The tide is shifting in India as noncommunicable diseases are becoming the primary health threat, while communicable diseases remain a concern. At the forefront of this crisis are heart diseases. Studies show that high cholesterol is responsible for 7.8 % of deaths in India. While advancements in healthcare and public health efforts have helped in managing heart conditions – raising awareness can further improve these efforts.
High LDL Cholesterol can be dangerous
Compared to Western countries, Indians develop heart disease 10 to 15 years earlier. The main reason of heart disease is high LDL cholesterol (LDLC). LDL cholesterol is a “silent killer” that works without visible symptoms, slowly causing fat deposits in the arteries. These deposits can eventually block blood flow or cause ruptures, which can lead to fatal conditions.
LDLC is a type of cholesterol that is responsible for transporting fats to various cells of the body. But when the levels of LDLC rise, it is the most threatening type of cholesterol, which is the reason for its reputation of being “bad cholesterol”. LDLC levels must be kept in check, making sure that they don’t increase or reduce in amount and a balance is maintained.
Personalized Targets for LDL Cholesterol Management
To maintain LDL cholesterol levels, it is necessary to get tested at an early age. The Cardiology Society of India (CSI) recommends lipid profile checkups starting at age 18. Early checkups help in finding problems before they become serious. Even people who seem healthy may have high LDLC, so regular testing is important.
Dr. Zakia Khan, Cardiologist, Fortis Hospital, Mumbai, says, “Managing LDL cholesterol isn’t just about hitting a target number. Each person has unique risk factors, including family history with cholesterol, lifestyle choices, pre-existing conditions like obesity, etc. These factors influence cholesterol targets and treatment approaches, making personalized management essential. Regular screenings are crucial because cholesterol-related issues happen silently over time. Early intervention can prevent complications such as plaque buildup or arterial blockages. Sticking to prescribed treatments and medical advice ensures long-term protection. 10-15% of my patients are proactive with their approach and get their checkups done in time. Ignoring cholesterol levels today can lead to irreversible consequences. Regular testing, combined with lifestyle modifications and medical guidance, is the best way to safeguard the heart.
Are Indians at a higher risk?
Indians are at a higher risk because they have more small, dense LDL particles. Unlike larger LDL particles, these smaller particles can easily enter artery walls, where they undergo oxidation and cause swelling (inflammation). This increases the chance of fat buildup, leading to heart disease, stroke, and heart failure.
Take charge of your heart health
While it is important to have an active lifestyle and a healthy diet, in some cases, lifestyle modifications alone may not be sufficient to manage high LDLC levels. For individuals with high LDLC, medication is often necessary. It is important for patients to visit doctors, adhere to prescribed treatments, and stick to the prescriptions even when the targets are met. It’s important to note that treating LDLC is a lifetime commitment and not a short-term target.
Remember, keeping LDLC in check is a lifelong commitment. Regular cholesterol screening, timely medication, and following medical advice are key to staying ahead of heart disease – ensuring a healthier future!