Cholesterol: patient attention to risk!

That is to say: there is no standard cholesterol! For persons with a significant cardiovascular risk, usually considered as normal values are still too high. Zoom on the course and treatment.

Cholesterol New recommendations are published to better clarify the objectives of the treatment from what rate is necessary to follow a treatment to lower his cholesterol? It must be admitted that it is impossible to simply answer this question, because there is no “normal” value of cholesterol. We know that more cholesterol-LDL, or “bad” cholesterol, which is deposited on the arterial walls, is low and more cardiovascular risk is low. But it is not clear what is the optimal value for that there is a global benefit health.

patient attention to risk

The indication of treatment is therefore calculated individually, according to the cardiovascular risk of each. If you are part of the people “high risk”, the experts are very strict: it is desirable that your level of LDL-cholesterol is below 1 g/l, i.e. less than values considered normal in the general population.

Secondary prevention in question

Specialists thus distinguish two types of prevention, according to the level of risk:

Primary prevention, aimed at people with cardiovascular risk low or intermediate. The treatment is recommended in this case, from concentrations of LDL-cholesterol ranging from 2.2 g/l, if high cholesterol is isolated, 1.9 g/l, 1.6 g/l, or even 1.3 g/l, depending on whether one or more additional risk factors are associated with.
Secondary prevention, called thus because of coronary artery disease has already begun. In this case, the risk of cardiovascular event is high, which justify lowering LDL-cholesterol below this threshold of 1 g/l.

Previously, fell into the latter category only persons with a history of myocardial infarction or angina pectoris. The latest recommendations also in this group include all persons with a history of stroke related to the thermo, whether it be heart accidents, stroke or Arteritis of the lower limbs. They expand, in addition, the concept of secondary prevention in patients with no history of vascular, but having other major risk factors. This is:

People with type 2 diabetes, associated with renal impairment, or two of the following risk factors: age of more than 50 years for a man and more than 60 years for a woman, hypertension (HTA), similarly treated, smoking or having arrested for less than 3 years, have a parent first degree having a coronary accident early (before 55 years for men and 65 years for women), have a cholesterol-HDL (“good” cholesterol) less than 0.40 g/l or a Microal buminuria.

Persons with a greater than 20% risk of having a stroke in ten years, according to an equation based on all of the risk factors.