Worried About Cholesterol ?

Truth that we should know :

 Everyone's blood naturally contains cholesterol, which supports bodily processes. Bad cholesterol isn't actually a substantial risk factor for heart attack, heart disease, or stroke unless it leads to plaque buildup in your arteries.

Actually, there are numerous varieties of cholesterol. Low-density lipoprotein (LDL), also referred to as "bad" cholesterol, is the one that needs the most attention. It may be necessary to take medicine or alter your lifestyle to lower high levels of this substance in the blood.
LDL cholesterol levels play a significant role in cardiovascular disease risk.

How does it feel to have high cholesterol?

No symptoms exist for high cholesterol. The only method to determine if you have it is through a blood test.

Are my cholesterol readings cause for concern?

Adults are regarded to have healthy total cholesterol levels if they fall below 200 mg/dL.

200 to 239 mg/dL is considered to be borderline high.

A value of 240 mg/dL or higher is regarded as high.

Less than 100 mg/dL of LDL cholesterol is ideal.

For those who are in good health, 100-129 mg/dL is fine; however, those who have heart disease or risk factors for heart disease should be concerned.

Borderline high is 130–159 mg/dL.

High levels of 160–189 mg/dL are considered.

A very high level is 190 mg/dL or greater.

It is best to keep HDL levels high. A value of 60 mg/dL or greater for HDL levels is ideal.

A significant risk factor for heart disease can be a level that is lower than 40 mg/dL.

A borderline low value ranges from 41 mg/dL to 59 mg/dL.

lowering cholesterol prevention

There are four basic lifestyle choices that people can make if they want to lower their cholesterol or keep it at a healthy level.

frequently engage in heart-healthy exercise

avoid smoking, get a healthy weight, and keep it there.

By doing these steps, the risk of heart attack and coronary artery disease is decreased.

Since 2013, recommendations for lowering or preventing high cholesterol have placed a strong emphasis on managing lifestyle risks, even in children.

Since 2018, updated rules A Trusted Source article that appeared in the Journal of the American College of Cardiology recommended physicians to advise patients about the following risk factors:

both ethnicity and family history

several medical disorders, including chronic renal disease or chronic inflammatory diseases, raise the likelihood of having high cholesterol.

A more individualised approach to the treatment and prevention of high cholesterol will result from taking these factors into account.

What are the remedies for high cholesterol?

There are numerous methods for treating excessive cholesterol, including:

Therapy for reducing lipids

Drug therapy for someone with high cholesterol will depend on that person's cholesterol level and other risk factors.

Diet and exercise are typically the first recommendations, but those who are at greater risk of having a heart attack might also need to take statins or other drugs.

The most popular class of medications 

used to decrease cholesterol is statins. The statins that can be obtained in the US with a prescription include:

atorvastatin (brand named Lipitor) (brand named Lipitor)

fluvastatin (Lescol) (Lescol)

lovastatin, pravastatin, and mevacor (Pravachol)

Simvastatin with calcium rosuvastatin (Crestor) (Zocor)

In addition to statins, a doctor might advise:

resins, fibrates, niacin, and specific cholesterol absorption inhibitors

Researchers reported in 2017 that ezetimibe, a novel medication, can considerably lower the risk of a major cardiovascular event in individuals with a high risk of such occurrences. Etezimibe lowers lipid levels by preventing the intestinal absorption of cholesterol.

Pro-protein convertase subtilisin/kexin 9 (PCSK9) inhibitors were another novel class of medication described by the authors of the revised. There is proof that these medications, especially when used with ezetimibe, can lower cholesterol levels.

2018 saw new regulations.

Depending on how high a person's danger is, Trusted Source advised using a tiered approach.

A doctor might advise using ezetimibe in addition to a statin if a patient has already experienced a cardiovascular event, like a heart attack. The recommendations also include adding a PCSK9 inhibitor for people who are extremely at risk.

However, the recommendations also mention that PCSK9 inhibitors can be costly and that insurance companies might not pay for them. Because of this, choosing this choice is probably only appropriate for people who are very high risk.

Safety of statins

Because statins can have side effects like any other medication, their usage has generated some discussion.

These consist of:

Although this is hotly contested, statin-induced myopathy (a condition of the muscle tissue) fatigues a little higher risk of diabetes and diabetic complications.

Without seeing a doctor, a person shouldn't discontinue taking a statin because doing so could increase their risk of cardiovascular issues.

A physician might advise:

In the past, lowering cholesterol to a specific level, like below 100 mg/dL, was the goal, but this is no longer the case.

Clinical trials that were randomised and under control did not yield sufficient results to support treatment directed at a particular target.

Targets may still be used by some medical professionals to direct therapy, though.

10-year heart attack risk

Within the next 10 years, a person's likelihood of having a heart attack is significantly influenced by their cholesterol levels.

The National Heart, Lung, and Blood Institute offers a cardiovascular risk calculator online.

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