Helping you make better health choices

In shops now or delivered to your home from only £3.50 an issue!

Subscribe!

Testing for CHD

MagazineApril 2009 (Vol. 20 Issue 1)Testing for CHD

Testing for CHD- C-reactive protein (CRP)Claimed (but not universally agreed) to be more indicative of CHD risk than cholesterol because CRP measures inflammation, a possible key factor in atherosclerosis

Testing for CHD
- C-reactive protein (CRP)
Claimed (but not universally agreed) to be more indicative of CHD risk than cholesterol because CRP measures inflammation, a possible key factor in atherosclerosis. The most accurate test is the hs-CRP. Your CRP level should be less than 1.69 mg/L.
- Homocysteine
Homocysteine is an amino acid thought to promote atherosclerosis. A safe normal range is 4.72-7.00 mmol/L.
- Cholesterol
Confusingly, there are two measures of cholesterol. The US uses mg/dL (milligrams/deciliter) of blood; the UK uses the International System of mmol/L (millimoles/liter). The current guideline figures are:
- Total blood cholesterol
Normal: 5.1 mmol/L (200 mg/dL)
High: 6.2 mmol/L (240 mg/dL)
- LDL
Normal: 13.3 mmol/L (30 mg/dL)
High: 4.1 mmol/L (160 mg/dL)
LDL(B): should not exceed 0.52 mmol/L (20 mg/dL)
- HDL
Normal: 1.3 mmom/L (50 mg/dL)
Too low: 1.03 mmol/L (40 mg/dL)
- Ratio of total cholesterol to HDL (more important than raw values) (N Engl J Med, 1999; 341: 410-8)
Above 30 per cent HDL is safe
20-30 per cent HDL is OK
Below 20 per cent is risky.
- Total cholesterol values can be significantly increased in the elderly, as high cholesterol levels are not linked to premature death.
- Lipoprotein(a)
Mainly a hereditary factor, levels should be less than 0.25 mmol/L (10 mg/dL).
- Fibrinogen
A measure of blood coagulation: the 'stickier' the blood, the higher risk of heart attack. A safe normal level is 180-350 mg/dL.
- Tell-tale symptoms of CHD
- Angina: tightness or pain in chest on exercise
- Lightheadedness, nausea or breathlessness
- Fluid retention
- Bluish fingernails or lips
- Unexplained fatigue.

High-fat and heart healthy
- Cretans eat a diet containing 40 per cent fat, but have 5 per cent of the
CHD deaths of the US (Cardiol Prat, 1962; 13: 225-44)
- People in northern India consume 17 times more animal fat, but have seven times less CHD than people in southern India (Ind J Industr Med, 1968, 14: 219)
- The oldest Soviet Georgians eat the highest fat diets (Pitskhelauri GZ. The
Long Living of Soviet Georgia. New York, NY: Human Sciences Press, 1982)
- In the Gascony region of France, where goose and duck liver is a staple part of the diet, the CHD rates are a quarter of that in the US
- The Masai have no CHD, although their diet is primarily animal meat, blood and milk (Am J Epidemiol, 1972; 95: 26-37)
- The East African Samburu consume 10 liters of full-fat milk a day (= 400 g of fat), but have no CHD (Am Heart J, 1962; 63: 437-42)
- Australian Aborigines consume a diet that is 64-per-cent fat, but have very low rates of CHD (Lipids, 1986; 21: 684-90).



A healthy heart naturally

Hope for Alzheimers?

You may also be interested in...

Sign up for free today

Sign up now to get your FREE 17-point Plan to Great Health

Free membership gives you access to our latest news reports, use of our community area, forums, blogs, readers' health tips and our twice-weekly
e-news letter.

WDDTY Recommends

Latest Tweet

About

Since 1989, WDDTY has provided thousands of resources on how to beat asthma, arthritis, cancer, depression and many other chronic conditions.

Start by looking in our fully searchable database, active and friendly community forums and the latest health news.

Positive SSL Wildcard

Facebook Twitter

Most Popular Health Website of the Year 2014

© 2010 - 2016 WDDTY Publishing Ltd.
All Rights Reserved