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| High Cholesterol(Cholesterol, High; Hypercholesterolemia)
by
Rosalyn Carson-DeWitt, MD DefinitionCholesterol is a type of lipid in the blood. High cholesterol is an abnormally high level of cholesterol in the blood. There are different types of cholesterol in your blood including:
Risk Factors TOPFactors that may increase your risk of high cholesterol include: Symptoms TOPIt is rare for high cholesterol to cause symptoms. However, high cholesterol can increase your risk of atherosclerosis. This is a dangerous hardening of the arteries. It can block the flow of blood. Some complications of atherosclerosis include:
Some people with high cholesterol may also have cholesterol deposits in tendons, under the eyes, or in the eye.
Diagnosis TOPYour doctor will ask about your symptoms and medical history. A physical exam will be done. Your doctor will ask about factors that may increase your risk of heart disease or stroke. A blood test will also be done. Blood will be sent to a lab to measure lipid levels in your blood. Tests may include:
Your doctor may do other tests to look for other conditions that can be associated with high cholesterol levels. Treatment TOPTalk to your doctor about the best treatment plan for you. Treatment is aimed at decreasing your LDL cholesterol levels and decreasing your risk for heart disease and stroke. Options include: Nutritional ChangesTalk to your doctor about the best meal plan for you. Consider the following changes:
Lifestyle Changes
Cholesterol-Lowering MedicationYour doctor may prescribe medications statins to help lower your cholesterol. Statins have been shown to reduce mortality, heart attacks, and stroke. These medicines are best used as additions to diet and exercise. They should not be use in place of healthy lifestyle changes. Prevention TOPTo help reduce your chance of getting high cholesterol, follow the lifestyle and nutrition changes above. RESOURCES:American Heart Association http://www.heart.org National Heart, Lung, and Blood Institute http://www.nhlbi.nih.gov CANADIAN RESOURCES:Canadian Cardiovascular Society http://www.ccs.ca/home/index_e.aspx Heart and Stroke Foundation of Canada http://www.heartandstroke.com References:
Cholesterol. American Heart Association
website. Available at:
http://www.heart.o.... Accessed March 22, 2013.
Explore high cholesterol.
National Heart, Lung, and Blood Institute
website. Available at:
http://www.nhlbi.nih.gov/health/health-topics/topics/hbc/. Updated September 19, 2012. Accessed March 22. 2013.
Hypercholesterolemia. EBSCO DynaMed website. Available at:
http://www.ebscohost.com/dynamed/what.php. Updated February 7, 2013. Accessed March 22, 2013.
Lipid-lowering pharmacotherapy overview. EBSCO DynaMed website. Available at:
http://www.ebscohost.com/dynamed/what.php. Updated March 3, 2013. Accessed March 22, 2013.
Third report of the expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III). National Cholesterol Education Program website. Available at:
http://www.nhlbi.nih.gov/guidelines/cholesterol/index.htm. Updated 2004. Accessed March 22, 2013.
12/14/2009 DynaMed's Systematic Literature Surveillance
http://www.ebscohost.com/dynamed/what.php: Ferdowsian HR, Barnard ND. Effects of plant-based diets on plasma lipids.
Am J Cardiol. 2009;104(7):947-956.
Last reviewed February 2013 by Brian Randall, MD Last Updated: 3/22/2013 | |||||||||||
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