The VAP (vertical auto profile) test is a cholesterol, lipid and lipoprotein test. The name "VAP test" was coined by the privately held cardio-diagnostic company Atherotech to identify their direct-measurement method, which categorizes not just total cholesterol, high-density lipoproteins (HDL), and low-density lipoproteins (LDL), but all lipids and subclasses, with an LDL measurement accuracy unaffected by triglycerides.
Atherotech claims their VAP test has a unique ability to identify far more areas of risk to patients than the standard lipid panel, specifically because it reports 15 separate components versus four in the standard cholesterol test. The more comprehensive test was shown to identify more than twice the number of patients with lipid abnormalities than the standard lipid panel (cholesterol and triglyceride test).
Unlike the standard lipid panel, the VAP test directly measures LDL. The test is also the only commercially available test that meets the new American Diabetes Association and American College of Cardiology (ADA-ACC) cholesterol guidelines for people at high risk of heart attack and stroke (including people with Type 2 diabetes mellitus). The ADA-ACC consensus statement establishes measurement and treatment guidelines for apoB in addition to LDL and non-HDL in high-risk patients. The VAP test is the first cholesterol profile to comply with updated National Cholesterol Education Program ATP III recommendations for LDL measurement and the only commercially available advanced lipid profile that routinely reports all three lipoprotein parameters considered necessary by the American Diabetes Association and American College of Cardiology expert consensus guidelines.
People with a family history or an existing condition of diabetes, high blood pressure or heart disease—or who are already taking cholesterol lowering medication—are candidates for the comprehensive VAP (vertical auto profile) test. In addition, those who do not score within the desirable ranges of the standard cholesterol test can opt for the more detailed test to assist in improved diagnosis by their physician.
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