Total Cholesterol
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Lipid profile to assess cardiovascular risk by measuring sum of good and bad cholestrols
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🧪 What is Total Cholesterol?
Total Cholesterol measures the overall amount of cholesterol in the blood, including cholesterol carried by low-density lipoprotein (LDL), high-density lipoprotein (HDL), and very low-density lipoprotein (VLDL). Cholesterol is essential for cell membrane structure and hormone synthesis but elevated levels are linked to cardiovascular disease.
❓ Why is the Test Done?
To:
- Assess cardiovascular risk by evaluating cholesterol levels
- Screen for hypercholesterolemia
- Monitor lipid-lowering therapy effectiveness
- Guide lifestyle and medication interventions for heart health
📊 Normal Range
Total Cholesterol Level | Interpretation |
|---|---|
< 200 mg/dL | Desirable |
200 – 239 mg/dL | Borderline high |
≥ 240 mg/dL | High; increased risk |
📈 Interpretation of Results
Result | Clinical Significance |
|---|---|
Desirable (<200 mg/dL) | Lower risk of cardiovascular disease |
Borderline (200–239 mg/dL) | Moderate risk; lifestyle changes recommended |
High (≥240 mg/dL) | High risk; requires medical evaluation |
🧠 Associated Conditions
Condition | Details |
|---|---|
Hypercholesterolemia | Elevated cholesterol contributing to atherosclerosis |
Cardiovascular disease | Increased risk of heart attack, stroke |
Metabolic syndrome | Often accompanied by dyslipidemia |
Hypothyroidism | Can elevate cholesterol levels |
🔄 Related / Follow-Up Tests
- Lipid profile (including LDL, HDL, triglycerides)
- Apolipoprotein B (ApoB)
- High-sensitivity C-reactive protein (hs-CRP)
- Blood glucose and HbA1c
✅ Fasting Required?
Test | Fasting Required |
|---|---|
Total Cholesterol | ❌ Usually No (fasting recommended if full lipid profile) |
📝 Summary Table
Parameter | Details |
|---|---|
What | Measures total cholesterol in blood |
Why | Assess cardiovascular risk and monitor treatment |
Normal Range | < 200 mg/dL (desirable) |
Borderline/High | 200–239 mg/dL / ≥ 240 mg/dL |
Associated Conditions | Hypercholesterolemia, CVD, metabolic syndrome |
Follow-up Tests | Full lipid profile, ApoB, hs-CRP |
Fasting Required | ❌ Usually no (fasting for full lipid profile recommended) |
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