blood test in the hospital for blood lipids , mainly including four indicators: total cholesterol, triglyceride , low-density lipoprotein cholesterol and high-density lipoprotein cholesterol . Patients with elevated blood lipids often ask a question: When do you need to take medicine?
1. How high is cholesterol ?
The normal range of total cholesterol in an adult is between 3.25 and 5.18. If the total cholesterol level is found to exceed 5.18, it is recommended that the patient control it through healthy diet and scientific exercise.
If the reduction cannot be achieved through diet and exercise control, the total cholesterol will continue to rise by more than 6.22. At this time, you can actively take medication to lower cholesterol.
Next, let’s talk about triglycerides. The normal range of triglycerides is between 0.2 and 1.7. If the patient finds that his triglycerides exceed 1.7, it means that he needs to immediately control his diet. If the further increase exceeds 2.26, the patient can take the fibrate, statin, to reduce triglycerides.
Finally, let’s talk about the low-density lipoprotein cholesterol that everyone is very concerned about. The normal range of low-density lipoprotein cholesterol is between 2.0 and 3.12. If the patient finds that the LDL cholesterol exceeds 3.4, the patient needs to actively control it through dietary exercise. If the
is further increased by more than 4.12, statins or cholesterol-inhibiting absorber Ezemebu is preferred. If it still cannot effectively reduce it to within the qualified range, a small dose of statin combined with ezemeb can be used, or a powerful lipid-lowering drug, PCSK9 inhibitor , can be used.
2. Prevent cerebral infarction , how much lower the low-density lipoprotein cholesterol?
Different people have different specific requirements for reducing LDL cholesterol. For example, a normal person who does not have three highs, does not have coronary stenosis or carotid stenosis , does not have a family history of premature cardiovascular and cerebrovascular diseases and does not smoke or drink alcohol. We only require that LDL cholesterol be reduced to below the normal range of 3.4.
Secondly, for patients with in-risk cardiovascular and cerebrovascular diseases , that is, patients with one or two high-risk factors. One factor includes hypertension , diabetes , and hyperlipidemia.
Two factors include obesity, smoking and alcoholism, family history of premature cardiovascular and cerebrovascular diseases, female menopause , males over 55 years old or females over 65 years old. For this type of patient, doctors require that LDL cholesterol be lower than 2.6.
For high-risk patients with cardiovascular and cerebrovascular diseases, it mainly refers to patients with more than three high-risk factors, or who have suffered cardiovascular and cerebrovascular diseases such as cerebral infarction , myocardial infarction, etc. We strongly recommend reducing low-density lipoprotein to below 1.8.
Also, patients with ultra-high risk of cardiovascular and cerebrovascular diseases. What is ultra-high risk of cardiovascular and cerebrovascular diseases?
clinically refers to patients who have had two major ischemic cardiovascular and cerebrovascular diseases, or have only one major ischemic cardiovascular and cerebrovascular diseases, and have more than two high-risk factors.
For example, if you have had two cerebral infarction, or you have one cerebral infarction, combined with hypertension and diabetes, or you have high blood pressure and long-term smoking. For this type of patients, we require lower LDL cholesterol, preferably below 1.4 for a long time.
OK, pay attention to reliable medical knowledge and pay attention to Dr. Zeng, a doctor in the Department of Neurology.
