is a group of conditions affecting the heart and blood vessels. The primary cause is often atherosclerosis – a fatty buildup inside blood vessels leading to plaque. This condition can:
Other CVDs include heart failure (ineffective blood pumping), arrhythmia (uneven heartbeats), and stenosis (faulty heart valves).
A key risk factor is high “bad” cholesterol (LDL-cholesterol) in the blood. This can lead to fatty buildup in vessels and plaque formation. Elevated LDL-cholesterol can come from:
The APOE gene helps regulate cholesterol. There are three common APOE versions (alleles): e2, e3, and e4.
Different APOE versions also affect response to diet and cholesterol drugs called statins. People with e3/e3 and e2/e3 genotypes often respond well to statins.
Those with e2/e2 also respond to statins but do better on low-sugar/carb diets. People at higher CVD risk from e3/e4 or e4/e4 genotypes respond poorly to statins. For them, a low-fat diet works better to lower LDL before CVD develops.
DNA testing can identify which APOE alleles you’ve inherited. With three possible alleles (e2, e3, e4), you can either inherit two identical alleles or two different ones. Here’s what each combination suggests:
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