LDL is the most terrible blood lipid, the most dangerous blood lipid. It is the "culprit" of cardiovascular and cerebrovascular diseases.
Are you low-density lipoprotein exceeding the standard? Anyway, you first open your lipid test list to see, and then Dr. Zhang will teach you to understand the lipid test form by hand.
As we all know, LDL is the worst blood lipid, which is the "bad blood lipid" in blood lipids. The reason why this serebaceous lipid is considered to be the worst is because it can lead to the occurrence and development of cardiovascular and cerebrovascular diseases. It can even be said that LDL is the "culprit" that causes the occurrence of atherosclerotic plaques based on pathology of cardiovascular and cerebrovascular diseases. Therefore, until now, the medical community still defines low-density lipoprotein as the primary indicator of control of cardiovascular and cerebrovascular diseases. So, how much is LDL elevated? Who is at the highest risk among the many patients with elevated LDL? Today, Dr. Zhang will use an article to explain this problem to everyone
First, how high is LDL elevated?
The increase in the indicator of low-density lipoprotein is different for different people.
Generally speaking, the average healthy adult, higher than 3.9 mmol/l is elevated;
In patients with hypertension, higher than 3.4 mmol/l is elevated;
In diabetic patients, higher than 2.6 mmol/l is elevated;
In patients with cardiovascular and cerebrovascular diseases, higher than 1.8 mmol/l is elevated.
So, is your LDL high? Everyone can completely sit in the right seat according to their own situation.
Who is the most dangerous?
The risk is also different in many patients with elevated LDL. Some of them are the most dangerous. As early as 2013, the United States for the first time defined people with low-density lipoprotein higher than 4.9 mmol/l as a high-risk group of severe hypercholesterolemia, which has the highest risk of cardiovascular and cerebrovascular diseases in the future. For this part, as long as the doctor finds out, you can immediately start a high-intensity statin treatment plan, or a medium-intensity statin + ezezermab treatment plan. At the 2016 annual meeting of the American College of Cardiology, it was also pointed out that for this part of the patients with severe high cholesterol lipids, it is also highly suspected that it may be "familial hypercholesterolemia", and attention should be paid to genetic testing to check for screening, 3 abnormal genes include: low-density lipoprotein receptor gene mutation, apolipoprotein B gene mutation and PCSK9 enhanced gene mutation. Therefore, in the real world clinically, Dr. Zhang recommends that those patients with LDL above 4.9mmol/l recommend that they check for genetic testing as long as conditions permit.
Third, is it that people with LDL higher than 4.9 mmol/l have genetic problems?
After reading the above introduction, many patients with LDL above 4.9mmol/l will definitely ask whether such patients have genetic problems. This is not the case. Research data from the American medical community in this regard show that in the population of low-density lipoprotein higher than 4.9 mmol/l, only 1.7% of people can be diagnosed with "familial hypercholesterolemia", which is a minority. The vast majority of people, the main reason why LDL is so high, is due to an unhealthy lifestyle. Therefore, if your LDL is higher than 4.9mmol/l, in addition to considering genetic abnormalities, it is mainly necessary to reflect on whether your lifestyle is healthy, whether your diet is healthy enough, whether you insist on physical exercise, and whether your weight is excessive, which is the most important crux.
Speaking of which, in the end, for those with LDL above 4.9 mmol/l, the first thing you have to pay attention to is whether there is a problem at the genetic level, that is, whether there is a genetic mutation; the second is to reflect on whether their lifestyle is healthy, because after all, the vast majority of patients with severe hypercholesterolemia are still unhealthy lifestyles. Everyone can first reflect on whether they go out to drink all day to eat unhealthy food, whether they have a fat little belly, whether they do not do physical exercise, whether they often stay up late to look at mobile phones, and so on. After all, this is where most people's blood lipids rise. What Dr. Zhang said today, did everyone listen to it in their hearts?
Unhealthy lifestyle
In fact, to put it bluntly, an unhealthy lifestyle is the most terrible lipid-boosting factor. Everyone must stay away from these unhealthy lifestyles. I hope that today's introduction can help everyone and benefit more people.