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Cholesterol - what to ask your doctor

Hyperlipidemia - what to ask your doctor; What to ask your doctor about cholesterol

 

Your body needs cholesterol to work properly. When you have extra cholesterol in your blood, it builds up inside the walls of your arteries (blood vessels), including the ones that go to your heart. This buildup is called plaque.

Plaque narrows your arteries and slows or stops the blood flow. This can cause a heart attack, stroke, or other serious heart disease.

Below are some questions you may want to ask your health care provider to help you take care of your cholesterol.

Questions

 

What is my cholesterol level? What should my cholesterol level be?

  • What are HDL ("good") cholesterol and LDL ("bad") cholesterol?
  • Does my cholesterol need to be better?
  • How often should I have my cholesterol checked?

What medicines am I taking to treat high cholesterol?

  • Do they have any side effects?
  • What should I do if I miss a dose?
  • Are there foods, other medicines, vitamins, or herbal supplements that may change how well my cholesterol medicines work?

What is a heart-healthy diet?

  • What are low-fat foods?
  • What types of fat are OK for me to eat?
  • How can I read a food label to know how much fat there is?
  • Is it ever OK to eat something that is not heart healthy?
  • What are some ways to eat healthy when I go to a restaurant? Can I ever go to a fast-food restaurant again?
  • Do I need to limit how much salt I use? Can I use other spices to make my food taste good?
  • Is it OK to drink any alcohol?

What can I do to stop smoking?

Should I start an exercise program?

  • Is it safe for me to exercise on my own?
  • Where should I exercise, inside or outside?
  • Which activities are better to start with?
  • Are there activities or exercises that are not safe for me?
  • Can I exercise most days?
  • How long and how hard can I exercise?
  • What symptoms may I need to watch out for?

 

 

References

Eckel RH, Jakicic JM, Ard JD, et al. 2013 AHA/ACC guideline on lifestyle management to reduce cardiovascular risk: a report of the American College of Cardiology/American Heart Association Task Force on practice guidelines. J Am Coll Cardiol. 2014;63(25 Pt B):2960-2984. PMID: 24239922 www.ncbi.nlm.nih.gov/pubmed/24239922.

Genest J, Libby P. Lipoprotein disorders and cardiovascular disease. In: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019:chap 48.

Heimburger DC. Nutrition's interface with health and disease. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 213.

Mozaffarian D. Nutrition and cardiovascular and metabolic diseases. In: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019:chap 49.

Ridker PM, Libby P, Buring JE. Risk markers and the primary prevention of cardiovascular disease. In: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019:chap 45.

Stone NJ, Robinson JG, Lichtenstein AH, et al. 2013 ACC/AHA guideline on the treatment of blood cholesterol to reduce atherosclerotic cardiovascular risk in adults: a report of the American College of Cardiology/American Heart Association Task Force on practice guidelines. J Am Coll Cardiol. 2014;63(25 Pt B):2889-2934. PMID: 24239923 www.ncbi.nlm.nih.gov/pubmed/24239923.

Text only

 
  • Health risks of hyperlipidemia

    Health risks of hyperlipidemia

    Animation

  •  

    Health risks of hyperlipidemia - Animation

    Learn about the relationship between abnormally high amounts of some types of lipids in the blood and your health.

  • Plaque buildup in arteries

    Plaque buildup in arteries - illustration

    A heart attack or stroke may occur when an area of plaque (atherosclerosis) ruptures and a clot forms over the location, blocking the flow of blood to the organ's tissues.

    Plaque buildup in arteries

    illustration

  • Health risks of hyperlipidemia

    Animation

  •  

    Health risks of hyperlipidemia - Animation

    Learn about the relationship between abnormally high amounts of some types of lipids in the blood and your health.

  • Plaque buildup in arteries

    Plaque buildup in arteries - illustration

    A heart attack or stroke may occur when an area of plaque (atherosclerosis) ruptures and a clot forms over the location, blocking the flow of blood to the organ's tissues.

    Plaque buildup in arteries

    illustration

A Closer Look

 

Talking to your MD

 

Self Care

 

Tests for Cholesterol - what to ask your doctor

 
     

    Review Date: 7/25/2018

    Reviewed By: Michael A. Chen, MD, PhD, Associate Professor of Medicine, Division of Cardiology, Harborview Medical Center, University of Washington Medical School, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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