Heart & vessels · mmol/L

LDL cholesterol

Causally linked to atherosclerosis; the target is lower at higher risk (ESC/EAS).

Ranges we useESC / EAS
RatingRangeWhat it means
Goodbelow 3 mmol/LLDL at target for the general population.
Worth improving3 – 4.1 mmol/LSlightly elevated — at increased risk the target is lower; review ApoB.
Talk to a doctor4.1 mmol/L and aboveElevated — important for cardiac risk; seek advice.
Source: ESC / EAS · 2019 ESC/EAS Guidelines for the management of dyslipidaemias · 2019 · open

Why it matters

Causally linked to atherosclerosis; the target is lower at higher risk (ESC/EAS).

If it’s low

Low LDL is mostly favorable (lower vascular risk). Markedly low without medication is rare and usually not a concern.

If it’s high

Elevated LDL accelerates the deposition of fats in the vessels and raises the risk of a cardiovascular event — silently, years before symptoms. The good news: it is very manageable with lifestyle and, if needed, medication.

What to do

Today: less saturated fat (red/processed meat, butter), more soluble fiber and activity. Set your target value according to your overall risk — talk to a doctor, especially with a family history.

Read together with

ApoB · non-HDL cholesterol · Triglycerides · Lp(a)

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