Outdated and incorrect information worries many of those affected – Heilpraxis

Lower cholesterol: Available therapies often remain untapped

High blood lipid levels are essential Risk factor for cardiovascular diseases. Therefore, people with an increased risk of cardiovascular events should keep blood pressure too high lower cholesterol. But they often remain available therapy not used for this. According to experts, this is also related to the fact that the affected people are concerned about outdated and incorrect information.

Elevated cholesterol levels are the cause serious diseases of cardiovascular system such as heart attack, stroke or blockage of the arteries in the legs (peripheral artery disease). Because too much fat in the blood can clog blood vessels. Therefore, people in high risk groups in particular should take measures to lower cholesterol. But although effective and tolerable concepts are available, they are often not used.

New LDL value for patients with heart or blood vessels

As the German Diabetes Society (DDG) explains in the current report, cholesterol is a natural fatty substance that occurs in all cells and is, among other things, an important building block of hormones.

In the blood, cholesterol is transported in so-called lipoproteins, such as LDL cholesterol and HDL cholesterol (high density lipoprotein). Excess LDL cholesterol is stored in the inner walls of blood vessels, which can lead to arteriosclerosis (hardening of the arteries). That’s why it’s also called “bad” cholesterol.

HDL cholesterol can reduce the amount of harmful fats in the blood and is therefore considered one “Good” cholesterol.

For people without risk factors for cardiovascular disease, and total cholesterol levels less than 200 mg / dl (5.2 mmol / l) and an LDL value less than 116 mg / dl or 3 mmol / l as favorable.

For some time now, a new LDL value has been reported in patients with a heart or blood vessel of less than 55 mg / dl LDL-C in the European Heart Journal.

Other risk factors also play a role

The link between too much cholesterol in the blood and the incidence vascular calcification researchers proved as early as 1913. “The higher the LDL cholesterol, the higher the risk of developing cardiovascular disease.”, explains Professor Dr. Medical Alexander Mann, Medical Director of the Endocrinology Frankfurt am Main.

“But that doesn’t mean that everyone with high LDL cholesterol will develop cardiovascular disease.” In contrast, low LDL cholesterol does not offer absolute protection.

Genetic predisposition, sensitivity of blood vessel walls and more risk factors such as diabetes, nicotine consumption or high blood pressure would also increase the risk.

Therefore, physicians consider individual cardiovascular risk when choosing the type of therapy. This can often happen to otherwise healthy people lifestyle change a low-fat diet and more exercise are enough to lower LDL cholesterol.

Taking medication is indispensable for some people

In patients at high and very high cardiovascular risk, such as people who Diabetes If you suffer from type 2 melitus, taking medication to achieve healthy cholesterol levels is essential. Various studies prove it.

According to DDG, studies also show that not all people are affected by cholesterol-lowering drugs: According to a study published in the European Journal of Preventive Cardiology, less than 30 percent of those affected in Germany have LDL cholesterol. , which is considered to be particularly harmful below the target value of 70 mg / dl still in force at the time of the study.

“Minimizing the risk of cardiovascular disease is not currently limited by therapeutic options, but rather by the fact that they are not used.”said the endocrinologist.

This is also because many outdated and incorrect information circulate through cholesterol. This disturbs the patient and prevents him from taking medication.

High HDL cholesterol alone is not enough

The molecular mechanism by which LDL cholesterol is lowered is not important: “Every reduction leads to a reduction in cardiovascular disease”, also explains Professor Dr. medical Stephan Petersenn, media spokesman for DGE in Hamburg.

The range of cardiovascular Risk reduction depends on both the extent of LDL cholesterol reduction and the duration. The following applies: “The higher a patient’s cardiovascular risk, the lower his personal target of LDL cholesterol.”

The doctor also clarifies the prejudice: “Unfortunately, elevated LDL cholesterol is not compensated by high HDL cholesterol levels, as many assume.”

There are various therapeutic options for lowering LDL cholesterol that doctors use in the form of a step-by-step scheme that is tailored to the patient. Plus, DDG gives some tips on nutrition principles to reduce cardiovascular risk:

  • total fat intake reduce
  • Long chain saturated with single and multiple unsaturated fatty acids spare
  • Omega 3- replacement of omega-6 fatty acids
  • trans fats avoid
  • Cholesterol recording reduce
  • Follow WHO recommendations: Adults should exercise for at least 150 minutes a week and children for at least an hour a day physically active be
  • If possible, less than six cups Coffee drink a day.
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Author and resource information

This text conforms to the specifications of the medical literature, medical recommendations and current studies and has been reviewed by medical experts.

Sources:

  • German Diabetes Society: Patients at risk for heart disease must lower cholesterol: However, drugs are often not used due to prejudice, (access: June 22, 2022), German Diabetes Society
  • Mach F, Baigent C, Catapano AL et al .: 2019 ESC / EAS Guidelines for Management of Dyslipidemias: Lipid Modification to Reduce Cardiovascular Risk: The Task Force for Management of Dyslipidemias of the European Society of Cardiology (ESC) and European Atherosclerosis Society ( EAS); in: European Heart Journal, (published online: 31.08.2019 and in: Volume 41, Issue 1, Pages 111–188, January 1, 2020), European Heart Journal
  • Kornelia Kotseva, Guy De Backer, Dirk De Bacquer et al .: Primary prevention is underdeveloped in people at high cardiovascular risk: Report of the European Society of Cardiology EUROobservational Research EUROASPIRE Program In a survey in 16 European countries; in: European Journal of Preventive Cardiology, (veröffentlicht: 08.05.2021), European Journal of Preventive Cardiology

Important note:
This article contains general advice only and should not be used for self-diagnosis or treatment. It can’t replace a doctor’s visit.

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