{"id":958,"date":"2025-11-17T14:22:53","date_gmt":"2025-11-17T14:22:53","guid":{"rendered":"https:\/\/kardio.pro\/?p=958"},"modified":"2026-01-08T17:09:19","modified_gmt":"2026-01-08T17:09:19","slug":"lipidology-your-specialist-for-fat-metabolism-disorders-and-cholesterol","status":"publish","type":"post","link":"https:\/\/kardio.pro\/en\/lipidology-your-specialist-for-fat-metabolism-disorders-and-cholesterol\/","title":{"rendered":"Lipidology: Your specialist for lipid metabolism disorders and cholesterol"},"content":{"rendered":"
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Lipidology: Your specialist for lipid metabolism disorders and cholesterol<\/h1>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Lipidology is the specialized field of internal medicine and cardiology that deals with the diagnosis, treatment and prevention of lipid metabolism disorders. Elevated blood lipid levels, especially high cholesterol, are among the greatest risk factors for heart attacks and strokes. As a certified lipidologist (DGFF\u00ae), Dr. Raphael Bruno offers you highly qualified care in this important field of preventive medicine in his practice. We translate complex laboratory values into a diagnosis that you can understand and develop a customized strategy to optimally adjust your blood lipids and protect your blood vessels.<\/p>

Why lipidology? The \u201esilent\u201c dangers of high blood lipid levels<\/b><\/p>

Metabolic disorders do not cause any noticeable symptoms for a long time. You don't feel ill, but a gradual and dangerous process can take place inside the blood vessels: arteriosclerosis, also known colloquially as \u201evascular calcification\u201c.<\/p>

Excess LDL cholesterol is deposited in the walls of the arteries. These deposits, known as plaques, lead to inflammation, constrict the vessels and make them rigid and brittle. If such a plaque ruptures, a blood clot can form which suddenly blocks a vessel - resulting in a heart attack or stroke. The Lipidology<\/b> aims to stop or slow down this process through early and consistent treatment of the underlying lipid metabolism disorder.<\/p>

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The spectrum of lipidology: more than just cholesterol<\/b><\/p>

When we talk about \u201eblood lipids\u201c, most people only think of cholesterol. The modern Lipidology<\/b> however, takes a far more differentiated view of the spectrum. For an accurate risk assessment, it is crucial to know and evaluate the various \u201eplayers\u201c in fat metabolism.<\/p>

The most important ApoA, ApoB, LDL subfractions at a glance<\/b><\/p>

Lipid value<\/p><\/td>

Designation (\u201enickname\u201c)<\/p><\/td>

Effect on the blood vessels<\/p><\/td>

General target area<\/p><\/td><\/tr>

LDL cholesterol<\/b><\/b><\/p><\/td>

\u201eBad\u201c cholesterol<\/p><\/td>

Promotes plaque formation (atherogenic)<\/p><\/td>

As low as possible, target value depends on individual risk<\/p><\/td><\/tr>

HDL cholesterol<\/b><\/b><\/p><\/td>

\u201eGood\u201c cholesterol<\/p><\/td>

Removes excess cholesterol from the blood vessels<\/p><\/td>

For men > 40 mg\/dl, for women > 50 mg\/dl<\/p><\/td><\/tr>

Triglycerides<\/b><\/b><\/p><\/td>

Neutral fats<\/p><\/td>

Can also have a vascular damaging effect in high concentrations<\/p><\/td>

< 150 mg\/dl<\/p><\/td><\/tr>

Lipoprotein(a) \/ Lp(a)<\/b><\/b><\/p><\/td>

\u201eParticularly bad\u201c cholesterol<\/p><\/td>

Strongly hereditary, promotes plaque formation and clot formation, 6x more dangerous than LDL<\/p><\/td>

< 30 mg\/dl or < 75 nmol\/l<\/p><\/td><\/tr><\/tbody><\/table>

In particular, the measurement of lipoprotein(a) is an important component of the specialized lipidological<\/b> diagnostics, as this value is an independent and often underestimated risk factor.<\/p>

Lipidological diagnostics: a detailed look at your blood lipids<\/b><\/p>

The basis of every treatment in the Lipidology<\/b> is precise and comprehensive diagnostics. This goes far beyond the measurement of total cholesterol.<\/p>

Our diagnostic steps include<\/b><\/b><\/p>

  1. Detailed anamnesis:<\/b> We specifically ask about your personal and family medical history. Were there any early heart attacks or strokes in your family? This may be an indication of a hereditary lipometabolic disorder.<\/li>
  2. Specialized blood analysis:<\/b> We determine a differentiated lipid profile which, in addition to LDL and HDL cholesterol, also includes triglycerides and, if indicated, the important lipoprotein(a) and apoA, apoB, LDL subfractions.<\/li>
  3. Holistic risk assessment:<\/b> The blood lipid values alone do not determine the therapy. We take into account all other risk factors such as high blood pressure, diabetes, smoking status and your age to calculate your individual overall risk.<\/li>
  4. Vascular check:<\/b> Using ultrasound of the carotid arteries, we can search for existing arteriosclerotic plaques. The detection of such plaques significantly influences the urgency and objectives of the therapy.<\/li><\/ol>

    Modern therapeutic approaches in lipidology<\/b><\/p>

    The aim of every treatment in the Lipidology<\/b> is to lower the \u201ebad\u201c LDL cholesterol to an individually defined target value. Modern therapy follows a step-by-step concept.<\/p>