HIGH CHOLESTEROL -
(HYPERLIPIDEMIA)
Overview
There are two main lipids found in the blood, cholesterol and triglycerides,
also known as serum lipoproteins. Cholesterol is an essential chemical within the
body, without it we will die. Yet, if our blood levels of cholesterol and triglycerides
are too high, we are at risk for coronary artery disease which is a major cause of death
in the United States today.
Cholesterol is an essential element contained
in all human cell membranes; it is a structural component of steroid hormones and bile
acids. Triglycerides are important in helping to transfer energy from food into body
cells.
Lipoproteins are categorized based on how
dense they are. Density is based on the amounts of cholesterol triglycerides and
apoproteins. The densest and smallest are called high-density lipoproteins or HDL,
also know at "the Good Cholesterol". Lipoproteins that are a little less dense
are called low-density lipoproteins of LDL. The least dense, and the largest of the
lipoproteins, are the very low-density lipoproteins or VLDL.
Risk of Coronary Heart Disease
In coronary heart disease, plaque accumulates along the walls of the
coronary arteries. Plaque, can also accumulate in other major arteries within the body,
this is termed atherosclerosis. Epidemiological research has shown that high levels
of LDL cholesterol increases the risk of coronary heart disease and atherosclerosis, just
as high levels of HDL cholesterol lower that same risk.
Testing
- Know Your Numbers
Know your numbers! Serum cholesterol testing in adults is recommended every
one to five years. Early detection and early control of high cholesterol in persons
without symptoms, is an important step in reducing the development and progression of
coronary heart disease and atherosclerosis. Persons with diabetes and a family history of
high cholesterol are more likely to have high cholesterol and may need to be tested at
more frequent intervals.
Prevention
and Treatment
In the prevention and treatment of high cholesterol, diet modification is
considered by experts to be the cornerstone of therapy. Adjuncts to the prevention and/or
treatment of high cholesterol also include, a regular exercise regimen,
cessation of smoking and excessive alcohol intake, the addition of antioxidants
to the diet, and lipid lowering drugs.
Dietary guidelines set forth from the American
Heart Association (AHA) to reduce the risk of heart disease and lower total serum
cholesterol can be obtained by contacting your local chapter of the AHA. A summary of the
AHA and other standard guidelines include:
Eating a diet that lowers total calorie
intake and reduces total fat and cholesterol intake
Limiting total daily fat intake to no more
than 30% of total calories
Cholesterol intake should be less than 300
milligrams daily
Carbohydrate intake should total 55% to 60%
of total daily calories
Avoid foods high in sugar
Fiber intake from foods, not supplements,
should total 25 to 30 grams daily
Use monosaturated oils such as olive or
canola oil
Eat five or more servings of fruit and
vegetables daily
Limit salt intake to six grams a day; limit
salt intake to three grams or less for patients with hypertension or diagnosed coronary
heart disease
Add the antioxidants, vitamin C,
beta-carotene and vitamin E, in the recommended amounts, to your diet to help lower
homocysteine levels and reverse the effects of oxidized LDL on the system
Eat a variety of foods; avoid eating the same
foods every day; variation of the foods you eat, allows for a greater intake of the
vitamins and minerals the body needs
Advanced Cardiac Specialists (ACS) supports
patients in the identification, treatment and prevention of high cholesterol. Serum
cholesterol. testing, risk reduction counseling, individualized treatment programs and
on-site exercise centers staffed by exercise physiologists are the tools used by ACS
clinicians for reducing your risk of high cholesterol.
Advanced Cardiac Specialists cares about your
good health. Detection, prevention and treatment of high cholesterol is only one of the
ways in which we show you how to more proactively manage your health care.
Who to
Contact
If you would like more information about our cholesterol program or would like to
schedule an appointment, please call us at: (480) 926-6990, or 1 (800) 73 PULSE, or e-mail
us at bobbie.boyd@acs-im.com
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