Ask The Doctor > Questions & Answers > American Heart Association guidelines for good and bad cholesterol

American Heart Association guidelines for good and bad cholesterol

Patient: My cholesterol is: Total: 270 Triglycerides: 83 HDL: 98 LDL 155 I’m concerned because the total cholesterol is high, but my doctor isn’t because the HDL/LDL ratio is good, and the triglycerides are low. Should I be concerned?

 

 

Doctor: According to the American Heart Association the desirable Total cholesterol level is <200 mg/dL. Your total cholester ol level is 270mg/dL which is in the high risk category. With HDL (good) cholesterol, higher levels are better. An HDL cholesterol of 60 mg/dL or higher gives some protection against heart disease. Your HDL level is 98mg/dL and is therefore cardio-protective. The lower your LDL (bad) cholesterol, the lower your risk of heart attack and stroke. In fact, it's a better gauge of risk than total blood cholesterol and your level is between 130 to 159 mg/dL at 155, which is Borderline High. Triglyceride is another form of fat. If your level is <150 mg/dL it is normal and in your case it is 83mg/dL which is well below normal. On balance, even though your total cholesterol is high, it is predominantly made up of good rather than bad cholesterol, which is cardio-protective. You can help to lower bad cholesterol levels further by eating a heart-healthy diet, avoiding smoking and getting regular physical exercise.

 


 

 
Ask The Doctor
    Ask The Doctor
Dr. Suneel Sharman M.D.

Dr. Suneel Sharman M.D.

Dr. Suneel Sharman completed his residency in Family Medicine at the University of Toronto. He currently operates Infinity Health Centre, a walk-in-clinic in downtown Toronto.

Book Appointment