What are the dangers of hyperlipidemia?

Written by Li Hui Zhi
Endocrinology
Updated on September 11, 2024
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If hyperlipidemia is present, it primarily refers to elevated levels of cholesterol, triglycerides, and low-density lipoprotein, though some patients may also have reduced high-density lipoprotein. The main risk of hyperlipidemia is the arterial sclerosis it can cause in blood vessels, which in severe cases can lead to plaque formation. Prolonged arterial sclerosis can cause acute cerebrovascular accidents, cerebral infarction, cerebral hemorrhage, or coronary artery disease of the heart, with severe cases leading to myocardial infarction. Significantly elevated triglycerides may also trigger acute pancreatitis. Therefore, it is essential to control lipid levels and maintain a light diet in cases of hyperlipidemia.

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Written by Li Hui Zhi
Endocrinology
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Indicators of hyperlipidemia

In fact, there are several commonly used lipid indicators. One is total cholesterol, the second is triglycerides, the third is high-density lipoprotein, and the fourth is low-density lipoprotein. The definition of hyperlipidemia, in fact clinically, is primarily characterized by elevated cholesterol and low-density lipoprotein levels. Some patients predominantly have elevated triglycerides. Therefore, these indicators need to be controlled in clinical practice. For example, total cholesterol, for diabetic patients, is generally required to be controlled below 4.5 mmol/L. For low-density lipoproteins, in people without coronary heart disease, it should be controlled below 2.6 mmol/L; for those with coronary heart disease as a high-risk factor, it should be controlled below 1.8 mmol/L.

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Written by Li Hui Zhi
Endocrinology
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How is hyperlipidemia treated?

For the treatment of hyperlipidemia, first of all, it is essential to control your diet, avoiding foods that are too greasy. Foods that are typically braised or deep-fried should best be avoided. Secondly, when cooking, the amount of cooking oil should be controlled and it's recommended to opt for vegetable oils over animal fats, which are not advisable. Thirdly, if lipid levels remain high after dietary control, it is best to seek medical advice at a hospital and use lipid-lowering medication under the guidance of a doctor. Common lipid-lowering medications include statins and fibrates. The specific type of medication to be used should be based on the advice of the doctor. (Note: Specific medications should be taken under the supervision of a qualified medical professional.)

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Written by Li Hai Wen
Cardiology
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How to relieve dizziness caused by hyperlipidemia?

Hyperlipidemia is a common disease in our daily life, often detected through health check-ups or blood tests when visiting a doctor for illness, which reveals elevated blood lipid levels. Some hyperlipidemia patients may exhibit symptoms such as dizziness. The alleviation of dizziness caused by hyperlipidemia primarily includes the following aspects. First, controlling blood lipids is crucial; medications should be taken under a doctor's guidance to bring the lipid levels back to a normal range. Second, medical treatment. If the symptoms are significant, medications to improve cerebral blood supply or certain traditional Chinese medicines can be taken under a doctor's guidance to alleviate symptoms. Third, maintaining good lifestyle habits is very important for managing hyperlipidemia. Persisting in exercise, controlling weight, eating less greasy food, etc., can effectively alleviate dizziness through comprehensive treatment.

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Written by Li Hui Zhi
Endocrinology
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How to test for hyperlipidemia?

First, we can take a blood test to check our cholesterol, triglycerides, low-density lipoprotein, and high-density lipoprotein levels. Second, we can also have a carotid ultrasound to look at the condition of the blood vessels, to see if there is high blood lipid levels, if it has affected the blood vessels, if there is arteriosclerosis, and if plaques have formed. If the diagnosis confirms these conditions, it is advised to control the diet and eat lightly. If diet control is insufficient, then it may be necessary to go to the hospital and choose lipid-lowering medication under the advice of a doctor.

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Written by Zhang Yue Mei
Cardiology
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What should be paid attention to for hyperlipidemia?

What should be noted for hyperlipidemia? First, maintain regular life habits, avoid staying up late, smoking, excessive drinking, and overeating. Try to avoid consuming animal offal, fatty meats, fried foods, and foods high in cholesterol. Opt for easily digestible and high dietary fiber foods, and consume more vegetables and fruits to help lower blood lipids. Additionally, under the guidance of a doctor, medication that regulates blood lipids should be used. Common medications include rosuvastatin, atorvastatin, fenofibrate, and Xuezhikang, which should be routinely used to maintain blood lipids within a normal range.