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Cholesterol

Cholesterol is a fatty substance the body needs. Too much cholesterol, particularly LDL cholesterol, may contribute to narrowing of the arteries over many years and increase the risk of heart attack, stroke and other vascular disease.

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  • Cholesterol is essential for cell membranes, hormones and bile acids, but too much LDL cholesterol in the blood increases the risk of atherosclerosis, the build-up of plaque in arteries.
  • High cholesterol almost never causes immediate symptoms. Only a blood test can establish the levels.
  • A number is not assessed in isolation. Overall risk also depends on smoking, blood pressure, diabetes, kidney function, age, family history and previous vascular disease.
  • LDL is the main treatment target. HDL and triglycerides provide additional information but are interpreted differently.
  • Lifestyle always helps reduce overall cardiovascular risk, even when medicines are needed.
  • Statins are the most widely used and best-studied type of cholesterol-lowering medicine. Other medicines may be added or used when appropriate.
  • Very high inherited cholesterol may cause damage from a young age. Testing family members may then save lives.
  • Every minute counts in a heart attack or stroke; call an ambulance on 912 for warning signs.

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