Elevated levels of cholesterol, particularly low-density lipoprotein cholesterol (bad cholesterol), are etiological risk factors for atherosclerotic cardiovascular disease.
Judging whether your "bad cholesterol" (LDL cholesterol) is high or not? Is intervention needed? What are the goals of the intervention? People tend to look at the reference range on the lipid test. Depending on this range, the indicator arrows for your own test results are facing up or down. If the arrow does not point upwards, it is safe; if the arrow points downward, it means that the "bad cholesterol" is low, and the statin is reduced. In fact, the range of reference values on this test form is often misleading to patients. It should be clearly emphasized that there can be no one-size-fits-all, with the same frame of reference. Patients at greater risk of coronary heart disease or ischemic stroke should have lower levels of "bad cholesterol."
LDL-C treatment goals for people at different risk of cardiovascular disease:
★ Patients with pre-existing coronary heart disease, stroke, or peripheral vascular disease
LDL-C treatment goals: statins should be used as early as possible, along with lifestyle changes. LDL-C should be reduced to <1.8 mmol/L (70 mg/dl)
★ People with diabetes mellitus have high blood pressure or smoking
LDL-C treatment objectives: LDL-C should be reduced to <1.8 mmol/L (70 mg/dl)
★Diabetics over 40 years of age, no high blood pressure and no smoking
LDL-C treatment target: 2.6 mmol/L (100 mg/dl)
★ High blood pressure, age 65, or smoking
★ Young and healthy people
LDL-C treatment target: 3.4 mmol/L (130 mg/dl), ideally 2.6 mmol/L (100 mg/dl)
In the first group of patients, equal-dose statins are used, i.e., the conventional one-tablet dose of various statins. If bad cholesterol drops below 1.8 mmol/L, add half to one piece of ezettomeric cloth (5-10 mg). After the decline reaches the standard, it is necessary to adhere to the medication, and it is not appropriate to reduce the amount at will.
In the second and third groups of people, while changing their lifestyle and carefully controlling diabetes and hypertension, even if the test list shows that the level of bad cholesterol is "not high", that is, the arrow is not up, a small dose of statin, that is, a half tablet of various conventional doses. If the test sheet shows an increase in the level of bad cholesterol, that is, the arrow is indicated upwards, a medium dose statin can be used, and if necessary, a combination of ezezerme cloth.
Adolescents maintain ideal levels of cholesterol, except for a small number of patients with high cholesterol levels in familial hereditary hypercholesterolemia need to be actively and forcefully treated, most should not use statins, but should cultivate a healthy lifestyle from an early age or change unhealthy lifestyle. If you can keep your bad cholesterol level below 2.6 mmol/L from an early age, you have a very small risk of atherosclerotic cardiovascular disease throughout your life.
Epidemiological studies have shown that when levels of good cholesterol (high-density lipoprotein cholesterol) are low, the risk of coronary heart disease increases. But so far, all drugs that can raise good cholesterol have not reduced the risk of coronary heart disease, or even harmful. The safe and effective way to raise good cholesterol is to adhere to aerobic exercise, step by step, and gradually improve the ability to exercise aerobic exercise.
--Excerpt from "Hu Dayi Talks about Health, Talks About Doctors and Diseases -- Good Blood Vessels, Good Mentality, Good Life"