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41 PRACTICAL QUESTIONS AND ANSWERS ABOUT HYPERTENSION AND HYPERCHOLESTEROLEMIA - 2008

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  • The lower the values of total and "bad" LDL-cholesterol as well as the higher the values of "good" HDL-cholesterol the less the risk of a cardiovascular incident in the future. The optimal levels of lipids in the blood are shown in the following table.

  • In case the values of cholesterol are not within these limits a long-term application is needed to modify them by adopting lifestyle changes such as exercise, diet or even drug treatment.
  • The high levels of cholesterol should be verified by repeated measurements (at least 2 different tests on separate days). In patients who are at high risk of cardiovascular incidents (a prior myocardial infarction or a stroke, diabetes mellitus, a combination of many risk factors or a very high cholesterol level), immediate drug treatment is usually recommended, always along with lifestyle changes. In most other cases, the physician has to suggest lifestyle modifications and wait for 3-6 months before deciding to prescribe drugs.

WRITING GROUP
G. Stergiou, Chairman
A. Achimastos
E. Andreadis
I. Avramopoulos
M. Elissaf
N. Karatzas
T. Mountokalakis
D. Papadogiannis
K. Siamopoulos
E. Varsamis
K. Vemmos
D. Vlahakos