5 doctors weighed in:

My LDL has jumped from 105 (2009) to 155 (2 recent tests over a 3 mo. Period). Hdl is 90. How important is it that I take pravastatin (20 mg.)?

5 doctors weighed in
Dr. William Cromwell
Clinical Lipidology
1 doctor agrees

In brief: Must Maintain Goal

Talk with your physician.
The longer high LDL levels exist, the more damage occurs in the artery wall. Once on therapy it is important to maintain goal LDL levels (ldl-c < 100 if high risk, otherwise < 130). Ldl particle number (ldl-p) should be checked once at ldl-c goal to judge adequacy of therapy (ldl-p < 1000 nmol/l for high risk, < 1300 nmol/l otherwise). If not at goal treatment is needed.

In brief: Must Maintain Goal

Talk with your physician.
The longer high LDL levels exist, the more damage occurs in the artery wall. Once on therapy it is important to maintain goal LDL levels (ldl-c < 100 if high risk, otherwise < 130). Ldl particle number (ldl-p) should be checked once at ldl-c goal to judge adequacy of therapy (ldl-p < 1000 nmol/l for high risk, < 1300 nmol/l otherwise). If not at goal treatment is needed.
Dr. William Cromwell
Dr. William Cromwell
Thank
Dr. Maritza Baez
Family Medicine
1 doctor agrees

In brief: It depends

It depends on other risk factors.
If u have no or 1 risk factors, your LDL should b <160. If u have 2 or more risk factors LDL should b <130. If u have heart disease or an equivalent, it should b <100. Risk factors include: smoking, hypertension, HDL <40, family history of premature heart disease (male 1st degree relative <55, female 1st degree relative <65), age > 45 if male or 55 if female.

In brief: It depends

It depends on other risk factors.
If u have no or 1 risk factors, your LDL should b <160. If u have 2 or more risk factors LDL should b <130. If u have heart disease or an equivalent, it should b <100. Risk factors include: smoking, hypertension, HDL <40, family history of premature heart disease (male 1st degree relative <55, female 1st degree relative <65), age > 45 if male or 55 if female.
Dr. Maritza Baez
Dr. Maritza Baez
Thank
1 comment
Dr. Slade Suchecki
Depends on risk factors and your Lipoprofile. I would recommend advanced lipid testings (lipoprofile, Lp(a), hsCRP) and a discussion with your physician.
Dr. Maureen Mays
Clinical Lipidology

In brief: Not very

Your HDL is so high that you, most likely, do not need statin therapy.
With an HDL of 90, your LDL could be 220 and your risk would still be relatively low - much lower that a person with an LDL of 100 and an HDL of 25. Now if you have a significant family history of heart disease or if you have diabetes or high blood pressure, then a very low dose statin is recommended. See www.Lipid.Org.

In brief: Not very

Your HDL is so high that you, most likely, do not need statin therapy.
With an HDL of 90, your LDL could be 220 and your risk would still be relatively low - much lower that a person with an LDL of 100 and an HDL of 25. Now if you have a significant family history of heart disease or if you have diabetes or high blood pressure, then a very low dose statin is recommended. See www.Lipid.Org.
Dr. Maureen Mays
Dr. Maureen Mays
Thank
Get help from a real doctor now
Dr. Dennis Higginbotham
Board Certified, Obstetrics & Gynecology
26 years in practice
49M people helped
Continue
108,000 doctors available
Read more answers from doctors