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  Lipoproteins (HDL)


The lipoproteins are protein complexes which serve to transport fatty substances (cholesterol and triglycerides) through the body. Some lipoproteins are considered “good” while others are “bad.”
 
Elevations of the blood HDL, or High Density Lipoprotein, have been correlated with a decreased risk of heart disease. HDL tends to run higher in women than in men. For the reasons outlined above, the blood test to measure the HDL level has become quite important to many people. This test is performed (generally at the same time as cholesterol testing) on a simple venipuncture specimen. Below are charts that show relative cardiac risk as it pertains to the HDL and cholesterol level.
 
The ratio of the cholesterol to the level of the HDL (divide the total cholesterol by the total HDL) is an important indicator of cardiac risk.
 
Cardiac Risk:  (HDL levels)
 

Relative Risk   HDL
(Men)
  HDL
(Women)
Very Low   65   75
Low   55   65
Average   45   55
Moderate   25   40
High   < 25   < 40
 
 
Cardiac Risk:  (Cholesterol/HDL Ratio)
 
Relative Risk   Ratio
(Men)
  Ratio
(Women)
Very Low   3.4   3.3
Low   4.0   3.8
Average   5.0   4.5
Moderate   9.5   7.0
High   > 23   > 11
 

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