Is 'good' cholesterol really good for you?
About 42% of the participants were Black, and 58% were white.. It turned out that low HDL predicted a modestly higher risk of heart trouble, but in white people only: Those with low levels had a 22% higher risk than white participants with normal HDL.risk. What's more, high HDL offered no protection to anyone.
The findings on high HDL are not surprising, Pamir noted: Trials testing HDL-raising medication have found no heart protection, either. "But the dogma is still 'high HDL is good,'" Pamir said. "You still get the pat on the back if your HDL is high." The consequences, she added, could be greater than an undeserved pat on the back, though. Doctors use HDL, along with other risk factors like
and high LDL, in estimating patients' risk of developing heart disease in the next 10 years. And that guides treatment decisions, such as whether to prescribe a statin.If the findings lead to changes in how HDL is used, that would be a good thing, said Dr. Keith Ferdinand, a cardiologist and professor at Tulane University School of Medicine in New Orleans.
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