Hyperlipidemia goals of blood lipids:
Lipid profile goals according to an expert panel: The Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol has established that the following lipid profile is optimal (as cited in Lichtenstein, 2006):
- LDL optimal under 100 mg/dl, near optimal 100-129 mg/dL, borderline high 130-159 mg/dL, high 160-189 mg/dL, and very high over 190 mg/dL.
- Total cholesterol is recommended to be under 200 mg/dL which is supported by the American Heart Association current guidelines (2).
- An HDL goal of over 40 mg/dL for men and over 50 mg/dL for women is generally supported, but no specific official goals for HDL cholesterol and triglycerides exist. The ideal HDL goal should be at least 60 mg/dl.
- The goal for triglycerides is generally supported to be under 150 mg/dL. An HDL under 40 mg/dL for men and under 50 mg/dL for women as well as a triglyceride level of over 150 mg/dL are all associated with metabolic syndrome.
Cardiologist, William C. Roberts, MD views the lipid profile goals to be more strict than the AHA and he recommends the following (1):
- Low density lipoprotein (LDL) cholesterol <100 mg/dL and ideally <70 mg/dL.
- Total cholesterol <150 mg/dL.
- High-density lipoprotein (HDL) cholesterol >20 mg/dL.
- The low HDL goal is rationalized by the author that levels below 20 are not dangerous if LDL and total cholesterol is also low.
Hyperlipidemia is a risk factor for coronary heart disease:
Coronary artery disease prevention and Integrative medicine therapy: Please see the section on coronary artery disease in Preventive Health Advisor.
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