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A 61-year-old female asked:

My total cholesterol is 262; hdl 75; ldl is 131; my vhdl is 25. i had a zero score on a calcium heart scan abt six weeks ago. do i need a statin?

3 doctor answers3 doctors weighed in
Dr. Vicken Poochikian
Internal Medicine 42 years experience
Depends.: With the numbers you give , your cholesterol to HDL ratio is about 3.5, which means low risk of cardiovascular disease, and you may not need a statin. But if you have other risk factors, like high blood pressure, diabetes, smoking, family history, then it changes the picture. Watch your diet, exercise and discuss risk factors with your doctor if you have any.
Dr. Sumit Kalra
Cardiology 21 years experience
Depends : It depends upon if you have any other risk factors like diabetes or blood pressure etc.
Dr. William Cromwell
Clinical Lipidology 34 years experience
Depends on Particles: Both labs and risk factors are important in knowing cardiovascular (cvd) risk. More than cholesterol, cvd is related to the number of LDL (ldl-p) and HDL particles (hdl-p). Because cholesterol in LDL and HDL particles is highly variable cholesterol levels often disagree with particle number. When cholesterol and particle number disagree cvd risk tracks with ldl-p and hdl-p, not ldl-c or hdl-c.

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Last updated Oct 20, 2017

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