To what extent is the blood lipid high, so we should take lipid-lowering drugs? In five cases, both height and height are required.

Hyperlipidemia is not a small problem. Too much blood lipid can increase blood viscosity, which is easy to deposit on the blood vessel wall and gradually form small plaques. Plaque will gradually increase, and then block blood vessels, slow down blood circulation, and even interrupt blood flow, causing a series of problems, such as coronary heart disease, renal failure and blindness. Therefore, it is very important to control the blood lipid, so how high is the blood lipid?

Blood lipids include phospholipids, triglycerides and cholesterol, and cholesterol is divided into low-density lipoprotein cholesterol and high-density lipoprotein cholesterol. The former is the main reference index of blood lipid examination, which will produce atherosclerotic plaque in blood vessels. With the increasing plaque, it can cause arterial stenosis or blockage, which will lead to angina pectoris and myocardial ischemia and hypoxia. Plaque may rupture and fall off at any time, immediately blocking blood vessels, leading to acute myocardial infarction or sudden death. Under normal circumstances, low-density lipoprotein cholesterol is less than 2.6 mmol; If the total cholesterol exceeds 6.2 mmol, the low-density lipoprotein cholesterol exceeds 1.1 mmol, and the triglyceride exceeds 2.3 mmol, it is considered as hyperlipidemia.

1. Blood lipids are still rising after 3-6 months of life management

Those who insist on moderate-intensity exercise and strictly limit their diet for 3-6 months need to use lipid-lowering drugs. Low density lipoprotein cholesterol is an important index in blood lipid, which can only be reduced by 5%~1% through exercise and diet control, and lipid-lowering drugs can reduce blood lipid by about 3%~5%.

2. Ordinary people with low-density lipoprotein cholesterol over 3.4 mmol

less than 5 years old have a low risk of coronary heart disease, but people with familial hypercholesterolemia are younger because of genetic defects and abnormally high blood lipids. If the low density lipoprotein is greater than 3.4 mmol, medication should be taken in time to minimize the risk of coronary heart disease.

3. People with low-density cholesterol over 2.6 mmol and hypertension

Persistent hypertension will damage vascular endothelial function and destroy the integrity of vascular intima. If low-density lipoprotein exceeds 2.6 mmol, lipid-lowering drugs should be used as soon as possible.

4. Diabetes patients with normal blood lipids

Diabetes patients have rapid vascular aging, which is a high risk factor for cardiovascular diseases. Lipid-lowering drugs must be used regardless of whether blood lipids rise or not.

5. Patients with coronary heart disease with normal blood lipids

Even if patients with coronary heart disease have normal blood lipids, the degree of vascular stenosis will continue to increase with the development of the disease course. Using lipid-lowering drugs in advance can delay the process of vascular stenosis, stabilize atherosclerotic plaques and reduce the probability of myocardial infarction. Also, we should insist on using lipid-lowering drugs after stent implantation, which can reduce the risk of restenosis in stent.

Tips

Adjust blood lipid, give priority to life intervention, strictly control daily total calorie intake, and ensure diversified diet. Eat less or not eat high-cholesterol foods, such as animal fat and animal offal; Increase the proportion of coarse grains and eat more fresh vegetables, fruits and bean products to help reduce blood fat; Cook food by stewing or cold salad to reduce frying. Eat more coarse grains and beans containing dietary fiber, and adults should consume at least 25 grams of dietary fiber every day. Eat slowly, avoid overeating and adopt a Mediterranean diet structure. At least 3 minutes of moderate-intensity exercise every day, 4~5 times a week. In addition, we must give up smoking and drinking and keep a regular schedule.

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