Aldl cholesterol
Unsurprisingly, the rates of cardiovascular events-cardiovascular death, MI, coronary revascularization, and stroke-were directly correlated with LDL-cholesterol levels after a median follow-up of 3.2 years. The corresponding rates of high-intensity statin use were 59%, 41%, and 13% ( P < 0.01 for trend). Median time to LDL measurement was 45 days. Median patient age was 63 years, 27% were women, and 62% presented with ACS. LDL cholesterol was measured in 52% of the population within 6 months of their procedure, and 57% had a measurement of below < 70 mg/dL, a traditional target for high-risk patients with atherosclerotic cardiovascular disease (ASCVD). “When you have changes in your life that you're put in a situation where you're not sure what to do next, having those conversations really empowers that,” he told TCTMD, adding that healthcare providers across the board “need to continue to make sure that people are on their therapies, that they're assessing them, that they're not overextrapolating the risk of statin therapy.”įor the study, published in the September 22, 2020, issue of the Journal of the American College of Cardiology, Maneesh Sud, MD (Sunnybrook Health Sciences Centre, University of Toronto, Canada), Ko, and colleagues included all 47,884 patients without severe comorbidities and who did not reside in a nursing home who underwent an index PCI in the province of Ontario between October 2011 and September 2014. “A lot of our patients after angioplasty, they kind of feel that ‘the doc fixed my lesion, I'm good, I'm going to take an aspirin and my dual antiplatelet therapy,’ and they kind of ignore everything else,” senior author Dennis Ko, MD (Institute for Clinical Evaluative Sciences and Peter Munk Cardiac Centre, Toronto, Canada), told TCTMD.Ĭraig Beavers, PharmD (University of Kentucky, Lexington), who wasn’t involved in the study, said when he counsels patients after PCI, he always stresses that the procedure has not cured their disease but rather acts as a temporary “Band-Aid,” and that they need to do more long-term work. This reflects “a gap in knowledge in terms of lipid management and statin management,” according to researchers. PCI, only about half of patients have their LDL cholesterol measured and, of those who do, fewer than 60% have levels below 70 mg/dL, according to new registry data from Ontario, Canada. Normal Ranges for LDL/HDL cholesterol ratio:Ĭhildren to up 18 years of age: Less than 2.5 Certain drugs such as statins can also help lower the LDL/HDL cholesterol ratio. Aerobic exercise and eating foods low in saturated fat improve the LDL/HDL cholesterol ratio. A high ratio means that there is too much LDL relative to HDL.
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Since LDL is “bad” and HDL is “good” it is best to have a lower LDL/HDL cholesterol ratio. They are released into the blood to move fats and cholesterol around the body.
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Both LDL and HDL are created by the liver. On the other hand, HDL tends to be protective against this damage, so higher levels of HDL are considered good. LDL is considered bad because high levels of LDL are associated with heart and blood vessel damage and disease. LDL is often considered “bad” cholesterol and HDL is “good” cholesterol. LDL stands for low density lipoprotein and HDL stands for high density lipoprotein. LDL/HDL cholesterol ratio is the ratio of two types of lipids in the blood.