Video interview at ACC.12 with Eliot Brinton, MD, on the VAP Lipid Panel





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Published on Mar 25, 2012


Dr. Eliot Brinton talks from the ACC.12 Expo on the value of the VAP Cholesterol Test and Atherotech's offering of cardiometabolic panels.

Title of segment: Interview at ACC.12 with Eliot Brinton, MD, on the VAP Lipid Panel
Place: American College of Cardiology Scientific Sessions 2012
Speaker: Eliot Brinton, MD

I'm Eliot Brinton, and I am trained in endocrinology, but my focus is lipidology. I am an Adjunct at the University of Utah. I'm also with the Utah Foundation for Biomedical Research, and I'm also with the Utah Lipid Center. So I do teaching, patient care, and research regarding lipids. I'm also a Scientific Advisor to Atherotech.

One of the reasons that I am eager to and glad to be affiliated with Atherotech is because I think that they give us a good test. I think that VAP is something that is very helpful, can be very helpful in the practice of lipidology.

Now, in what aspects and what ways? Well, certainly the LDL particle size story is a good one. I think it is helpful for us to know if the patient is predominantly with a small LDL versus a large LDL. Obviously, if somebody has a small LDL, we have to then not take that LDL cholesterol for granted. That's really not the best metric if the LDL is small. We also have the remnant particles that I think are very useful. The cholesterol content of those remnants, which is given to us as a separate number, I think that's helpful.

I think it's helpful to have a test that is valid in a non-fasting specimen. I find it useful to have the Lp(a) as part of a package where I don't have to pay extra to get that Lp(a) level. Granted, it's a cholesterol level instead of the protein. These seem to be reasonably well correlated with each other, and so if I'm thinking in the back of my mind, is this somebody who could have a high Lp(a) level, I can look at the Lp(a) cholesterol from the VAP and get an idea without having to go out of my way to do an extra test.

I also find it useful to have the panels offered by Atherotech, where I can get the Vitamin D as part of the panel. I don't have to do that as a separate test. I can get an Lp-PLA2. I can get a CRP. I can get a serum creatinine. I can get all these extra tests that, to me, are really quite valuable, quite advantageous. It's just very user friendly.

So I find that the ability to get these in single one-stop shopping, they provide me with the kits and make it easy for me to send. They're very quick about getting the answers back to me. There are really a lot of things I think that are good, and maybe the most important of all is that they're able to do this in a very cost-effective way as far as the patient is concerned. I don't have to worry about the patient getting a huge bill, a huge co-pay, and coming back to me and saying, "Why are you spending hundreds of dollars on my testing?"

It's nice to know that Atherotech is a company that has figured out the insurance angle so that they can deliver this in a way that it's not going to bankrupt my patient or make them angry because I've ordered too many tests. So I have had a very good experience with it, and I think it's just really helpful to have this well validated, ultra centrifugal method that can supplement and, in some cases, I think replace the standard lipid panel.


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