Tuesday, April 6, 2010

HIGH BLOOD CHOLESTEROL

High blood cholesterol and triglycerides
Definition
The medical term for high blood cholesterol and triglycerides is lipid disorder. Such a disorder occurs when you have too many fatty substances in your blood. These substances include cholesterol and triglycerides.
Alternative Names
Lipid disorders; Hyperlipoproteinemia; Hyperlipidemia; Dyslipidemia; Hypercholesterolemia
Causes, incidence, and risk factors
A lipid disorder increases your risk for atherosclerosis, and thus for heart disease, stroke, high blood pressure (hypertension), and other problems.
There are many types of cholesterol. The ones talked about most are:
Total cholesterol - all the cholesterols combined
HDL cholesterol - often called "good" cholesterol
LDL cholesterol - often called "bad" cholesterol
There are several genetic disorders (passed down through families) that lead to abnormal levels of cholesterol and triglycerides. They include:
Familial combined hyperlipidemia
Familial dysbetalipoproteinemia
Familial hypercholesterolemia
Familial hypertriglyceridemia
Abnormal cholesterol and triglyceride levels may also be caused by:
Being overweight or obese. See: Metabolic syndrome
Certain medications, including birth control pills, estrogen, corticosteroids, certain diuretics, beta blockers, and certain antidepressants
Diseases such as diabetes, hypothyroidism, Cushing syndrome, polycystic ovary syndrome, and kidney disease
Excessive alcohol use
Fatty diets that are high in saturated fats (found mainly in red meat, egg yolks, and high-fat dairy products) and trans fatty acids (found in commercial processed food products)
Lack of exercise
Smoking (which reducess HDL "good" cholesterol)
Lipid disorders are more common in men than in women.
Signs and tests
See Coronary risk profile for information on when to be tested.
Tests to diagnose a lipid disorder may include:
HDL test
LDL test
Lipoprotein-a analysis
Total cholesterol test
Triglyceride test
Treatment
Treatment depends on your age, health history, if you smoke, and other risk factors for heart disease, such as:
Diabetes
Poorly controlled high blood pressure
Family history of heart disease
The recommended values for adults are different depending on the above risk factors, but in general:
LDL: 70-130 mg/dL (lower numbers are better)
HDL: more than 40-60 mg/dL (high numbers are better)
Total cholesterol: less than 200 mg/dL (lower numbers are better)
Triglycerides: 10-150 mg/dL (lower numbers are better)
There are steps that everyone can take to improve their cholesterol levels, and help preven
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Continue reading this article
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