What Is High Blood Cholesterol ?

HIGH BLOOD CHOLESTEROL

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Understanding High Blood Cholesterol

Heart disease is caused by narrowing of the coronary arteries that feed the heart.

Like any muscle, the heart needs a constant supply of oxygen and nutrients, which are carried to it by the blood in the coronary arteries.

When the coronary arteries become narrowed or clogged by cholesterol and fat deposits--a process called atherosclerosis--and cannot supply enough blood to the heart, the result is coronary heart disease (CHD).

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If not enough oxygen-carrying blood reaches the heart, you may experience chest pain called angina.

If the blood supply to a portion of the heart is completely cut off by total blockage of a coronary artery, the result is a heart attack.

This is usually due to a sudden closure from a blood clot forming on top of a previous narrowing.

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Cholesterol is a waxy, fat-like substance that occurs naturally in all parts of the body and that your body needs to function normally.

It is present in cell walls or membranes everywhere in the body, including the brain, nerves, muscle, skin, liver, intestines, and heart.

Your body uses cholesterol to produce many hormones, vitamin D, and the bile acids that help to digest fat. It takes only a small amount of cholesterol in the blood to meet these needs.

If you have too much cholesterol in your bloodstream, the excess is deposited in arteries, including the coronary arteries, where it contributes to the narrowing and blockages that cause the signs and symptoms of heart disease.

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To travel in the bloodstream, cholesterol is carried in small packages called lipoproteins. The small packages are made of fat (lipid) on the inside and proteins on the outside.

Two kinds of lipoproteins carry cholesterol throughout your body. It is important to have healthy levels of both:

Low-density lipoprotein (LDL) cholesterol is sometimes called bad cholesterol.

High LDL cholesterol leads to a buildup of cholesterol in arteries. The higher the LDL level in your blood, the greater chance you have of getting heart disease.

High-density lipoprotein (HDL) cholesterol is sometimes called good cholesterol.

HDL carries cholesterol from other parts of your body back to your liver. The liver removes the cholesterol from your body.

The higher your HDL cholesterol level, the lower your chance of getting heart disease.

What Is High Blood Cholesterol?

Too much cholesterol in the blood, or high blood cholesterol, can be serious. People with high blood cholesterol have a greater chance of getting heart disease.

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High blood cholesterol on its own does not cause symptoms.As a result, many people are unaware that their cholesterol level is too high.

Cholesterol can build up on the walls of your arteries (blood vessels that carry blood from the heart to other parts of the body). This buildup of cholesterol is called plaque.

Over time, plaque can cause narrowing of the arteries. This is called atherosclerosis,or hardening of the arteries.

Special arteries, called coronary arteries, bring blood to the heart. Narrowing of your coronary arteries due to plaque can stop or slow down the flow of blood to your heart.

When the arteries narrow, the amount of oxygen-rich blood is decreased. This is called coronary artery disease (CAD).

Large plaque areas can lead to chest pain called angina. Angina happens when the heart does not receive enough oxygen-rich blood. Angina is a common symptom of CAD.

Some plaques have a thin covering and burst, releasing fat and cholesterol into the bloodstream.

The release of fat and cholesterol may cause your blood to clot. A clot can block the flow of blood. This blockage can cause angina or a heart attack.

On the following video clip, Dr. Brian P. Kessler, M.D., explains the dangers of high blood cholesterol and how it can lead to heart disease.

Click on the arrow in the center of the screen to begin viewing.

Lowering your cholesterol level decreases your chance for having a plaque burst and cause a heart attack. Lowering cholesterol may also slow down, reduce, or even stop plaque from building up.

Various factors affect cholesterol levels: diet, weight, physical activity, age and gender, and heredity.

High blood cholesterol itself does not cause symptoms. You may not know your blood cholesterol level is too high. So, it’s important to have your cholesterol measured.

Adults age 20 or older should have their cholesterol checked at least once every 5 years.

It best to have a blood test called a lipoprotein profile. This test measures total cholesterol, "good" and "bad" cholesterol, as well as triglycerides, another form of fat in the blood.

High cholesterol is treated with lifestyle changes including

1) a heart healthy eating plan

2) physical activity,

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3) loss of excess weight

and, if those do not lower it enough,

4) medication.

Medications include statins, bile acid sequestrants, nicontinic acid, and fibric acids.

P.S.

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