A member asked:

Ldl 130. hdl 35. mother had cabgx 3 at 61. i am 37 and got an ebct. my score was 23. i am trying a vegetarian diet. should i also go on lipitor (atorvastatin)?

3 doctors weighed in across 2 answers
Dr. Calvin Weisberger answered

Specializes in

Lipitor (atorvastatin): Lipitor (atorvastatin) would almost certainly with good diet and exercise get your LDL to 80 or below. Doubt you'll get there without it but could try a few months and see how you do on diet , if hesitant about drug rx.

Answered 6/27/2014


Dr. William Cromwell answered

Specializes in Clinical Lipidology

Statin needed: Your ebct indicates you have early vascular disease (>75th percentile for age, gender). Ldl cholesterol (ldl-c) is commonly used to "estimate" the number of LDL particles. However, because the amount of cholesterol carried inside LDL is so variable, ldl-c often underestimates ldl-p. When ldl-c and ldl-p differ cardiovascular risk tracks with ldl-p, not ldl-c. A minimal goal is ldl-p < 1000.

Answered 12/9/2013



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