Sunday, March 22, 2020

High Colesterol : Dangerous for Heart

High Colesterol : Dangerous for Heart

What is High Cholesterol?

 The normal cholesterol levels for humans are said as:
Total cholesterol :  below 200 mg/dL
LDL cholesterol :  below 130 mg/dL
HDL cholesterol :  50 mg/dL or higher
   But when total & LDL cholesterol rises and HDL cholesterol falls, there is a chance of high cholesterol.
High cholesterol level arises when:
Total cholesterol :  240 mg/dL or higher
LDL cholesterol :  160 mg/dL or higher
HDL cholesterol :  below 40 mg/dL

  • Due to high cholesterol, our blood vessels may develop some fatty deposits. Eventually, these deposits grow, making it difficult for enough blood to flow through our arteries. Sometimes, these deposits can break suddenly and form a clot that causes a heart attack or stroke.
  • High cholesterol can be inherited, but it's often the result of unhealthy lifestyle choices, which make it preventable and treatable. A healthy diet, regular exercise and sometimes medication can help reduce high cholesterol.
  • Most of the cholesterol in the blood is carried by proteins called low density lipoproteins or LDL. This is known as bad cholesterol because it combines with other substances to clog the arteries. A diet high in saturated fats and trans fats tends to raise the level of LDL cholesterol. For most people, an LDL score below 100 is healthy, but people with heart disease may need to take medications to lower their LDL.

What Boosts Our Risk?

Several factors can make us more likely to develop high cholesterol:

  • A diet high in saturated fats and cholesterol
  • A family history of high cholesterol
  • Being overweight or obese
  • Getting older

Why High Cholesterol Matters?

High cholesterol is one of the major risk factors for coronary artery disease, heart attacks, and strokes. It also appears to boost the risk of Alzheimer's disease. As we saw earlier, high cholesterol leads to a buildup of plaque that narrows the arteries. This is dangerous because it can restrict blood flow. If the blood supply to a part of the heart or brain is completely cut off, the result is a heart attack or stroke.

Why is High Cholesterol Dangerous?

Elevated cholesterol levels are one of the risk factors for heart disease, stroke, and peripheral artery disease. The mechanism involving cholesterol in all three diseases is the same; plaque buildup within arteries decreases blood flow affecting the function of the cells and organs that these blood vessels supply.
Atherosclerotic heart disease or narrowed coronary arteries in the heart can cause the symptoms of angina, when the heart muscle is not provided with enough oxygen to function.
Decreased blood supply to the brain may be due to narrowed small arteries in the brain or because the larger carotid arteries in the neck may become blocked. This can result in a Transient Ischemic Attack (TIA) or stroke.
Peripheral artery disease describes gradual narrowing of the arteries that supply the legs. During exercise, if the legs do not get enough blood supply, they can develop pain, called claudication.
Other arteries in the body may also be affected by plaque buildup causing them to narrow, including the mesenteric arteries to the intestine and the renal arteries to the kidney.

Symptoms of High Cholesterol

High cholesterol does not exhibits any symptoms. But it does cause damage deep within the body. Over time, too much cholesterol may lead to a buildup of plaque inside the arteries. Known as atherosclerosis, this condition narrows the space available for blood flow and can trigger heart disease.
A person with high cholesterol levels often has no signs or symptoms, but routine screening and regular blood tests can help detect high levels. A person who does not undergo testing may have a heart attack without warning, because they did not know that they had high cholesterol levels. Regular tests can help to reduce this risk.
Many people don’t even realize they have high cholesterol until they develop serious complications, such as a heart attack or stroke.
That’s why routine cholesterol screening is important. If you’re age 20 years or older, ask your doctor if you should have routine cholesterol screening. Learn how this screening could potentially save your life.

Causes of High Cholesterol

High cholesterol is a significant risk factor for coronary heart disease and a cause of heart attacks.
A build-up of cholesterol is part of the process that narrows arteries, called atherosclerosis. In atherosclerosis, plaques form and cause restriction of blood flow.
Reducing the intake of fat in the diet helps to manage cholesterol levels. In particular, it is helpful to limit foods that contain:

  • Cholesterol: This is present in animal foods, meat, and cheese.
  • Saturated fat: This occurs in some meats, dairy products, chocolate, baked goods, deep-fried, and processed foods.
  • Trans fats: This occurs in some fried and processed foods.
  • Unhealthy eating habits, such as eating lots of bad fats: One type, saturated fat, is found in some meats, dairy products, chocolate, baked goods, and deep-fried and processed foods. Another type, trans fat, is in some fried and processed foods. Eating these fats can raise your LDL (bad) cholesterol.
  • Excess weight or obesity can also lead to higher blood LDL levels. Genetic factors can contribute to high cholesterol. People with the inherited condition familial hypercholesterolemia have very high LDL levels.
Other conditions that can lead to high cholesterol levels, include:

  • diabetes
  • liver or kidney disease
  • polycystic ovary syndrome
  • pregnancy and other conditions that increase levels of female hormones
  • underactive thyroid gland
  • drugs that increase LDL cholesterol and decrease HDL cholesterol, such as progestins, anabolic steroids, and corticosteroids

What Can Raise Risk of High Cholesterol?

A variety of things can raise our risk for high cholesterol:

  • Age: Our cholesterol levels tend to rise as we get older. Even though it is less common, younger people, including children and teens, can also have high cholesterol.
  • Heredity: High blood cholesterol can run in families.
  • Weight: Being overweight or having obesity raises our cholesterol level.
  • Race: Certain races may have an increased risk of high cholesterol. For example, African Americans typically have higher HDL and LDL cholesterol levels than whites.

Risk Factors for High Cholesterol

Factors that can increase our risk of bad cholesterol include:

  • Poor diet: Eating saturated fat, found in animal products, and trans fats, found in some commercially baked cookies and crackers and microwave popcorn, can raise our cholesterol level. Foods that are high in cholesterol, such as red meat and full-fat dairy products, will also increase our cholesterol.
  • Obesity: Having a body mass index (BMI) of 30 or greater puts us at risk of high cholesterol.
  • Lack of exercise: Exercise helps boost our body's HDL, or "good," cholesterol but lack of exercise increases the size of the particles that makes up LDL, or "bad," cholesterol, which is harmful.
  • Smoking: Cigarette smoking damages the walls of our blood vessels, making them more prone to accumulate fatty deposits. Smoking might also lower our level of HDL, or "good," cholesterol.
  • Age: Because our body's chemistry changes as we age, our risk of high cholesterol climbs. For instance, as we age, our liver becomes less able to remove LDL cholesterol.
  • Diabetes: High blood sugar contributes to higher levels of a dangerous cholesterol called very-low-density lipoprotein (VLDL) and lower HDL cholesterol. High blood sugar also damages the lining of our arteries.

What Health Problems can High Cholesterol Cause?

If we have large deposits of plaque in our arteries, an area of plaque can rupture (break open). This can cause a blood clot to form on the surface of the plaque. If the clot becomes large enough, it can mostly or completely block blood flow in a coronary artery.
If the flow of oxygen-rich blood to our heart muscle is reduced or blocked, it can cause angina (chest pain) or a heart attack.
Plaque also can build up in other arteries in our body, including the arteries that bring oxygen-rich blood to our brain and limbs. This can lead to problems such as carotid artery disease, stroke, and peripheral arterial disease.

Diagnosis

A blood test to check cholesterol levels — called a lipid panel or lipid profile — typically reports:

  • Total cholesterol
  • LDL cholesterol
  • HDL cholesterol
  • Triglycerides — a type of fat in the blood
For the most accurate measurements, don't eat or drink anything (other than water) for nine to 12 hours before the blood sample is taken.

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