CHD Risk and Your Lipid Profile

Everyone has heard about the connection between high levels of cholesterol and coronary heart disease (CHD), which accounts for about 500,000 deaths a year in the U.S. today.  As a health-conscious consumer, you're naturally concerned about your cholesterol level. But if you're like most other people, you find the language about cholesterol and other "lipids" - fatty substances in the body - confusing.  Here's a quick guide to help you

understand what the different types of lipids are, what the numbers mean, and what you can do to improve your lipid profile in an effort to reduce your risk of developing heart disease.
Look at the different lipid levels, and check your risk. Lipid levels are expressed as milligrams of lipid per deciliter of blood (mg/dl). The symbols used with these numbers are explained below.
Total Cholesterol - Everyone should know his or her total cholesterol level, which provides a rough estimate of heart disease risk. Cholesterol is transported through the blood stream by lipoproteins (lipid plus protein) carriers. Total cholesterol level includes the amount of cholesterol carried by HDL (high-density lipoprotein) and LDL, (low-density lipoprotein), as well as a small amount carried by very-low-density lipoprotein.  This measurement, however, does not give a specific value for each lipoprotein. The total cholesterol test is used to screen for heart disease risk or to monitor general progress in those on a special diet or medication for high cholesterol.
What's your  cholesterol level?
Desirable <200 mg/dl
Borderline high 200-239 mg/dl
High-risk > 240 mg/dl
HDL Cholesterol - HDL-C is known as the "good" cholesterol because higher HDL, levels are generally associated with lower risk for heart disease.   HDL-C is believed to take excess cholesterol away from coronary arteries.  The more HDL cholesterol you have, the better.  Everyone should know his or her HDL cholesterol.
What's your HDL cholesterol level?
Desirable >35 mg/dl
LDL Cholesterol - LDL-C is known as the "bad" cholesterol because too much LDL in the blood is associated with blockage of  the arteries in the heart.  LDL cholesterol is calculated in those who have a high total cholesterol level or other risk factors for heart disease.
What's your LDL cholesterol level?
Desirable  < 130 mg/dl
Borderline 130-159 mg/dl
High-risk > 160 mg/dl
Triglycerides -Triglyceride is a lipid that helps store fat in the body.  High glyceride levels can cause inflammation of the pancreas, and elevated levels of triglyceride may play a role in heart disease risk
What's your triglyceride level?
Desirable < 250 mg/dl
Review your lipid tests with your physician. Assessing heart disease risk is a process that should be performed under your doctor's guidance.  Together you can develop your personal plan for action. Some patients, such as those with high total cholesterol, hypertension, or coronary heart disease (among other patient groups), should have a complete lipoprotein profile, which includes determinations of total cholesterol, HDL-C, triglyceride, and LDL-C.
Make changes that can improve your lipid profile to help reduce your risk of heart disease.
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Smoking. Smoking lowers your HDL, ("good") cholesterol level. Smoking in itself is a major risk factor for heart disease
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Change the Way you Eat.  Low-fat, low-cholesterol eating benefits all your lipid levels.
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Lose Weight if necessary.  A healthy, low-fat diet will also help you lose weight, and that helps all your lipids, too.
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Start Exercising. Talk to your doctor about a sensible exercise plan for you. An active lifestyle helps all the lipids, keeps  you trim and fit, and give you energy, too!

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