High Cholesterol Risks
Cardiologists clarify the dangers of high LDL cholesterol, which can lead to heart attack, stroke, or death, even in asymptomatic individuals. High levels of LDL cholesterol can remain silent for years, posing a significant risk to heart health.

Cardiovascular deaths have decreased significantly due to the use of statins, blood pressure medications, and a reduction in tobacco smoking, says Dr Shiv Sudhakar. However, progress has slowed down.
Low Density Lipoprotein-Cholesterol (LDL-C), or 'bad cholesterol', is a serious health concern, according to cardiologists. High LDL cholesterol often presents no symptoms, leading individuals to overlook potential cardiovascular risks.
Dr Arindam Pande, Director of Cathlab Services and Senior Consultant at Manipal Hospital, explains that many people with high cholesterol feel perfectly fine, leading them to underestimate the potential risks. He emphasizes the importance of reaching LDL-C targets, which vary based on individual risk factors.
The Cardiology Society of India recommends routine lipid profile check-ups starting from age 18. Dr Pande busts common myths about LDL cholesterol, including the notion that being young or physically active makes someone immune to high LDL-C.
Elevated cholesterol can have genetic or metabolic causes that cannot always be addressed through diet and exercise alone. Even young adults who eat a balanced diet and exercise regularly can have elevated LDL levels, which can contribute to plaque formation in the arteries over time.
Dr Lim Bee Chian, a consultant cardiologist, notes that assessing a person's overall cardiovascular risk is important when deciding how to manage cholesterol. Treatment depends on a patient's starting LDL cholesterol level, overall cardiovascular risk, and the target they need to reach.
For some people, improving their diet and exercising more may be enough to bring their LDL cholesterol towards the desired level. However, medication may be necessary for others, depending on their individual risk factors and LDL cholesterol levels.
Key facts
- High LDL cholesterol can lead to heart attack, stroke, or death
- LDL cholesterol can remain silent for years, posing a significant risk to heart health
- The Cardiology Society of India recommends routine lipid profile check-ups starting from age 18
- Treatment for high cholesterol depends on individual risk factors and LDL cholesterol levels
Three perspectives
Neutral
Cardiologists emphasize the importance of understanding the risks associated with high LDL cholesterol and taking proactive steps to manage it. Individuals should consult their doctors to determine their ideal LDL-C targets and develop a plan to reach them. By taking a proactive approach, individuals can reduce their risk of cardiovascular disease.
Positive
The decrease in cardiovascular deaths due to the use of statins and other medications is a significant achievement. By raising awareness about the risks of high LDL cholesterol, cardiologists hope to encourage individuals to take control of their heart health and make informed decisions about their lifestyle and treatment options.
Negative
The slowing progress in reducing cardiovascular deaths is a concern, and cardiologists warn that high LDL cholesterol can have devastating consequences if left unmanaged. Individuals who underestimate their risk or fail to take proactive steps to manage their cholesterol may be putting themselves at risk of serious health problems.
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