Do i need medication for these #s tc-236 hdl-42 trg-194 ldl-156 non-hdl-195 tc\hdl 5.7 bmi-30.2 male 45 years, old 6'2" 230 lbs, history of heart disease in the family. i was diagnosed with ischemic cardio miopathy (enlargement of the left ventricle) my e

Based : Based on your history these numbers are very dangerous. Yor LDL should be below at least 100 and i would say below 70. Since your triglycerides are high your LDL particle size is probably type b... The small kind, even more dangerous. Yor HDL is the least of the problems but the higher the better. Yoe need to see a doctor who will get your lipids under control.

Yes & check LDL-P: You will need to be treated. The best indicator of response is another measure of LDL and HDL quantity - LDL and HDL particle number (ldl-p and hdl-p). When tg is high and hdl-c is low it is common to have high ldl-p and low hdl-p. Treat additional contributing factors (sugar, thyroid, kidney problems), optimize diet / exercise, and use medication as needed to get to low ldl-p (<1000).