What Cholesterol Tests Reveal About Your Heart's Health


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Bad cholesterol, or low-density lipoprotein (LDL) cholesterol, is what doctors usually worry about most. It can clog the arteries and set the stage for a heart attack. Even if you don't have any other risk factors for heart disease, an LDL level above 160 mg/dL could mean trouble. If you can't bring it down through diet and exercise, your doctor may put you on a cholesterol-lowering drug, such as a statin. If you're at a high risk for heart disease, you should do whatever it takes to bring your LDL below 100 mg/dL.

After Miller's heart attacks, his doctor put him on a restricted diet and an exercise program. Though it didn't prevent Miller from eventually needing heart surgery, he did lose 165 pounds and was able to get back to coaching seven days after his surgery.

"Now I run three to four miles daily and walk 10,000 steps," says Miller. "I feel better today at age 62 than I ever did at 32." He also takes cholesterol-lowering medications.

The following information from our A-Z Health Library explains what doctors look for when they test your cholesterol.

Picture of the cardiovascular system

Cholesterol and triglyceride tests are blood tests that measure the total amount of fatty substances (cholesterol and triglycerides) in the blood.

Cholesterol travels through the blood attached to a protein. This cholesterol-protein package is called a lipoprotein. Lipoprotein analysis (lipoprotein profile or lipid profile) measures blood levels of total cholesterol, LDL cholesterol, HDL cholesterol, and triglycerides.

  • Cholesterol. The body uses cholesterol to help build cells and produce hormones. Too much cholesterol in the blood can build up inside arteries, forming what is known as plaque. Large amounts of plaque increase your chances of having a heart attack or stroke.
  • HDL (high-density lipoprotein) helps remove fat from the body by binding with it in the bloodstream and carrying it back to the liver for disposal. It is sometimes called "good" cholesterol. A high level of HDL cholesterol may lower your chances of developing heart disease or stroke.
  • LDL (low-density lipoprotein) carries mostly fat and only a small amount of protein from the liver to other parts of the body. A certain level of LDL in your blood is normal and healthy because LDL moves cholesterol to the parts of your body that need it. But it is sometimes called "bad cholesterol" because a high level may increase your chances of developing heart disease.
  • VLDL: (very low-density lipoprotein) contains very little protein. The main purpose of VLDL is to distribute the triglyceride produced by your liver. A high VLDL cholesterol level can cause the buildup of cholesterol in your arteries and increases your risk of heart disease and stroke.
  • Triglycerides are a type of fat the body uses to store energy and give energy to muscles. Only small amounts are found in the blood. Having a high triglyceride level along with a high LDL cholesterol may increase your chances of having heart disease more than having only a high LDL cholesterol level.
Last Updated: July 13, 2011 See Full Credits Disclaimer
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Last Updated: July 13, 2011
Medical Review:
Rakesh K. Pai, MD, FACC - Cardiology, Electrophysiology

Carl Orringer, MD - Cardiology, Clinical Lipidology


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