Low density lipoprotein cholesterol (LDL-C) is an important factor when assessing the risk for developing heart disease. LDL -particles, in particular those who are small and dense, are atherogenic and increase the risk of cardiovascular disease (CVD). There is a strong and graded correlation between LDL-C and the risk of CVD, both in women and men, although this has been debated by some investigators. The evidence that reducing plasma LDL cholesterol reduces CVD risk is unequivocal. According to the European Society of Cardiology, the results of epidemiological studies as well as trials with angiographic or clinical endpoints confirm that the reduction of LDL cholesterol must be
Coronary Artery Disease
The Obesity Paradox and Heart Disease
Most of us think obesity is bad. We tend to associate it with negative lifestyle habits, diabetes, heart disease and other chronic disorders. The recent obesity epidemic has been highlighted by the media, health professionals and many scientists. In the general population, obesity is associated with increased mortality and risk for cardiovascular disease. Weight reduction is considered a priority for … Read more
A Woman With High Cholesterol
Sandra is a 53 years old high school teacher. She is married and has three children. She has enjoyed good health all her life. There is no history of any serious illness. She was admitted to hospital once, when she was 13 years old and had to have an appendectomy. She smoked cigarettes for a few years, … Read more
Should I Take a Cholesterol Lowering Drug?
“Doctor, should I take a cholesterol lowering drug?” Although it sounds simple, it is one of the most difficult questions I face in my office. “What are the risks?” “What are the side effects?” Will I have to take it for the rest of my life? Patients are often anxious to know the right answers. … Read more
The Case Against Saturated Fat
Common knowledge is something we all regard as plain truth and does not need to be debated or discussed. Go for a walk on a rainy day and you’ll get wet. Staying for too long in the sun will make your skin burn. Drinking coffee before you go to sleep may keep you awake. Smoking may … Read more