Understanding Healthy LDL Levels

Introduction

LDL (Low-Density Lipoprotein) is often called 'bad cholesterol' because high levels can lead to plaque buildup in arteries and increase the risk of heart disease and stroke.

Healthy LDL Levels

  • Optimal: Less than 100 mg/dL
  • Near Optimal: 100-129 mg/dL
  • Borderline High: 130-159 mg/dL
  • High: 160-189 mg/dL
  • Very High: 190 mg/dL and above

Why High LDL is Dangerous

When LDL levels are high, excess cholesterol builds up in the arteries, leading to atherosclerosis (narrowing and hardening of arteries), increasing the risk of: - Heart attacks - Stroke - Peripheral artery disease

How to Maintain Healthy LDL Levels

Lifestyle Changes:

  • Healthy Diet: Reduce saturated fats (found in red meat and full-fat dairy) and trans fats (found in processed foods).
  • Increase Fiber: Eat more vegetables, fruits, and whole grains.
  • Exercise Regularly: At least 150 minutes of moderate exercise per week.
  • Maintain a Healthy Weight: Obesity increases LDL levels.
  • Quit Smoking: Smoking worsens cholesterol balance.

Medications:

  • Statins: Lower LDL and reduce cardiovascular risk.
  • Ezetimibe: Reduces cholesterol absorption in the intestine.
  • PCSK9 Inhibitors: Help lower LDL in patients with very high cholesterol.

When to Get Tested?

  • Adults over 20 should have their cholesterol levels checked at least every 4-6 years.
  • Those with risk factors (family history, obesity, diabetes, smoking) should check more often.

Maintaining healthy LDL levels is essential for heart health. A balanced lifestyle and, if necessary, medical treatment can help keep it under control.

Source recommendations

1. American College of Cardiology and American Heart Association Guidelines on Management of Blood Cholesterol

  1. https://www.ahajournals.org/doi/10.1161/cir.0000000000000625
  2. https://www.acc.org/~/media/Non-Clinical/Files-PDFs-Excel-MS-Word-etc/Guidelines/2018/Guidelines-Made-Simple-Tool-2018-Cholesterol.pdf
  3. https://pubmed.ncbi.nlm.nih.gov/30423391/
  4. https://www.acc.org/Guidelines/Hubs/Blood-Cholesterol
  5. https://www.jacc.org/doi/10.1016/j.jacc.2022.07.006

2. European Society of Cardiology Guidelines on Dyslipidemias

  1. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Dyslipidaemias-Management-of
  2. https://academic.oup.com/eurheartj/article/41/1/111/5556353
  3. https://www.escardio.org/static-file/Escardio/Guidelines/publications/DYSLIPguidelines-dyslipidemias-FT.pdf
  4. https://pubmed.ncbi.nlm.nih.gov/21712404/
  5. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/CVD-and-Diabetes-Guidelines

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