Why doesn't everybody with hypercholesterolemia get heart attacks?

All don't, but...... Everyone with hypercholesterolemia doesn't have a heart attack, but many do. High levels of bad cholesterol (ldl-c) in the blood are a significant risk factor for heart attacks (via plaque [blockages] in the coronary arteries). Other risk factors include high blood, pressure, smoking, and many more. Having high ldl-c contributes to risk, but is not the only factor.

Related Questions

100% healthy, no hypertension, hypercholesterolemia, or diabetes, ideal weight, very active, 59 y.o. woman, 2 days later, heart attack, related?

There are known. risk factors for coronary artery disease and you have named them but there is also genetics. In addition you haven't mentioned smoking or emotional distress. Takasubu can cause heart attack in a distressed woman and perhaps that is the root of the event. Smoking can undo all the good for the things you mentioned. Read more...

Dad is 54 had 8 heart attacks first one at 35. I'm 31 and really worried that I may have one at 35. He has high cholesterol mine is 6.0?

Need more info. You may go to this site to estimate your heart risk: http://cvdrisk.nhlbi.nih.gov/ However, given your family history you should consult with your doctor for a thorough evaluation. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. Read more...

I have a high cholesterol reading. I am fit in that I exercise 4 times a week. In december my brother had a heart attack. Do I need a statin.?

Maybe. Remember: activity, diet and exercise might not impact much your cholesterol if it is familiar. The fact your brother had a heart attack adds an additional risk factor. Treatment is guided by your lipid profile as a whole including levels of cholesterol, ldl, hdl. Other factors might be taken in consideration as well. Read more...
High cholesterol. To better guide you, get your cholesterol fractionated which actually counts the types of particle that are bad (sticky and small) vs okay. This helps determine what treatments are best for you. Also getting a lipoprotein a tested. The literature on statins is impressive to help decrease cholesterol and inflammation for both men and women. Read more...
Probably. If your cholesterol is high and you have family history of early heart disease, then you may need a statin. However, this usually (not always) can be fixed by diet which is cheaper with no side effects. Cut out most meat from your diet - no red meat, pork, and other fatty meats. Limit egg consumption. Limit dairy consumption. Reduce oil/fat use in cooking. Eat out less often. Read more...
Yes. Most likely, unless there are reasons that you are unable to take a statin. These medications have been demonstrated to lower the risk for heart attacks. An elevated cholesterol and a family history of coronary heart disease suggest you would benefit from a statin. Keep up the exercise! follow a proper diet. Read more...

Friend died suddenly at age 42 from heart attack. I have high cholesterol and am worried. How can young people just have heart attacks and what risks?

Heart attack . Every persons risk for heart attack is different . Doctor can do cardiovascular risk assessment and identify if anything can be done to reduce risk . Some are modifiable and non modifiable risk factors for heart attack . Please see your doctor. . Read more...
Heart attack. Atherosclerosis is slowly incremental with developing plaque vulnerable to mechanical disruption triggering a coagulation cascade and vessel occlusion:detailed processes are complex & varied;the end result is muscle damage= "heart attack", can occur at any age & commonest process is based on plaque formation. Read more...

I have a squeezing pain in my chest and left arm. I have high cholesterol and am sure of an impending heart attack. I also have weakness. I got an echo done and it was normal. My doctor doesn't believe me. What should I do?

Get to ER ASAP! You must go to the er asap with a situation like this. You have the signs and the predisposition for it, and heart attacks have occurred in individuals 30 years of age or younger. Please do not wait for a doctor's approval. Just get to the er/have someone bring you to the er as soon as you can. Best of luck. Read more...
Stress test. It doesn't matter if your doctor believes you or not; with the symptoms you describe you should ask for and get a cardiac stress test. More so if you have other risk factors (high blood pressure, family history, diabetes, smoking). Read more...