Cholesterol: A Patient Conversation

JF’s risk factors include her age (79), hypertension, and previous history of coronary arterial disease (NSTEMI about 10 years ago) (1). JF’s current medications do not contribute to her dyslipidemia (1). She does not have a family history of premature cardiovascular diseases. Secondary prevention of cardiovascular events and all-cause-mortality are the primary outcomes for JF’s lipid-lowering therapy. JF was previously stable on atorvastatin for many years and thus has not had lipid testing in the past year. JF recalls meeting her cholesterol targets previously (LDL ~2.0 mmol/L, HDL ~1.2 mmol/L, TG and TC unknown). The recommended target values for post-MI patients are LDL-C of <2.0 mmol/L, and HDL-C <2.6 mmol/L (1 ,2). However, no clinical studies thus far have directly evaluated the benefits of titrating statin dose to achieve target values. A different fix-dose approach involves giving patients the same doses that were shown to produce clinical benefits in trials regardless of how much LDL-C reduction was achieved (1, 2). Using this approach, lipid measurements are only used to monitor for adherence and safety (in case LDL-C too low) (1). Patients with prior history of CAD are considered high-risk (Framingham risk >20%) regardless of their lipid

They are many treatments for treating high cholesterol. Many people, making changes to their lifestyle doing activities such as eating better, losing weight, and exercising will be enough to lower cholesterol meanwhile others may benefit from medicines. They’re not much side effects from medications used to treat high cholesterol. Statins are the number one drug used to treat high cholesterol. Statins can lower the risk of heart attack or stroke. Other medications can improve cholesterol levels, but they have not been proven to lower the risk of a heart attack or a stroke. Statin side effects can be uncomfortable, making it seem like the risks outweigh the benefits of these powerful cholesterol-lowering medications. (Mayo Clinic Staff) Side effects of statin is muscle pain and damage, liver damage, digestive problems, rash or flushing, increased blood sugar or type 2 diabetes, and neurological side effects.

Cholesterol is a waxy lipid found in all body cells; it has a structure containing multiple chemical rings and is found only in foods of animal origin.

High cholesterol can be avoided with many different easy ways that benefits the body in other ways. According to studies from NHBLI, saturated fats and diets high in cholesterol should be avoided to lower cholesterol. Saturated fat is the main reason of high cholesterol. Saturated means that means that it contains liquid, or is a a watery type substance. Eating cholesterol directly is also a main reason for high cholesterol after a person eats a meal that is very high in cholesterol. Studies from NHBLI prove that being more physically active can reduce the chances of high

Hi Mr. Brown how are you today? On today`s visit we will be going over your cholesterol panel we receive back all your test results for your cholesterol levels. Your triglycerides levels are at 145 milligrams per deciliter. Your levels are under the normal range of 145 milligrams per deciliter, which is good because your levels are under the high borderline which is between 150 to 199 milligrams per deciliter. This is great that your levels are normal Mr. Brown because Triglycerides are a type of fat known as lipid that’s found in your blood. When you eat food, your body converts any calories it doesn 't need to use right away into triglycerides. The triglycerides are stored in your fat cells. After the hormones are released into triglycerides for energy between meals. If you eat more calories than you burn, then the calories like fats and carbohydrates, can cause you to have a high triglycerides result. So basically, Triglycerides help in the digesting process and breaking down the fats in the food we eat. The results for your cholesterol level are 210 milligrams per deciliter which is borderline high considering, the normal range for cholesterol levels are less than 180 milligrams per deciliter. Since your body has to have cholesterol to make Vitamin D, your hormones, and it also helps with the digestion of the meals you eat. See cholesterol is like a wax, fat like substance that is found in the cells in our bodies.

Cholesterol carries lipid in your blood. Lipids is a fatty tissues found in the membrane of the body tissues, it is a source of fat. It is transported in the blood plasma of the body.

So based on my family history it is mostly likely that I myself will have it someday, unless I do things to prevent high cholesterol such as exercising and eating fruits and vegetables. The last main cause of high cholesterol is that it could be because of your gender and age an example would be that elderly men have a tendency of having a high cholesterol. There seems to be no history of high cholesterol or discovery of it in the past time due to my research. According to Dr Paulysney Guerrero the symptoms of high cholesterol involve "Dizziness, weakness, nauseas. However, some patients do not show any symptoms at all" Guerrero explains. Basically the only main way to tell is by having the person go through a blood examination. For example when the doctor had sent me to get a blood examination to see what my cholesterol level was (basically to see if I was healthy) I was sent to Labcorp and so they took some blood and so as a result my it was confirmed based on my blood examination that my blood was so far normal and that my cholesterol level was fine as well .Usually when the blood pressure is really high the treatment that is used immediately is medication in order to have the cholesterol at a well and balanced level. An example would be Alfonso Sanchez "when the doctor had discovered how severe my cholesterol was

Our body make 2000mg every single day and every single cell in our body make cholesterol. HDL levels appear to be strongly influenced by a mixture of genetic and environmental factors. Besides taking medication, there are other ways to boost the HDL levels which are do moderate exercise about 30 minutes five times a week. You can also even do the brisk walking to raise up your HDL levels. Other than that, Eat healthy by including lots of fruits, vegetables, whole grains and lean sources of protein in your diet. Also be sure to include monounsaturated fats in your diet. These are fats that are beneficial to your heart and include the fats found in seafood, and certain nuts, such as walnuts or almonds. Oils containing monounsaturated fat include olive oil and canola oil. Be sure to avoid saturated fats and trans-fats, since these fats not only lower HDL, but can also raise LDL levels. These fats are commonly found in foods such as cookies, chips, cakes, and fast foods. Higher levels of HDL cholesterol are generally associated with lower cardiac risk. There are several lifestyle choices we can all make that will reduce our cardiac risk in general, and our HDL levels in

The key terms searched include, secondary prevention, heart attack, atorvastatin, simvastatin, and pravastatin. The terms were combined with an “and” operator, and the following limits were applied: English language, human, and randomized controlled trial. The search returned 39 articles of which only 1 included a study which compared 2 different statins. The other articles were excluded because they were guidelines, review articles or were not specific to preventing a recurrence of myocardial infarction.

Treatment for hyperlipidemia was effective as evidence by Lipid panel on 10/4/16, 1/4/17 and 4/4/17 all within normal range values. However, Michael continues taking Lopid 600 mg orally BID for Hyperlipidemia. Also noted slightly low WBC and RBC’s for which he is on Folic acid and Vitamin B12 as per recommendations on last Oncology consult (8/23/17). His last EKG on 7/4/17 with normal sinus rhythm with no acute ST changes.

(b) With treatment…Statin drugs work by blocking the action of the liver enzyme that is responsible for producing cholesterol. Statins lower LDL cholesterol and total cholesterol levels…at the same time, they lower triglycerides and raise HDL cholesterol levels. Statins may also help to stabilize plaques in the arteries. That makes heart attacks less

Tutt: Nice that you should mentioned that Mr. Brown. Cholesterol is found in your blood. Have you ever gone to the store and read the back of the label that stated “low in cholesterol”? Well that’s the food found in meat, fish, eggs and low fat milk, but be careful Mr. Brown you can have too much cholesterol. The cholesterol can stick to your blood vessels and stay there causing the pipes to become narrow this can clog the blood vessels and keep the blood from moving freely and we do not want that to happened. If the clogging gets worse it can lead to a heart attack or even a stroke. There are two types of cholesterol HDL and LDL. We will go over both and I will provide your results for each. HDL (high-density lipoprotein) cholesterol, it helps carry cholesterol back to the liver. On the other hand, LDL (low-density lipoprotein) can clog the blood vessels due to it moves the cholesterol away from the bloodstream which causes it to stick to the blood

Treatment with fibrate drugs acting to decrease free fatty acid production on the peroxisome proliferator-activated receptors (PPARs), specifically PPARα is for both the conditions. The synthetic statin drugs, namely, rosuvastatin and atorvastatin can increase hepatic reuptake of LDL due to increased LDL-receptor expression, resulting in the decrease of LDL

Fat sequesters toxins and impurities from unwanted weight away from the cells doing the work of keeping you alive.

Unhealthy diets that include animal fat and other fatty food elevate the production of cholesterol in the body resulting