What causes total cholesterol, LDL and HDL to be high?
A comprehensive medical follow up is advisable.
Thank you for asking on HCM!
I understand your concern, as you have a strong familial history for coronary heart disease.
Your doctor is quite right, when he confirms the positive protective effects of HDL cholesterol. This fraction is considered "good cholesterol", and the general approach when dealing with dyslipidemia, is to raise HDL cholesterol and lower LDL cholesterol.
Facing your strong heredity for ischemic heart disease, I would recommend you to follow a very meticulous scheduled program for lowering high LDL cholesterol. For the first three months a trial of diet and life style modification would be encouraged.
A healthy profile diet (I strongly would recommend Mediterranean diet) with low fat, and high fibers content would be the best choice to follow.
A daily scheduled physical activity (at least 1 hour walking, or aerobics, cycling, swimming, etc), avoiding smoking contacts, fighting eventual overweight, controlling possible high blood pressure, would help to reduce the risk burden for future cardio-vascular ischemic events.
If after around three months on these healthy multidimensional profile modifications, we are facing with a disappointing lipid profile results, then we have to call medications for help. A statin (Atorvastatin, Rosuvastatin, etc) would be helpful to achieve our objectives.
Remember that high HDL cholesterol is considered beneficial and protective against coronary ischemic events. Nevertheless, abnormally very high HDL cholesterol levels, are paradoxically found to be atherogenic.
So, at the end, I would like to explain that no one could do anything to change our inherited cardio-vascular genomics, BUT a variety of life style and medical interventions are possible to minimize overall risk for future ischemic cardio-vascular events.
I recommend you to be in close relationships with your attending doctor, to check periodically your medical status, and prevent potential future risks.
Hope to have been helpful to you. Greetings! Dr. Iliri
You are welcome!
Hello again XXXX!
Though your close relatives have experienced ischemic heart problems and relevant medical interventions, you should not be distressed about possible future heart issues.
You fortunately have identified your weak inherited cardiovascular determinations, as well as your actual modifiable coronary risk factors (lipid profile, high LDL cholesterol).
All this clear medical background will be of utmost importance in keeping your blood vessels, especially coronary arteries, healthy and under close medical supervision.
You have now the right point of view on dealing with your medical concerns.
Feel free to ask me whenever your need.
Best Regards! Dr. Iliri
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