I have no risk factors for heart disease. My total cholestorol is 184. My bad is 123. Am I okay?

Question

My HDL is 45, my LDL is 123 and my triglycerides are 82. I excercise on a treadmill 4-5 times a week for 40 minutes. I am not stressed and I watch my fat intake faithfully. Why is the LDL so high when it is supposed to be under l00?

Answer 1

There are no normal values for lipids such as triglycerides, total cholesterol, LDL cholesterol, and HDL cholesterol. The goal values are determined by a cardiovascular risk assessment. If you indeed have no risk factors for cardiovascular disease - present recommendations are for total cholesterol to be less than 200 mg/dL or 5.2 mmol/L and LDL cholesterol to be less than 160 mg/dL or 4.1 mmol/L. Thus - by these guidelines you are OK - but lipids play only a role in cardiovascular disease the nature of which remains incompletely understood. In my medical practice I have little interest in total cholesterol and use it only to calculate the total cholesterol to HDL ratio which should be less that 4.5. In my medical practice I do not use the Friedewald calculation of LDL which is what you refer to as it is hopelessly out of date. I directly measure LDL. I also determine LDL particle sub-type as dense LDL is more atherogenic than buoyant LDL. I measure IDL. I measure not only HDL but HDL2 (protective) and HDL3 (not so useful). I determine HDL particle sub-type as dense HDL is less protective and buoyant HDL is more protective. I determine the direct LDL to HDL ratio which should be less than 3.5. I measure Lp(a) and CRP. The point is that the role of lipids in cardiovascular disease is complex and incompletely understood. Thus - if lipid values are to be measured as a basis for advice and as a factor in deciding upon pharmacologic intervention a sophisticated approach is mandated.

Answer 2

1

Answer 3

I was about the same 2 years ago, LDL at 137. LDL/HDL ratio of 3.8.

NO risk factors except genetics, and overactive adrenal (stress) reaction in exciting movies, and some home stress with a cute teenage daughter and boy antics occasionally.

HT 6'0", WT 150, active and athletic. Good, but not great, diet.

I had massively clogged coronary arteries, started having severe angina, and had an emergency triple bypass. The continued exercise over many years had given me excellent collateralization of my heart, so I could still function up to the point I was about 99% blocked in two of three primary arteries.

Folks who do not exercise regularly usually end up dead from a massive heart attack. I only had pain, no attack, no loss of heart function.

WIthout an angiogram to check your pipes from the inside, you really can't be sure. Radiographic scan can provide some information on blockage, but not as good as an angiogram. Echocardiogram may not show any sign of blockage, only heart function. Two for me did not. EKG only indicates damage or irregularities. I had 6 that showed nothing, including after the angiogram and 10 hours before surgery.

Best of luck, but get a safe exercise plan, and a better diet. Stress less.

Answer 4

Respected mam/sir,
Total cholesterol should be less than 250 mg%
Triglycerides should be less than 200 mg%
High Density Cholesterol should be more than 35 mg% till 55 mg%
There are two more other cholesterol like (LDL and VLDL).
But specially one should have these above three in normal range.
One should keep their HDL cholesterol in between 40-55 mg%, then by the grace of God he will not face any cardiac vesicular blockage.
To keep the HDL cholesterol in normal range, Tuna Fish should be eaten much along with its skin, its skin is oily, even then, it helps to raise the HDL level in the blood.

Answer 5

WHAT IS YOUR FASTOING BLOOD GLUCOSE LEVEL?


ARE YOU SEVERELY STRESSED?


THESE 2 THINGS aARE DIRECTLY CAUSAL OF CORONARY HEART DISEASE


CHOLESTEROL DOES NOT CAUSE IT.




FORGET cholesterol


YOU DID NOT PROVIDE ENOUGH INFO. YOU ONLY PROVIDED A NONSENSE USELESS TEST DESIGNED TO MAKE MONEY FOR DOCTORS AND HOSPITALS AND PHARAMCUETICAL MANUFACTURERS- THEY ALL BENEFIT GREATLY FROM THE NONSENSE DISCREDITED SCIENTIFICALLY UNSUPPORTED LIPID HYPOITHESIS

SO WE CAN NOT TELL YOU IF YOU WILL BE OK