Knowledge (XXG)

Hypercholesterolemia

Source πŸ“

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containing specified amounts of phytosterol esters or phytostanol esters as cholesterol-lowering; in 2003, an FDA Interim Health Claim Rule extended that label claim to foods or dietary supplements delivering more than 0.8 g/day of phytosterols or phytostanols. Some researchers, however, are concerned about diet supplementation with plant sterol esters and draw attention to lack of long-term safety data.
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of the involved arteries. Alternatively smaller plaques may rupture and cause a clot to form and obstruct blood flow. A sudden blockage of a coronary artery may result in a heart attack. A blockage of an artery supplying the brain can cause a stroke. If the development of the stenosis or occlusion is
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in 2008 strongly recommends routine screening for men 35 years and older and women 45 years and older for lipid disorders and the treatment of abnormal lipids in people who are at increased risk of coronary heart disease. They also recommend routinely screening men aged 20 to 35 years and women aged
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Higher levels of total cholesterol increase the risk of cardiovascular disease, particularly coronary heart disease. Levels of LDL or non-HDL cholesterol both predict future coronary heart disease; which is the better predictor is disputed. High levels of small dense LDL may be particularly adverse,
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had inconclusive results due to the poor methodological quality of the included studies. A review of trials of phytosterols and/or phytostanols, average dose 2.15 g/day, reported an average of 9% lowering of LDL-cholesterol. In 2000, the Food and Drug Administration approved the labeling of foods
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The current appropriate TC cutoff to determine whether patients need further investigation and assessment is between 200 and 240 mg/dL . However, the appropriate cut-off point for the younger population who may have low cardiovascular risk have not been examined extensively in the literature. A
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However, this equation is not valid on nonfasting blood samples or if fasting triglycerides are elevated (>4.5 mmol/L or >~400 mg/dL). Recent guidelines have, therefore, advocated the use of direct methods for measurement of LDL wherever possible. It may be useful to measure all
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Increasing soluble fiber consumption has been shown to reduce levels of LDL cholesterol, with each additional gram of soluble fiber reducing LDL by an average of 2.2 mg/dL (0.057 mmol/L). Increasing consumption of whole grains also reduces LDL cholesterol, with whole grain oats being
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For healthy adults, the UK National Health Service recommends upper limits of total cholesterol of 5 mmol/L, and low-density lipoprotein cholesterol (LDL) of 3 mmol/L. For people at high risk of cardiovascular disease, the recommended limit for total cholesterol is 4 mmol/L, and
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Statins are the typically used medications, in addition to healthy lifestyle interventions. Statins can reduce total cholesterol by about 50% in the majority of people, and are effective in reducing the risk of cardiovascular disease in both people with and without pre-existing cardiovascular
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In Canada, screening is recommended for men 40 and older and women 50 and older. In those with normal cholesterol levels, screening is recommended once every five years. Once people are on a statin further testing provides little benefit except possibly to determine compliance with treatment.
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recommends that people with familial hypercholesterolemia restrict intakes of total fat to 25–35% of energy intake, saturated fat to less than 7% of energy intake, and cholesterol to less than 200 mg per day. Changes in total fat intake in low calorie diets do not appear to affect blood
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Qureshi, Nadeem; Woods, Bethan; Neves de Faria, Rita; Saramago Goncalves, Pedro; Cox, Edward; Leonardi-Bee, Jo; Condon, Laura; Weng, Stephen; Akyea, Ralph K.; Iyen, Barbara; Roderick, Paul; Humphries, Steve E.; Rowlands, William; Watson, Melanie; Haralambos, Kate (2023-10-24).
901:, after someone is diagnosed with familial hypercholesterolemia, clinicians, family, or both, contact first- and second-degree relatives to come forward for testing and treatment. Research suggests that clinician-only contact results in more people coming forward for testing. 869:. Newer methods, such as "lipoprotein subclass analysis", have offered significant improvements in understanding the connection with atherosclerosis progression and clinical consequences. If the hypercholesterolemia is hereditary (familial hypercholesterolemia), more often a 909:
Treatment recommendations have been based on four risk levels for heart disease. For each risk level, LDL cholesterol levels representing goals and thresholds for treatment and other action are made. The higher the risk category, the lower the cholesterol thresholds.
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In the United States, the National Heart, Lung, and Blood Institute within the National Institutes of Health classifies total cholesterol of less than 200 mg/dL as "desirable", 200 to 239 mg/dL as "borderline high", and 240 mg/dL or more as "high".
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when used in people without existing cardiovascular disease (i.e. for primary prevention). Statins decrease cholesterol in children with hypercholesterolemia, but no studies as of 2010 show improved outcomes and diet is the mainstay of therapy in childhood.
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disease. In people without cardiovascular disease, statins have been shown to reduce all-cause mortality, fatal and non-fatal coronary heart disease, and strokes. Greater benefit is observed with the use of high-intensity statin therapy. Statins may improve
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are recommended dietary measures to reduce total blood cholesterol and LDL in adults. In people with very high cholesterol (e.g., familial hypercholesterolemia), diet is often not sufficient to achieve the desired lowering of LDL, and lipid-lowering
4562:"2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Blood Cholesterol: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines" 5060: 5045: 4467:
Navarese EP, Kolodziejczak M, Schulze V, Gurbel PA, Tantry U, Lin Y, et al. (July 2015). "Effects of Proprotein Convertase Subtilisin/Kexin Type 9 Antibodies in Adults With Hypercholesterolemia: A Systematic Review and Meta-analysis".
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Cholesterol is one of three major classes of lipids produced and used by all animal cells to form membranes. Plant cells manufacture phytosterols (similar to cholesterol), but in rather small quantities. Cholesterol is the precursor of the
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Average total cholesterol in the United Kingdom is 5.9 mmol/L, while in rural China and Japan, average total cholesterol is 4 mmol/L. Rates of coronary artery disease are high in Great Britain, but low in rural China and Japan.
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Durst, Ronen (May 2001), "Recent Origin and Spread of a Common Lithuanian Mutation, G197del LDLR, Causing Familial Hypercholesterolemia: Positive Selection Is Not Always Necessary to Account for Disease Incidence among Ashkenazi Jews",
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The 2015 DGAC will not bring forward this recommendation 644 because available evidence shows no appreciable relationship between consumption of dietary cholesterol and serum cholesterol, consistent with the conclusions of the AHA/ACC
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A 2016 review found tentative evidence that dietary cholesterol is associated with higher blood cholesterol. As of 2018 there appears to be a modest positive, dose-related relationship between cholesterol intake and LDL cholesterol.
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Cholesterol is measured in milligrams per deciliter (mg/dL) of blood in the United States and some other countries. In the United Kingdom, most European countries and Canada, millimoles per liter of blood (mmol/L) is the measure.
4042:"2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Blood Cholesterol: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines" 2742:
While cholesterol levels above "normal ranges" are important in your overall cardiovascular risk, like HDL and LDL cholesterol levels, your total blood cholesterol level should be considered in context with your other known risk
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Statins should be used for primary prevention against macrovascular (coronary artery disease, cerebrovascular disease, or peripheral vascular disease) complications in adults with type 2 diabetes and other cardiovascular risk
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Mills EJ, Wu P, Chong G, Ghement I, Singh S, Akl EA, et al. (February 2011). "Efficacy and safety of statin treatment for cardiovascular disease: a network meta-analysis of 170,255 patients from 76 randomized trials".
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Chowdhury R, Warnakula S, Kunutsor S, Crowe F, Ward HA, Johnson L, et al. (March 2014). "Association of dietary, circulating, and supplement fatty acids with coronary risk: a systematic review and meta-analysis".
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is relatively short, hypercholesterolemia is not a risk factor for death by any cause including coronary heart disease. Among people older than 70, hypercholesterolemia is not a risk factor for being hospitalized with
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Lebenthal Y, Horvath A, Dziechciarz P, Szajewska H, Shamir R (September 2010). "Are treatment targets for hypercholesterolemia evidence based? Systematic review and meta-analysis of randomised controlled trials".
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Peters SA, Singhateh Y, Mackay D, Huxley RR, Woodward M (May 2016). "Total cholesterol as a risk factor for coronary heart disease and stroke in women compared with men: A systematic review and meta-analysis".
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Ito MK, McGowan MP, Moriarty PM (June 2011). "Management of familial hypercholesterolemias in adult patients: recommendations from the National Lipid Association Expert Panel on Familial Hypercholesterolemia".
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Snow V, Aronson MD, Hornbake ER, Mottur-Pilson C, Weiss KB (April 2004). "Lipid control in the management of type 2 diabetes mellitus: a clinical practice guideline from the American College of Physicians".
273:(HDL). All the lipoproteins carry cholesterol, but elevated levels of the lipoproteins other than HDL (termed non-HDL cholesterol), particularly LDL-cholesterol, are associated with an increased risk of 3870:
Schwingshackl L, Hoffmann G (December 2013). "Comparison of effects of long-term low-fat vs high-fat diets on blood lipid levels in overweight or obese patients: a systematic review and meta-analysis".
2871:"ESC/EAS Guidelines for the management of dyslipidaemias: the Task Force for the management of dyslipidaemias of the European Society of Cardiology (ESC) and the European Atherosclerosis Society (EAS)" 3236:"Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) final report". 1209:
The Task Force for the management of dyslipidaemias of the European Society of Cardiology and the European Atherosclerosis Society published guidelines for the management of dyslipidaemias in 2011.
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has made recommendations for the treatment of elevated cholesterol levels, published in 2008, and a new guideline appeared in 2014 that covers the prevention of cardiovascular disease in general.
62:: The bag on the left was obtained from a donor with hypercholesterolemia, and contains altered serum lipid levels, while the bag obtained from a normal donor contains regular serum lipid levels. 1583:"Intake of saturated and trans unsaturated fatty acids and risk of all cause mortality, cardiovascular disease, and type 2 diabetes: systematic review and meta-analysis of observational studies" 2961: 3111:
Chou R, Dana T, Blazina I, Daeges M, Bougatsos C, Jeanne TL (October 2016). "Screening for Dyslipidemia in Younger Adults: A Systematic Review for the U.S. Preventive Services Task Force".
3325:"Alternative cascade-testing protocols for identifying and managing patients with familial hypercholesterolaemia: systematic reviews, qualitative study and cost-effectiveness analysis" 1799:"Primary prevention of coronary heart disease: guidance from Framingham: a statement for healthcare professionals from the AHA Task Force on Risk Reduction. American Heart Association" 1077:
Lifestyle changes recommended for those with high cholesterol include: smoking cessation, limiting alcohol consumption, increasing physical activity, and maintaining a healthy weight.
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Genetic contributions typically arise from the combined effects of multiple genes, known as "polygenic," although in certain cases, they may stem from a single gene defect, as seen in
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For those people with type 2 diabetes who are taking statins, routine monitoring of liver function tests or muscle enzymes is not recommended except in specific circumstances.
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or even surgery (for particularly severe subtypes of familial hypercholesterolemia) are performed. About 34 million adults in the United States have high blood cholesterol.
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were taken as an indicator of VLDL levels (generally about 45% of fasting triglycerides is composed of VLDL), while LDL was usually estimated by the Friedewald formula:
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Some types of hypercholesterolemia lead to specific physical findings. For example, familial hypercholesterolemia (Type IIa hyperlipoproteinemia) may be associated with
2990: 821: 336:(build-up of fatty plaques in the arteries, so-called 'hardening of the arteries'). Over a period of decades, elevated serum cholesterol contributes to formation of 4217:"The effects of lowering LDL cholesterol with statin therapy in people at low risk of vascular disease: meta-analysis of individual data from 27 randomised trials" 789:
There is no absolute cutoff between normal and abnormal cholesterol levels, and values must be considered in relation to other health conditions and risk factors.
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Overweight or obese individuals can lower blood cholesterol by losing weight – on average a kilogram of weight loss can reduce LDL cholesterol by 0.8 mg/dl.
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Calderon R, Schneider RH, Alexander CN, Myers HF, Nidich SI, Haney C (1999). "Stress, stress reduction and hypercholesterolemia in African Americans: a review".
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Vijan S, Hayward RA (April 2004). "Pharmacologic lipid-lowering therapy in type 2 diabetes mellitus: background paper for the American College of Physicians".
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although measurement of small dense LDL is not advocated for risk prediction. In the past, LDL and VLDL levels were rarely measured directly due to cost.
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recent study suggests that a TC cut of point of between 200 and 240 may not be appropriate in identifying high LDL-C levels in apparently healthy people.
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should be used for secondary prevention of cardiovascular mortality and morbidity for all adults with known coronary artery disease and type 2 diabetes.
2596: 2953: 4091:"Effect of statins and non-statin LDL-lowering medications on cardiovascular outcomes in secondary prevention: a meta-analysis of randomized trials" 2757:"Appropriate Total cholesterol cut-offs for detection of abnormal LDL cholesterol and non-HDL cholesterol among low cardiovascular risk population" 3676:
Keys A, Anderson JT, Grande F (July 1965). "Serum cholesterol response to changes in the diet: IV. Particular saturated fatty acids in the diet".
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did so to treat high cholesterol. Consistent with previous surveys, this one found the majority of individuals (55%) used it in conjunction with
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equations. Dietary limits for cholesterol were proposed in United States, but not in Canada, United Kingdom, and Australia. However, in 2015 the
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Mihaylova B, Emberson J, Blackwell L, Keech A, Simes J, Barnes EH, et al. (Cholesterol Treatment Trialists' Collaborators) (August 2012).
1192: 3086: 4266:"Statins for Prevention of Cardiovascular Disease in Adults: Evidence Report and Systematic Review for the US Preventive Services Task Force" 3493:"Effectiveness of interventions to promote healthy diet in primary care: systematic review and meta-analysis of randomised controlled trials" 1951: 1926: 1847: 1122:
are recognized as a potential risk factor for cholesterol-related cardiovascular disease, and avoiding them in an adult diet is recommended.
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Eating a diet with a high proportion of vegetables, fruit, dietary fibre, and low in fats results in a modest decrease in total cholesterol.
1171:. These, however, are only recommended if statins are not tolerated or in pregnant women. Injectable antibodies against the protein PCSK9 ( 4787:
Liu ZL, Liu JP, Zhang AL, Wu Q, Ruan Y, Lewith G, Visconte D, et al. (Cochrane Metabolic and Endocrine Disorders Group) (July 2011).
3952:"Whole-grain and blood lipid changes in apparently healthy adults: a systematic review and meta-analysis of randomized controlled studies" 3897:
Including only hypocaloric diets, the effects of low-fat vs high-fat diets on total cholesterol and LDL cholesterol levels were abolished.
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drugs. Because of this, medications which lower lipid levels should not be routinely used among people with limited life expectancy.
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Once lipid-lowering therapy is initiated, people with type 2 diabetes mellitus should be taking at least moderate doses of a statin.
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Hypercholesterolemia is typically due to a combination of environmental and genetic factors. Environmental factors include weight,
3013:"Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge" 832: 262: 4357:
Pisaniello AD, Scherer DJ, Kataoka Y, Nicholls SJ (February 2015). "Ongoing challenges for pharmacotherapy for dyslipidemia".
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low HDL cholesterol (<40 mg/dL), family history of premature heart disease, and age (men β‰₯45 years; women β‰₯55 years).
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gradual, blood supply to the tissues and organs slowly diminishes until organ function becomes impaired. At this point tissue
3462: 3197:"Recommendations for the management of dyslipidemia and the prevention of cardiovascular disease: summary of the 2003 update" 2568: 1238: 4513:"Implications of recent clinical trials for the National Cholesterol Education Program Adult Treatment Panel III Guidelines" 3415:"Implications of recent clinical trials for the National Cholesterol Education Program Adult Treatment Panel III guidelines" 2982: 604:. One variation, G197del LDLR which is implicated in familial hypercholesterolemia, has been dated to the 14th century. The 2600: 576: 555: 321: 230: 5140: 1421:
Biggerstaff KD, Wooten JS (December 2004). "Understanding lipoproteins as transporters of cholesterol and other lipids".
890:. In 2016 they concluded that testing the general population under the age of 40 without symptoms is of unclear benefit. 2755:
Nantsupawat, Nopakoon; Booncharoen, Apaputch; Wisetborisut, Anawat; Jiraporncharoen, Wichuda; et al. (2019-01-26).
1284: 828: 258: 4924:"Total and High-density Lipoprotein Cholesterol in Adults: National Health and Nutrition Examination Survey, 2009–2010" 3156:"Screening for Lipid Disorders in Children and Adolescents: US Preventive Services Task Force Recommendation Statement" 2314:. In De Groot LJ, Chrousos G, Dungan K, Feingold KR, Grossman A, Hershman JM, Koch C, Korbonits M, McLachlan R (eds.). 1118:
by decreasing blood cholesterol. Other reviews have not found an effect from saturated fats on cardiovascular disease.
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Eating dietary cholesterol causes a small rise in serum cholesterol, the magnitude of which can be predicted using the
416:, especially of the fingers. Type III hyperlipidemia may be associated with xanthomata of the palms, knees and elbows. 1196: 1126: 2515:"Jewish Genetics, Part 3: Jewish Genetic Diseases (Mediterranean Fever, Tay–Sachs, pemphigus vulgaris, Mutations)" 1138:
and phytostanols and 10 to 20 g per day of soluble fiber decreases dietary cholesterol absorption. A diet high in
3463:"Evaluating statin drugs to treat High Cholesterol and Heart Disease: Comparing Effectiveness, Safety, and Price" 2569:"Evaluating statin drugs to treat High Cholesterol and Heart Disease: Comparing Effectiveness, Safety, and Price" 2365:"Estimating the prevalence of heterozygous familial hypercholesterolaemia: a systematic review and meta-analysis" 1553: 870: 354: 1057:†Risk factors include cigarette smoking, hypertension (BP β‰₯140/90 mm Hg or on antihypertensive medication), 847:
can also be of value. Genetic screening is now advised if a form of familial hypercholesterolemia is suspected.
5075: 1677: 617: 479: 463: 320:, yellowish patches consisting of cholesterol deposits above the eyelids. These are more common in people with 270: 234: 1505:
Kontush A, Chapman MJ (March 2006). "Antiatherogenic small, dense HDL--guardian angel of the arterial wall?".
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Superko, H. Robert (2009-05-05). "Advanced Lipoprotein Testing and Subfractionation Are Clinically Useful".
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Van Craeyveld E, Jacobs F, Gordts SC, De Geest B (2011). "Gene therapy for familial hypercholesterolemia".
253:. Since cholesterol is insoluble in water, it is transported in the blood plasma within protein particles ( 1762:
Finn AV, Nakano M, Narula J, Kolodgie FD, Virmani R (July 2010). "Concept of vulnerable/unstable plaque".
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Bibbins-Domingo K, Grossman DC, Curry SJ, Davidson KW, Epling JW, GarcΓ­a FA, et al. (August 2016).
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Rates of high total cholesterol in the United States in 2010 are just over 13%, down from 17% in 2000.
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Demonty I, Ras RT, van der Knaap HC, Duchateau GS, Meijer L, Zock PL, et al. (February 2009).
1111: 940: 567: 104: 59: 4132:"Efficacy of statins for primary prevention in people at low cardiovascular risk: a meta-analysis" 2983:"Friedewald equation for calculating VLDL and LDL - All About Cardiovascular System and Disorders" 2271:"Meta-regression analysis of the effects of dietary cholesterol intake on LDL and HDL cholesterol" 4738: 4695: 4542: 4493: 4426: 4382: 3136: 2251: 1744: 1530: 1446: 1360: 563: 515: 499: 455:
Diet has an effect on blood cholesterol, but the size of this effect varies between individuals.
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Grundy SM, Cleeman JI, Merz CN, Brewer HB, Clark LT, Hunninghake DB, et al. (August 2004).
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Taylor F, Huffman MD, Macedo AF, Moore TH, Burke M, Davey Smith G, et al. (January 2013).
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Tonelli M, Lloyd A, Clement F, Conly J, Husereau D, Hemmelgarn B, et al. (November 2011).
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Reiner Z, Catapano AL, De Backer G, Graham I, Taskinen MR, Wiklund O, et al. (July 2011).
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Grundy SM, Balady GJ, Criqui MH, Fletcher G, Greenland P, Hiratzka LF, et al. (May 1998).
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Bhatnagar D, Soran H, Durrington PN (August 2008). "Hypercholesterolaemia and its management".
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Hartley L, Igbinedion E, Holmes J, Flowers N, Thorogood M, Clarke A, et al. (June 2013).
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Grundy SM, Cleeman JI, Merz CN, Brewer HB, Clark LT, Hunninghake DB, et al. (July 2004).
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Grundy SM, Stone NJ, Bailey AL, Beam C, Birtcher KK, Blumenthal RS, et al. (June 2019).
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Grundy SM, Stone NJ, Bailey AL, Beam C, Birtcher KK, Blumenthal RS, et al. (June 2019).
2414:"A Population-Genetic Test of Founder Effects and Implications for Ashkenazi Jewish Diseases" 4998: 4988: 4977:"LDLR-Gene therapy for familial hypercholesterolaemia: problems, progress, and perspectives" 4949: 4894: 4886: 4845: 4804: 4796: 4726: 4722: 4683: 4679: 4573: 4524: 4477: 4410: 4366: 4329: 4321: 4277: 4236: 4228: 4189: 4151: 4143: 4102: 4061: 4053: 4012: 4004: 3963: 3922: 3880: 3844: 3806: 3798: 3724: 3685: 3648: 3607: 3563: 3555: 3514: 3504: 3454: 3426: 3388: 3352: 3336: 3294: 3253: 3245: 3208: 3167: 3120: 3024: 2919: 2882: 2828: 2786: 2768: 2560: 2487: 2479: 2441: 2433: 2384: 2376: 2282: 2235: 2198: 2157: 2149: 2108: 2067: 2059: 2015: 2007: 1886: 1876: 1810: 1771: 1728: 1651: 1602: 1594: 1514: 1477: 1430: 1395: 1344: 511: 440: 390: 218: 163: 4638: 4089:
Koskinas KC, Siontis GC, Piccolo R, Mavridis D, RΓ€ber L, Mach F, Windecker S (April 2018).
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Bhattarai N, Prevost AT, Wright AJ, Charlton J, Rudisill C, Gulliford MC (December 2013).
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Al-Allaf FA, Coutelle C, Waddington SN, David AL, Harbottle R, Themis M (December 2010).
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de Souza RJ, Mente A, Maroleanu A, Cozma AI, Ha V, Kishibe T, et al. (August 2015).
3357: 2337: 2097:"Plasma lipid and lipoprotein responses to dietary fat and cholesterol: a meta-analysis" 1391: 313: 5003: 4976: 4899: 4874: 4809: 4788: 4334: 4309: 4241: 4216: 4156: 4131: 4066: 4041: 4017: 3992: 3811: 3786: 3637:"Dietary cholesterol and cardiovascular disease: a systematic review and meta-analysis" 3568: 3543: 3519: 3492: 3431: 3324: 2791: 2756: 2710:
Although there is no natural cutoff between normal and abnormal cholesterol levels, ...
2492: 2446: 2413: 2389: 2364: 2162: 2137: 2072: 2047: 2020: 1996:"Loneliness matters: a theoretical and empirical review of consequences and mechanisms" 1995: 1891: 1864: 1607: 1582: 1548: 1482: 1465: 1168: 1164: 898: 866: 856: 601: 539: 503: 487: 289: 238: 199: 175: 155: 5069: 4875:"Controversial role of plant sterol esters in the management of hypercholesterolaemia" 4232: 3213: 3196: 2923: 1348: 514:. Several medications and classes of medications may interfere with lipid metabolism: 5164: 4603:"Cardiovascular disease: risk assessment and reduction, including lipid modification" 4497: 3689: 3612: 3595: 1364: 1107: 535: 531: 527: 401: 17: 4923: 4742: 4546: 4430: 3140: 2363:
Akioyamen LE, Genest J, Shan SD, Reel RL, Albaum JM, Chu A, Tu JV (September 2017).
2255: 1534: 1450: 377:, usually on one side of the body. Insufficient blood supply to the heart may cause 217:
Elevated levels of non-HDL cholesterol and LDL in the blood may be a consequence of
5126: 4800: 4699: 4325: 3802: 3559: 1748: 1308: 1135: 797: 386: 329: 254: 226: 211: 108: 96: 4386: 3993:"Dietary fructose and glucose differentially affect lipid and glucose homeostasis" 5080: 4578: 4561: 4370: 4057: 1865:"Correlating corneal arcus with atherosclerosis in familial hypercholesterolemia" 5110: 3029: 3012: 2380: 2311: 2138:"The Evidence for Saturated Fat and for Sugar Related to Coronary Heart Disease" 1176: 1103:
in the United States removed its recommendation of limiting cholesterol intake.
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Hooper L, Martin N, Jimoh OF, Kirk C, Foster E, Abdelhamid AS (August 2020).
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A number of other conditions can also increase cholesterol levels including
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A diet high in sugar or saturated fats increases total cholesterol and LDL.
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Berger S, Raman G, Vishwanathan R, Jacques PF, Johnson EJ (August 2015).
1242: 1139: 409: 346: 341: 337: 135: 92: 4453: 4147: 2478:(5), Roberto Colombo, Shoshi Shpitzen, Liat Ben Avi, et al.: 1172–1188, 424: 1399: 1230:. There are also increased risks in people older than 85 in the use of 1160: 1066: 597: 571: 483: 436: 370: 366: 350: 222: 5037: 4601:
National Institute for Health and Clinical Excellence (18 July 2014).
3299: 3282: 1598: 1183:) can reduce LDL cholesterol and have been shown to reduce mortality. 593:. Familial hypercholesterolemia affects about one in 250 individuals. 5049: 4481: 3848: 3753:"Scientific Report of the 2015 Dietary Guidelines Advisory Committee" 3340: 3124: 2429: 1732: 1231: 1227: 413: 405: 100: 2269:
Vincent MJ, Allen B, Palacios OM, Haber LT, Maki KC (January 2019).
1065:
For those at high risk, a combination of lifestyle modification and
558:. In familial hypercholesterolemia, mutations may be present in the 2483: 2437: 2095:
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2046:
Mannu GS, Zaman MJ, Gupta A, Rehman HU, Myint PK (February 2013).
839:, and HDL) when assessing hypercholesterolemia and measurement of 585: 423: 312: 214:(any abnormalities of lipid and lipoprotein levels in the blood). 203: 3713:"Quantitative effects of dietary fat on serum cholesterol in man" 1378:
Behrman EJ, Gopalan V (December 2005). "Cholesterol and Plants".
861:
Classically, hypercholesterolemia was categorized by lipoprotein
301:
are usually required. If necessary, other treatments such as LDL
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Chou R, Dana T, Blazina I, Daeges M, Jeanne TL (November 2016).
3911:"Cholesterol-lowering effects of dietary fiber: a meta-analysis" 590: 559: 281:. In contrast, higher levels of HDL cholesterol are protective. 4651:, AMDA – The Society for Post-Acute and Long-Term Care Medicine 3596:"Cholesterol: where science and public health policy intersect" 2679:, National Cholesterol Education Program. Retrieved 2013-03-09. 2226:
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4310:"Statins for the primary prevention of cardiovascular disease" 3787:"Reduction in saturated fat intake for cardiovascular disease" 3087:"Screening for Lipid Disorders: Recommendations and Rationale" 4635:
AMDA – The Society for Post-Acute and Long-Term Care Medicine
1195:(2004) and a joint body of professional societies led by the 3711:
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1840:
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400:(yellowish patches underneath the skin around the eyelids), 4756:
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1842:. Hagerstown, Maryland: Lippincott Williams & Wilkins. 412:(deposition of yellowish cholesterol-rich material) of the 332:, longstanding elevation of serum cholesterol can lead to 823:
total cholesterol – HDL – (0.2 x fasting triglycerides).
3909:
Brown L, Rosner B, Willett WW, Sacks FM (January 1999).
3056:. In Adam MP, Ardinger HH, Pagon RA, Wallace SE (eds.). 385:. Insufficient blood supply to the legs may manifest as 349:(restriction in blood supply) may manifest as specific 3950:
Hollænder PL, Ross AB, Kristensen M (September 2015).
2605:"NHLBI, High Blood Cholesterol: What You Need to Know" 2312:"Medication Induced Changes in Lipid and Lipoproteins" 1466:"Atherogenic lipoprotein particles in atherosclerosis" 1271:
A 2002 survey found that 1.1% of U.S. adults who used
873:
of premature, earlier onset atherosclerosis is found.
5138: 4449:
National Institute for Health and Clinical Excellence
3589: 3587: 2689:
Davidson, Michael H.; Pradeep, Pallavi (2023-07-03).
2593:
United States Department of Health and Human Services
1204:
National Institute for Health and Clinical Excellence
809: 5027: 4639:"Ten Things Physicians and Patients Should Question" 3011:
Friedewald WT, Levy RI, Fredrickson DS (June 1972).
1134:
particularly effective. Inclusion of 2 g per day of
608:
of these variations has been the subject of debate.
206:
in the blood), hyperlipoproteinemia (high levels of
5101: 5031: 4789:"Chinese herbal medicines for hypercholesterolemia" 3991:Schaefer EJ, Gleason JA, Dansinger ML (June 2009). 3060:. Seattle (WA): University of Washington, Seattle. 2677:
ATP III Guidelines At-A-Glance Quick Desk Reference
1919:
Andrews' Diseases of the Skin: Clinical Dermatology
1241:recommends for hypercholesterolemia in people with 886:20 to 45 years if they have other risk factors for 169: 122: 78: 66: 40: 35: 1764:Arteriosclerosis, Thrombosis, and Vascular Biology 815: 618:High-density lipoprotein Β§ Recommended ranges 3873:Journal of the Academy of Nutrition and Dietetics 2954:"New Information on Accuracy of LDL-C Estimation" 1507:Nature Clinical Practice. Cardiovascular Medicine 257:). Lipoproteins are classified by their density: 4873:WeingΓ€rtner O, BΓΆhm M, Laufs U (February 2009). 2136:DiNicolantonio JJ, Lucan SC, O'Keefe JH (2016). 1946:. St. Louis, Missouri: Mosby. pp. 1415–16. 1142:can raise LDL cholesterol levels in the blood. 404:(white or gray discoloration of the peripheral 2555: 1912: 1910: 1464:Carmena R, Duriez P, Fruchart JC (June 2004). 1279:. A systematic review of the effectiveness of 340:in the arteries. This can lead to progressive 4517:Journal of the American College of Cardiology 2553: 2551: 2549: 2547: 2545: 2543: 2541: 2539: 2537: 2535: 2041: 2039: 1335:Durrington P (August 2003). "Dyslipidaemia". 233:), or the presence of other diseases such as 8: 5171:Cholesterol and steroid metabolism disorders 1330: 1328: 1326: 1324: 622:Low-density lipoprotein Β§ Normal ranges 389:, while in the intestines it may present as 357:) may manifest as temporary loss of vision, 4793:The Cochrane Database of Systematic Reviews 4314:The Cochrane Database of Systematic Reviews 3791:The Cochrane Database of Systematic Reviews 3548:The Cochrane Database of Systematic Reviews 2864: 2862: 2860: 2858: 2856: 2854: 2852: 2850: 1942:Rapini RP, Bolognia JL, Jorizzo JL (2007). 1311:is being studied as a potential treatment. 5028: 4629: 4627: 4625: 4623: 4303: 4301: 3956:The American Journal of Clinical Nutrition 3915:The American Journal of Clinical Nutrition 3717:The American Journal of Clinical Nutrition 3641:The American Journal of Clinical Nutrition 3408: 3406: 3404: 3402: 2275:The American Journal of Clinical Nutrition 2191:The American Journal of Clinical Nutrition 2101:The American Journal of Clinical Nutrition 1714: 1712: 1710: 1708: 1706: 1704: 1702: 1700: 1698: 381:, and ischemia of the eye may manifest as 49: 32: 5002: 4992: 4898: 4849: 4808: 4577: 4528: 4454:Clinical guideline 67: Lipid modification 4444: 4442: 4440: 4333: 4281: 4240: 4155: 4106: 4065: 4016: 3967: 3926: 3810: 3728: 3652: 3611: 3567: 3518: 3508: 3430: 3356: 3298: 3257: 3212: 3171: 3028: 2987:Johnson's Techworld - Reliving my hobbies 2886: 2790: 2772: 2491: 2445: 2388: 2318:. South Dartmouth (MA): MDText.com, Inc. 2286: 2202: 2161: 2112: 2071: 2019: 1890: 1880: 1814: 1636: 1634: 1632: 1630: 1628: 1626: 1606: 1576: 1574: 1572: 1481: 808: 58:A color photograph of two bags of thawed 1994:Hawkley LC, Cacioppo JT (October 2010). 912: 625: 328:Although hypercholesterolemia itself is 225:, inherited (genetic) diseases (such as 5145: 4727:10.7326/0003-4819-140-8-200404200-00013 4684:10.7326/0003-4819-140-8-200404200-00012 3052:Ison HE, Clarke SL, Knowles JW (1993). 2597:National Heart Lung and Blood Institute 2185:Ascherio A, Willett WC (October 1997). 1320: 1106:A 2020 Cochrane review found replacing 44:Hypercholesterolaemia, high cholesterol 27:High levels of cholesterol in the blood 1921:. Saunders Elsevier. pp. 530–32. 1193:National Cholesterol Education Program 1159:Other agents that may be used include 1069:has been shown to decrease mortality. 5181:Medical conditions related to obesity 3085:U.S. Preventive Services Task Force. 2833:10.1016/j.atherosclerosis.2016.03.016 2187:"Health effects of trans fatty acids" 1191:In the US, guidelines exist from the 1101:Dietary Guidelines Advisory Committee 627:Interpretation of cholesterol levels 7: 3594:Brownawell AM, Falk MC (June 2010). 2667:, NHS Choices. Retrieved 2013-03-09. 2344:. U.S. National Institutes of Health 462:have been shown to reduce levels of 194:, is the presence of high levels of 2723:"What Your Cholesterol Levels Mean" 2142:Progress in Cardiovascular Diseases 883:U.S. Preventive Services Task Force 542:and medications for HIV as well as 4981:International Archives of Medicine 3432:10.1161/01.cir.0000133317.49796.0e 2691:"Hormonal and Metabolic Disorders" 2472:American Journal of Human Genetics 2426:American Society of Human Genetics 1483:10.1161/01.CIR.0000131511.50734.44 391:abdominal pain after eating a meal 25: 4359:Expert Opinion on Pharmacotherapy 3459:Drug Effectiveness Review Project 2924:10.1161/CIRCULATIONAHA.108.809582 2565:Drug Effectiveness Review Project 1549:"Healthy diet – Fact sheet NΒ°394" 925:Consider lifestyle modifications 914:LDL cholesterol level thresholds 600:population may exhibit a genetic 474:Medical conditions and treatments 5148: 4403:Archives of Disease in Childhood 3613:10.1111/j.1753-4887.2010.00294.x 3244:(25): 3143–3421. December 2002. 1423:Advances in Physiology Education 1114:resulted in a small decrease in 466:while increasing levels of LDL. 383:transient visual loss in one eye 263:intermediate density lipoprotein 4922:Carrol, Margaret (April 2012). 3054:"Familial Hypercholesterolemia" 2993:from the original on 2023-09-28 2964:from the original on 2023-12-06 2733:from the original on 2024-02-26 2701:from the original on 2023-11-14 2647:from the original on 2024-03-13 2310:Herink M, Ito MK (2000-01-01). 2228:Current Atherosclerosis Reports 1863:Zech LA, Hoeg JM (March 2008). 4801:10.1002/14651858.CD008305.pub2 4326:10.1002/14651858.cd004816.pub5 3803:10.1002/14651858.CD011737.pub3 3560:10.1002/14651858.CD009874.pub2 3281:Spector R, Snapinn SM (2011). 2958:American College of Cardiology 1644:Journal of Clinical Lipidology 1239:American College of Physicians 198:in the blood. It is a form of 1: 4942:Current Pharmaceutical Design 4233:10.1016/S0140-6736(12)60367-5 2601:National Institutes of Health 2000:Annals of Behavioral Medicine 1838:Shields C, Shields J (2008). 1380:Journal of Chemical Education 1349:10.1016/S0140-6736(03)14234-1 577:familial hypercholesterolemia 556:familial hypercholesterolemia 322:familial hypercholesterolemia 231:familial hypercholesterolemia 4579:10.1161/CIR.0000000000000624 4371:10.1517/14656566.2014.986094 4058:10.1161/CIR.0000000000000625 3690:10.1016/0026-0495(65)90004-1 3329:Health Technology Assessment 2761:Lipids in Health and Disease 1917:James WD, Berger TG (2006). 1869:Lipids in Health and Disease 1285:traditional Chinese medicine 749:Undesirable; risk increased 259:very low density lipoprotein 4715:Annals of Internal Medicine 4672:Annals of Internal Medicine 4470:Annals of Internal Medicine 3837:Annals of Internal Medicine 3113:Annals of Internal Medicine 2695:MSD Manual Consumer Version 2665:Diagnosing High Cholesterol 2381:10.1136/bmjopen-2017-016461 922:Criteria for risk category 5197: 5176:Lipid metabolism disorders 4954:10.2174/138161211797247550 4530:10.1016/j.jacc.2004.07.001 3885:10.1016/j.jand.2013.07.010 3393:10.3310/nihrevidence_62958 2412:Slatkin, M (August 2004). 2154:10.1016/j.pcad.2015.11.006 2064:10.2174/157340313805076313 2052:Current Cardiology Reviews 1776:10.1161/ATVBAHA.108.179739 1656:10.1016/j.jacl.2011.04.001 1197:American Heart Association 1127:National Lipid Association 867:Fredrickson classification 854: 827:lipoprotein subfractions ( 615: 3510:10.1186/1471-2458-13-1203 3030:10.1093/clinchem/18.6.499 2774:10.1186/s12944-019-0975-x 2637:"Diagnosis and treatment" 2240:10.1007/s11883-016-0615-0 2012:10.1007/s12160-010-9210-8 1944:Dermatology: 2-Volume Set 1816:10.1161/01.CIR.97.18.1876 1554:World Health Organization 1476:(23 Suppl 1): III2–III7. 1056: 1039: 927: 924: 921: 918: 739: 681: 645: 575:gene, autosomal dominant 355:transient ischemic attack 57: 48: 4891:10.1093/eurheartj/ehn580 4838:The Journal of Nutrition 4108:10.1093/eurheartj/ehx566 3997:The Journal of Nutrition 3250:10.1161/circ.106.25.3143 2888:10.1093/eurheartj/ehr158 2197:(4 Suppl): 1006S–1010S. 1435:10.1152/advan.00048.2003 816:{\displaystyle \approx } 480:diabetes mellitus type 2 464:high-density lipoprotein 271:high density lipoprotein 4646:: an initiative of the 4415:10.1136/adc.2008.157024 4283:10.1001/jama.2015.15629 3969:10.3945/ajcn.115.109165 3654:10.3945/ajcn.114.100305 2342:Genetics Home Reference 2204:10.1093/ajcn/66.4.1006S 1969:Ethnicity & Disease 1682:Genetics Home Reference 782:2 mmol/L for LDL. 447:is also a risk factor. 398:xanthelasma palpebrarum 318:Xanthelasma palpebrarum 267:low density lipoprotein 4994:10.1186/1755-7682-3-36 4879:European Heart Journal 4095:European Heart Journal 3173:10.1001/jama.2016.9852 2875:European Heart Journal 2338:"Hypercholesterolemia" 2114:10.1093/ajcn/65.6.1747 1678:"Hypercholesterolemia" 1250:Lipid-lowering therapy 1116:cardiovascular disease 888:coronary heart disease 817: 760:Okay, but not optimal 432: 387:calf pain when walking 325: 279:coronary heart disease 239:an underactive thyroid 171:Differential diagnosis 117:coronary heart disease 4851:10.3945/jn.108.095125 4009:10.3945/jn.108.098186 3730:10.1093/ajcn/17.5.281 3472:. Consumer Reports: 9 2578:. Consumer Reports: 9 1882:10.1186/1476-511X-7-7 1519:10.1038/ncpcardio0500 1277:conventional medicine 1224:myocardial infarction 933:No. of risk factors† 818: 724:High and undesirable 492:monoclonal gammopathy 428:Formula structure of 427: 316: 144:monoclonal gammopathy 18:Hypercholesterolaemia 4194:10.1093/qjmed/hcq165 3928:10.1093/ajcn/69.1.30 1650:(3 Suppl): S38–S45. 1273:alternative medicine 1267:Alternative medicine 1213:Specific populations 928:Consider medication 807: 375:numbness or tingling 338:atheromatous plaques 294:polyunsaturated fats 292:in adult diets with 188:Hypercholesterolemia 180:hypertriglyceridemia 36:Hypercholesterolemia 4572:(25): e1046–e1081. 4148:10.1503/cmaj.101280 4142:(16): E1189–E1202. 4052:(25): e1082–e1143. 3259:2027/uc1.c095473168 2288:10.1093/ajcn/nqy273 1392:2005JChEd..82.1791B 1304:Research directions 1217:Among people whose 1112:polyunsaturated fat 962:Prior heart disease 941:myocardial ischemia 915: 771:Good; risk lowered 628: 568:autosomal recessive 367:difficulty speaking 210:in the blood), and 105:coronary thrombosis 60:fresh frozen plasma 5102:External resources 4003:(6): 1257S–1262S. 3762:. 2015. p. 17 3017:Clinical Chemistry 1400:10.1021/ed082p1791 913: 813: 796:Levels of fasting 646:total cholesterol 626: 564:autosomal dominant 516:thiazide diuretics 508:Cushing's syndrome 500:nephrotic syndrome 433: 361:and impairment of 326: 309:Signs and symptoms 160:Cushing's syndrome 152:nephrotic syndrome 5136: 5135: 4948:(24): 2575–2591. 4637:(February 2014), 4276:(19): 2008–2024. 4227:(9841): 581–590. 4101:(14): 1172–1180. 3879:(12): 1640–1661. 3600:Nutrition Reviews 3497:BMC Public Health 3387:. 30 April 2024. 3300:10.1159/000322999 2918:(17): 2383–2395. 2881:(14): 1769–1818. 2418:Am. J. Hum. Genet 1953:978-1-4160-2999-1 1928:978-0-7216-2921-6 1849:978-0-7817-7578-6 1809:(18): 1876–1887. 1599:10.1136/bmj.h3978 1343:(9385): 717–731. 1063: 1062: 775: 774: 632:Cholesterol type 598:Lithuanian Jewish 591:LDL receptor gene 583:) variant of the 185: 184: 30:Medical condition 16:(Redirected from 5188: 5153: 5152: 5151: 5144: 5029: 5017: 5016: 5006: 4996: 4972: 4966: 4965: 4937: 4931: 4930: 4928: 4919: 4913: 4912: 4902: 4870: 4864: 4863: 4853: 4829: 4823: 4822: 4812: 4784: 4778: 4777: 4753: 4747: 4746: 4710: 4704: 4703: 4666: 4660: 4659: 4658: 4656: 4631: 4618: 4617: 4615: 4613: 4598: 4592: 4591: 4581: 4557: 4551: 4550: 4532: 4508: 4502: 4501: 4482:10.7326/M14-2957 4464: 4458: 4446: 4435: 4434: 4397: 4391: 4390: 4354: 4348: 4347: 4337: 4305: 4296: 4295: 4285: 4261: 4255: 4254: 4244: 4212: 4206: 4205: 4176: 4170: 4169: 4159: 4127: 4121: 4120: 4110: 4086: 4080: 4079: 4069: 4037: 4031: 4030: 4020: 3988: 3982: 3981: 3971: 3947: 3941: 3940: 3930: 3906: 3900: 3899: 3867: 3861: 3860: 3849:10.7326/M13-1788 3831: 3825: 3824: 3814: 3782: 3776: 3775: 3769: 3767: 3757: 3749: 3743: 3742: 3732: 3708: 3702: 3701: 3673: 3667: 3666: 3656: 3632: 3626: 3625: 3615: 3591: 3582: 3581: 3571: 3539: 3533: 3532: 3522: 3512: 3488: 3482: 3481: 3479: 3477: 3467: 3455:Consumer Reports 3451: 3445: 3444: 3434: 3410: 3397: 3396: 3377: 3371: 3370: 3360: 3341:10.3310/CTMD0148 3319: 3313: 3312: 3302: 3278: 3272: 3271: 3261: 3233: 3227: 3226: 3216: 3192: 3186: 3185: 3175: 3151: 3145: 3144: 3125:10.7326/M16-0946 3108: 3102: 3101: 3099: 3098: 3089:. 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September 2015 1545: 1539: 1538: 1502: 1496: 1495: 1485: 1461: 1455: 1454: 1429:(1–4): 105–106. 1418: 1412: 1411: 1375: 1369: 1368: 1332: 1281:herbal medicines 985:Moderately high 916: 877:Screening method 822: 820: 819: 814: 740:HDL cholesterol 713:Borderline high 682:LDL cholesterol 629: 607: 512:anorexia nervosa 247:steroid hormones 202:(high levels of 192:high cholesterol 164:anorexia nervosa 53: 33: 21: 5196: 5195: 5191: 5190: 5189: 5187: 5186: 5185: 5161: 5160: 5159: 5149: 5147: 5139: 5137: 5132: 5131: 5097: 5096: 5040: 5026: 5021: 5020: 4974: 4973: 4969: 4939: 4938: 4934: 4926: 4921: 4920: 4916: 4872: 4871: 4867: 4831: 4830: 4826: 4795:(7): CD008305. 4786: 4785: 4781: 4755: 4754: 4750: 4712: 4711: 4707: 4668: 4667: 4663: 4654: 4652: 4648:ABIM Foundation 4644:Choosing Wisely 4633: 4632: 4621: 4611: 4609: 4600: 4599: 4595: 4559: 4558: 4554: 4510: 4509: 4505: 4466: 4465: 4461: 4457:. London, 2008. 4447: 4438: 4399: 4398: 4394: 4356: 4355: 4351: 4320:(1): CD004816. 4307: 4306: 4299: 4263: 4262: 4258: 4214: 4213: 4209: 4178: 4177: 4173: 4129: 4128: 4124: 4088: 4087: 4083: 4039: 4038: 4034: 3990: 3989: 3985: 3949: 3948: 3944: 3908: 3907: 3903: 3869: 3868: 3864: 3833: 3832: 3828: 3797:(8): CD011737. 3784: 3783: 3779: 3765: 3763: 3755: 3751: 3750: 3746: 3710: 3709: 3705: 3675: 3674: 3670: 3634: 3633: 3629: 3593: 3592: 3585: 3554:(6): CD009874. 3541: 3540: 3536: 3490: 3489: 3485: 3475: 3473: 3465: 3453: 3452: 3448: 3412: 3411: 3400: 3379: 3378: 3374: 3321: 3320: 3316: 3280: 3279: 3275: 3235: 3234: 3230: 3194: 3193: 3189: 3153: 3152: 3148: 3110: 3109: 3105: 3096: 3094: 3084: 3083: 3079: 3070: 3068: 3051: 3050: 3046: 3010: 3009: 3005: 2996: 2994: 2981: 2980: 2976: 2967: 2965: 2952: 2951: 2947: 2909: 2908: 2904: 2868: 2867: 2848: 2821:Atherosclerosis 2817: 2816: 2812: 2754: 2753: 2749: 2736: 2734: 2721: 2720: 2716: 2704: 2702: 2688: 2687: 2683: 2675: 2671: 2663: 2659: 2650: 2648: 2635: 2634: 2630: 2618: 2616: 2615:on 1 April 2013 2591: 2581: 2579: 2571: 2559: 2558: 2533: 2523: 2521: 2513: 2512: 2508: 2468: 2467: 2463: 2411: 2410: 2406: 2362: 2361: 2357: 2347: 2345: 2336: 2335: 2331: 2309: 2308: 2304: 2268: 2267: 2263: 2225: 2224: 2220: 2184: 2183: 2179: 2135: 2134: 2130: 2094: 2093: 2089: 2045: 2044: 2037: 1993: 1992: 1988: 1966: 1965: 1961: 1954: 1941: 1940: 1936: 1929: 1916: 1915: 1908: 1862: 1861: 1857: 1850: 1837: 1836: 1832: 1796: 1795: 1791: 1761: 1760: 1756: 1718: 1717: 1696: 1686: 1684: 1676: 1675: 1671: 1640: 1639: 1624: 1580: 1579: 1570: 1560: 1558: 1547: 1546: 1542: 1504: 1503: 1499: 1463: 1462: 1458: 1420: 1419: 1415: 1377: 1376: 1372: 1334: 1333: 1322: 1317: 1306: 1294: 1269: 1219:life expectancy 1215: 1202:In the UK, the 1189: 1153:quality of life 1148: 1086: 1075: 1058: 939: 938:10-year risk of 907: 879: 863:electrophoresis 859: 853: 845:lipoprotein (a) 841:apolipoproteins 805: 804: 691:Most desirable 641:Interpretation 624: 614: 605: 552: 540:anticonvulsants 524:glucocorticoids 476: 453: 422: 334:atherosclerosis 311: 275:atherosclerosis 235:type 2 diabetes 85:Atherosclerosis 31: 28: 23: 22: 15: 12: 11: 5: 5194: 5192: 5184: 5183: 5178: 5173: 5163: 5162: 5158: 5157: 5134: 5133: 5130: 5129: 5118: 5106: 5105: 5103: 5099: 5098: 5095: 5094: 5083: 5072: 5057: 5041: 5036: 5035: 5033: 5032:Classification 5025: 5024:External links 5022: 5019: 5018: 4967: 4932: 4914: 4885:(4): 404–409. 4865: 4844:(2): 271–284. 4824: 4779: 4748: 4721:(8): 650–658. 4705: 4678:(8): 644–649. 4661: 4619: 4593: 4552: 4523:(3): 720–732. 4503: 4459: 4436: 4409:(9): 673–680. 4392: 4365:(3): 347–356. 4349: 4297: 4256: 4207: 4188:(2): 109–124. 4171: 4122: 4081: 4032: 3983: 3962:(3): 556–572. 3942: 3901: 3862: 3843:(6): 398–406. 3826: 3777: 3744: 3723:(5): 281–295. 3703: 3684:(7): 776–787. 3668: 3647:(2): 276–294. 3627: 3606:(6): 355–364. 3583: 3534: 3483: 3470:Best Buy Drugs 3461:(March 2013). 3446: 3425:(2): 227–239. 3398: 3372: 3314: 3293:(1–2): 63–69. 3273: 3228: 3207:(9): 921–924. 3187: 3166:(6): 625–633. 3146: 3119:(8): 560–564. 3103: 3077: 3044: 3023:(6): 499–502. 3003: 2989:. 2017-11-04. 2974: 2960:. 2020-03-20. 2945: 2902: 2846: 2810: 2747: 2729:. 2017-11-16. 2714: 2681: 2669: 2657: 2643:. 2023-01-11. 2628: 2626: 2625: 2576:Best Buy Drugs 2567:(March 2013). 2531: 2506: 2484:10.1086/320123 2461: 2438:10.1086/423146 2404: 2375:(9): e016461. 2355: 2329: 2302: 2261: 2218: 2177: 2148:(5): 464–472. 2128: 2087: 2035: 2006:(2): 218–227. 1986: 1959: 1952: 1934: 1927: 1906: 1855: 1848: 1830: 1789: 1754: 1694: 1669: 1622: 1568: 1540: 1513:(3): 144–153. 1497: 1456: 1413: 1370: 1319: 1318: 1316: 1313: 1305: 1302: 1293: 1290: 1268: 1265: 1264: 1263: 1260: 1257: 1253: 1214: 1211: 1188: 1185: 1169:cholestyramine 1165:nicotinic acid 1147: 1144: 1085: 1082: 1074: 1071: 1061: 1060: 1054: 1053: 1050: 1047: 1044: 1041: 1038: 1034: 1033: 1030: 1027: 1024: 1021: 1018: 1015: 1012: 1008: 1007: 1004: 1001: 998: 995: 992: 989: 986: 982: 981: 978: 975: 972: 969: 966: 963: 960: 956: 955: 952: 949: 946: 943: 936: 934: 930: 929: 926: 923: 920: 919:Risk category 906: 903: 878: 875: 871:family history 857:Hyperlipidemia 855:Main article: 852: 851:Classification 849: 812: 773: 772: 769: 766: 762: 761: 758: 755: 751: 750: 747: 744: 741: 737: 736: 733: 730: 726: 725: 722: 719: 715: 714: 711: 708: 704: 703: 700: 697: 693: 692: 689: 686: 683: 679: 678: 675: 672: 668: 667: 664: 661: 657: 656: 653: 650: 647: 643: 642: 639: 636: 633: 613: 610: 602:founder effect 551: 548: 536:antipsychotics 504:hypothyroidism 475: 472: 452: 449: 421: 418: 310: 307: 290:saturated fats 288:and replacing 200:hyperlipidemia 190:, also called 183: 182: 176:Hyperlipidemia 173: 167: 166: 156:hypothyroidism 124: 120: 119: 113:cardiovascular 82: 76: 75: 70: 64: 63: 55: 54: 46: 45: 42: 38: 37: 29: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 5193: 5182: 5179: 5177: 5174: 5172: 5169: 5168: 5166: 5156: 5146: 5142: 5128: 5124: 5123: 5119: 5117: 5113: 5112: 5108: 5107: 5104: 5100: 5093: 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834: 830: 824: 810: 801: 799: 798:triglycerides 794: 790: 787: 783: 779: 770: 767: 764: 763: 759: 756: 753: 752: 748: 745: 742: 738: 734: 731: 728: 727: 723: 720: 717: 716: 712: 709: 706: 705: 701: 698: 695: 694: 690: 687: 684: 680: 676: 673: 670: 669: 665: 662: 659: 658: 654: 651: 648: 644: 640: 637: 634: 631: 630: 623: 619: 611: 609: 603: 599: 594: 592: 589:gene, or the 588: 587: 582: 578: 574: 573: 569: 565: 561: 557: 549: 547: 545: 541: 537: 533: 532:retinoic acid 529: 528:beta blockers 525: 521: 517: 513: 509: 505: 501: 497: 493: 489: 485: 481: 473: 471: 467: 465: 461: 456: 450: 448: 446: 442: 438: 431: 426: 419: 417: 415: 411: 407: 403: 402:arcus senilis 399: 394: 392: 388: 384: 380: 376: 372: 368: 364: 360: 356: 352: 348: 343: 339: 335: 331: 323: 319: 315: 308: 306: 304: 300: 295: 291: 287: 282: 280: 276: 272: 268: 264: 260: 256: 252: 248: 242: 240: 236: 232: 229:mutations in 228: 224: 220: 215: 213: 209: 205: 201: 197: 193: 189: 181: 177: 174: 172: 168: 165: 161: 157: 153: 149: 145: 141: 137: 133: 129: 125: 121: 118: 114: 110: 106: 102: 98: 94: 90: 86: 83: 81: 80:Complications 77: 74: 71: 69: 65: 61: 56: 52: 47: 43: 39: 34: 19: 5120: 5109: 5085: 5074: 5059: 5044: 4984: 4980: 4970: 4945: 4941: 4935: 4917: 4882: 4878: 4868: 4841: 4837: 4827: 4792: 4782: 4765: 4762:Advance Data 4761: 4751: 4718: 4714: 4708: 4675: 4671: 4664: 4653:, retrieved 4642: 4610:. 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Index

Hypercholesterolaemia

fresh frozen plasma
Specialty
Cardiology
Complications
Atherosclerosis
thrombosis
embolism
heart attack
stroke
coronary thrombosis
fat embolism
cardiovascular
coronary heart disease
junk food
fast food
diabetes
alcoholism
monoclonal gammopathy
dialysis
nephrotic syndrome
hypothyroidism
Cushing's syndrome
anorexia nervosa
Differential diagnosis
Hyperlipidemia
hypertriglyceridemia
cholesterol
hyperlipidemia

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