Cholesterol, analyzes

🤔What is it?
🔸 total cholesterol (TC)
🔸triglycerides (TG)
High-density lipoprotein cholesterol (HDL cholesterol)
Low-density lipoprotein cholesterol (LDL cholesterol) (often calculated by a formula, but better determined directly)
❓ Who?
With increased cardiovascular risk and all patients with cardiovascular disease (CVD)
Importantly, the increased cardiovascular risk and is not always obvious (slide 1) 💔
According to the lipid ratio, the doctor determines the type of hyperlipidemia and determines the risk of atherosclerosis💔
🤔And if you pass only OHS?
This is an important metric and is used to assess the overall risk of CVD. But it is not enough before starting treatment, therefore, for the initial assessment – not total cholesterol, but LDL cholesterol (if the entire lipid spectrum cannot be estimated)

🔷HS LDL (“bad”) is the main carrier of cholesterol in the blood and the most atherogenic class of lipoproteins. It’s linked to the risk of cardiovascular disease
🔷HDL cholesterol (“good”), one of the risk factors for atherosclerosis
<1 mmol / L in men and <1.2 mmol / L in women is associated with an increased risk
❗️BO there is no reason to believe that very high HDL cholesterol levels protect against atherosclerosis. That is, there is no point in trying to “increase” HDL cholesterol!
🔷 Elevated TGs are an important marker of CVD risk, but their association is significantly weaker
TGs carry additional information about the degree of risk

🚫What does not apply?
Cholesterol not associated with high density lipoprotein (HDL-C), apoproteins (B, AI, CIII) and C-reactive protein, which were used earlier, since 2017 in Russia are not recommended for use
❗️ The atherogenic index (coefficient of atherogenicity) loved by physicians and laboratories is not currently used

🤓And what is new?
Can Lipoprotein (a), when – on the slide

❓How to take?
Blood can be donated NOT on an empty stomach
Except in cases of TG> 5, if additional fasting tests are required and when assessing drug reduction in cholesterol

😃Can you have a genetic test?
For CVD risk assessment – NOT recommended
👨🏻‍🔬Can be used for familial hypercholesterolemia

😌These are the main points of laboratory diagnostics of dyslipidemia, more details in FB💚

❓Do you know your cholesterol?