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The
LDL contains the apolipoproteins B-100 (Apo B-100, a protein with 4536 amino
acid residues) ONLY.[1] It also contains antioxidative vitamins (vitamin E or
carotinoids). It is commonly referred to as bad cholesterol as high LDL levels
can lead to cardiovascular disease. Because LDLs transport cholesterol to
the arteries, increased levels are associated with atherosclerosis, and thus myocardial
infarction, stroke and peripheral vascular disease. This is why cholesterol
inside LDL lipoproteins is called bad cholesterol. Still, it is not the cholesterol
that is bad; it is instead how and where it is being transported, and in what
amounts over time. Increasing evidence has revealed that the concentration and
size of the LDL particles more powerfully relates to the degree of atherosclerosis
progression than the concentration of cholesterol contained within all the LDL
particles. LDL
cholesterol of less than 100 mg/dL is the optimal level. Less than 130 mg/dl is
near optimal for most people. A high LDL level (more than 160 mg/dl or 130 mg/dl
or above if you have two or more risk factors for cardiovascular disease) reflects
an increased risk of heart disease. High-density
lipoproteins (HDL) form a class of lipoproteins, varying somewhat in their
size (8-11 nm in diameter) and contents, that carry cholesterol from the
body's tissues to the liver. Because HDL can remove cholesterol from atheroma
within arteries, and transport it back to the liver for excretion or re-utilization,
they are sometimes called "good cholesterol". When measuring cholesterol,
any contained in HDL particles serves as protection to the body's cardiovascular
health. (In contrast to "bad" LDL cholesterol.) Epidemiological studies have shown
that high concentrations of HDL (over 60 mg/dl) have protective value against
cardiovascular diseases (such as ischemic stroke and myocardial infarction). Low
concentrations of HDL (below 40 mg/dl for men, below 50 mg/dl for women) are a
positive risk factor for these atherosclerotic diseases. What
is Lp(a) cholesterol? LP(a) is a genetic variation of plasma LDL. A high
level of LP(a) is an important risk factor for developing fatty deposits in arteries
prematurely. The lesions in artery walls contain substances that may interact
with LP(a), leading to the buildup of fatty deposits At least one study suggests
that cigarette smoking specifically alters LP(a) concentrations in the blood.
The molecular mechanism of how high levels of LP(a) causes increased atherosclerosis
is still unclear. Triglyceride
is a form of fat. It comes from food and is also made in your body. People with
high triglycerides often have a high total cholesterol, a high LDL cholesterol
and a low HDL cholesterol level. Many people with heart disease also have high
triglyceride levels. People with diabetes or who are obese are also likely to
have high triglycerides. Triglyceride levels of less than 150 mg/dl are normal;
levels from 150–199 are borderline high. Levels that are borderline high or high
(200–499 mg/dl) may need treatment in some people. Triglyceride levels of 500
mg/dl or above are very high. Doctors need to treat high triglycerides in people
who also have high LDL cholesterol levels. For
more information see: http://www.americanheart.org/ |