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Cholesterol management and cardiovascular health strategies
Managing cholesterol levels involves balancing Low-Density Lipoprotein (LDL), often called ‘bad cholesterol,’ and High-Density Lipoprotein (HDL), known as ‘good cholesterol.’ While LDL can lead to arterial plaque formation, HDL facilitates reverse cholesterol transport by carrying excess cholesterol to the liver for elimination.
A 2023 study in JAMA Cardiology indicates that over 40% of American adults with high LDL levels are unaware of their condition, leaving them at increased risk for heart attack and stroke. Experts emphasize that low LDL does not guarantee optimal HDL levels.
In clinical practice, some cardiologists opt for aggressive risk reduction through statins even when cholesterol is only moderately elevated, particularly when family history or lifestyle factors increase cardiovascular risk. However, medical professionals note that long-term research on the effects of statins in young, healthy individuals with moderate cholesterol levels remains limited.
Entities
C. Noel Bairey Merz · Cedars-Sinai · Christopher Kelly · Columbia University Irving Medical Center · Northwell Health