Cholesterol Archive

Many chronic conditions seem to be related. Examples include obesity, high blood pressure, type 2 diabetes, high cholesterol, and heart disease; hearing loss and dementia; obstructive sleep apnea and high blood pressure; various autoimmune diseases; and obesity and joint problems. People with chronic conditions should ask their doctors about the risk for associated diseases.In some cases, they should have certain health screenings to check for them. In other cases, additional screening isn't automatic.

Making plaque disappear is not possible, but it is possible to shrink and stabilize it. Drugs called statins can help with this, and so can eating a heart-healthy diet, exercising, and quitting smoking.

Research into the health benefits of alcohol has not provided a clear answer. Some findings suggest that alcohol helps protect against heart disease and lowers the risk of heart attacks and strokes, and drinkers tend to live longer than nondrinkers. Other studies say these benefits are less clear. If you don't drink alcohol now, there are no health reasons to start drinking. If you do enjoy it, it's best to have no more than 2 drinks in the same day.

Tai chi is a slow, flowing form of exercise that's sometimes described as "meditation in motion." It can be a good gateway exercise for people who cannot or will not engage in more conventional types of exercise. Tai chi may help lower cholesterol levels, reduce blood pressure, and dampen inflammation, all of which are linked to better heart health. Tai chi may also be a promising addition to cardiac rehabilitation.

Triglycerides are the most common form of fat both in food and in the bloodstream. Growing evidence suggests that above-normal triglyceride levels can raise the risk of cardiovascular disease.

For assessing heart disease risk, a standard cholesterol test doesn't always tell the whole story. Some people with "normal" LDL cholesterol levels might benefit from a test that measures apolipoprotein B (apoB). This test, which measures the number of LDL particles as well as other particles that can contribute to clogged arteries, may be a better indicator of heart disease risk than just an LDL cholesterol value.

Peripheral artery disease (PAD), which occurs when fatty deposits clog arteries outside the heart, is underrecognized and potentially dangerous. The hallmark symptom is leg pain that occurs with exercise, called intermittent claudication. PAD is more common among people who are older, who smoke, and who have diabetes. The recommended treatment involves short periods of walking interspersed with rest periods when pain occurs. Walking increases blood flow in the leg's smaller arteries and helps create new channels to move blood around the blockages; it also helps discourage new blockages.

Most strokes are caused by a clot that blocks a blood vessel in the brain. Those that damage small areas of brain tissue that don't control any vital functions are known as silent strokes because they don't cause any noticeable symptoms.

A common complaint among statin users is that the drugs increase pain during and after exercise. A 2023 study suggests statins won't exacerbate usual muscle symptoms from moderate-intensity exercise.

Statin dosages fall into three categories (low, moderate, or high) based on how much the medication can lower LDL. The choice of a statin depends on a person's risk.