The Modern-Day Heart Patient – From One Risk Profile to Another

Although the death rate from coronary heart disease (CHD) has declined rapidly during the last few decades, CHD remains the most common cause of death in most countries around the world. The reduction in death rate is partly due to fewer people being diagnosed with CHD and partly due to a better prognosis of those … Read more

10 Pitfalls of Using LDL Cholesterol to Assess Risk

Blood levels of low-density lipoprotein cholesterol (LDL-C), commonly termed the “bad cholesterol” are widely used to assess the risk of future heart disease. A traditional lipid panel measures total cholesterol, triglycerides, and high-density lipoprotein cholesterol (HDL-C). These numbers are then used to calculate LDL-C which has been found to be strongly correlated with the risk of cardiovascular disease … Read more

Non-HDL cholesterol (non-HDL-C)

A standard lipid profile is commonly used to assess the risk of heart disease. Such a profile includes measurements of total cholesterol, triglycerides and high density lipoprotein cholesterol (HDL-C). These numbers are then used to calculate low density lipoprotein cholesterol (LDL-C) according to the so-called Friedewald formula. However, calculation of LDL-C has several limitations and should not … Read more

Low Carb Diet Best for Obesity According to Swedish Health Authorities

Six months ago I wrote a blog post named “Low Carb Diets and Heart Disease. What Are We Afraid of?“ One of the concluding remarks of my article was: “I look forward to the day when low-carb, high-fat diets are accepted by public health representatives and medical associations for the treatment of obesity, metabolic syndrome and type … Read more

Taxing Animal Fat Is Necessary – Still Chasing the Usual Suspects

New Nordic/Scandinavian public recommendations on diet and nutrition will be published this autumn. According to an article (English version-Google translation) published in a Swedish newspaper last week the new guidelines will underscore the risks of animal-derived saturated fats. The article is written by three Swedes, two of whom are experts in the field of health and nutrition. … Read more

10 Scientific Facts About Diet and Inflammation

Most of us realize that lifestyle plays a profound role in many of the chronic diseases of modern society. Despite our knowledge, it seems that somewhere along the path we have gone astray. Body weight is on the rise and people are becoming more sedentary. Obesity, the metabolic syndrome, and type-2 diabetes are becoming public … Read more

Low Carb and Cholesterol – A Case History

Three months ago I had a visit from a 53 year old gentleman who was worried about his health. His name is Peter. He had been gaining weight for some time, his knees were aching and he was having trouble playing his weekly tennis with his old classmates. He told me he had probably put on approximately … Read more

Heart Attack and Sudden Death. “It’s the particles stupid”.

Actor James Gandolfini’s sudden and tragic passing has cruelly reminded us about the seriousness and unpredictability of cardiovascular disease. Sudden death in middle age is most often caused by underlying coronary heart disease (CHD). One has to wonder, in light of current knowledge and modern technology, why we can not prevent such devastating events. One explanation … Read more

Statins and Heart Disease – Do Women Differ From Men?

Recent studies have shown that the symptoms of heart disease may differ between men and women. For example, women are less likely than men to have chest pain while suffering an acute heart attack (acute myocardial infarction). This may delay diagnosis and may partly explain why women seem to fare worse than men under these … Read more

Low Carb Diets and Heart Disease – What Are We Afraid of?

I find it extraordinary how carbohydrate restriction is repeatedly rejected by the medical community as an alternative approach for obesity, the metabolic syndrome and type 2 diabetes. Obesity has reached epidemic proportions in many countries around the world. Diabetes and other obesity related disorders have become increasingly common. Public health organizations and medical societies usually … Read more