R. Wayne Whitted MD, MPH

8740 North Kendall Dr.

Suite 101

Miami, Florida 33176-2212

Phone: 305-596-3744

Fax: 305-596-3676

www.drwhitted.net

Raymond Wayne Whitted MD,

MPH

...dedicated to healthy lifestyles and safe, state-of-the-art

surgery for women of all ages.

What Puts You at Risk for Coronary

Heart Disease?

Risk Factors You Can’t Do Anything About:

 Family History of Premature Heart Dis-

ease

 Age

Risk Factors Modifiable:

 High LDL (Above 130 mg/dl)

“Bad” cholesterol

 Low HDL (Less than 45 mg/dl)

“Good” Cholesterol

 High Blood Pressurer (Above 140/90

mm of mercury)

 High Blood Glucose (Diabetes)

 Overweight (BMI greater than 27)

 Smoking

 Inactivity and Lack of Exercise

 High Stress Environment

Your healthcare provider can provide advice and

possible preventive treatment for many of these

modifiable risk factors.

Lipid Management Alternative Therapies

 Policosanols: 10-20 mg nightly with food

 Guggul

 Pantethine

 Garlic

 Omega 3-Fatty Acids: 1 gram/day

 Psyllium

 Green Tea

 Vitamin E and C

 Extra-Virgin Olive Oil: 1 tablespoon/day

 Aspirin: 80 mg 2 times/week

Pharamceutical Management Options

 Lipitor

 Zocor

 Pravachol

 Lescol

 Vitorin

 Tricor

 Crestor

A Lipid Profile is a detailed meas-

ure of the fats in your blood. It consists

of measuring your total cholesterol,

HDL cholesterol, and triglycerides and

calculating your LDL cholesterol. NCEP

(National Cholesterol Education Pro-

gram—a study by a panel of experts)

ATP III Guidelines recommend a com-

plete lipid profile as the initial test and

testing every 6 weeks until lipid goals

are met and every 4-6 months thereaf-

ter.

Cholesterol is one of several compo-

nents that form your lipid profile. Total

Cholesterol (TC)

is a measure of the

total amount of both “good” and “bad”

cholesterol in your blood at a given time

 TC is measure in milligrams/deciliter

(mg/dl). A TC of less than 200 mg/dl

is desirable.

The “good” cholesterol is call High

Density Lipoprotein (HDL)

choles-

terol. It removes excess cholesterol

from your arteries and moves it to the

liver for further processing and elimina-

tion from the body.

 The higher your HDL, the better. An

HDL greater than 45 mg/dl is desir-

able in women.

 A TC/HDL Ratio less than 4.5 is as-

sociated with lower heart disease

risk

Triglycerides (TRG) are composed

of fatty acids and glycerol. Like choles-

terol, they circulate in the blood, but are

stored in body fat and used when the

body needs extra energy. While your

triglyceride level can be significantly

affected by how recently you’ve eaten,

total cholesterol and HDL are only

slightly affected.

 After eating, your triglyceride level

increases significantly. If your body

processes the fat efficiently, the

level of TRGs will decrease natu-

rally. Your fasting TRG level should

be below 150 mg/dl.

The ‘bad/cholesterol is call Low Den-

sity Lipoprotein (LDL)

cholesterol.

It contributes to the buildup of fat de-

posits in your arteries

(atherosclerosis), which can cause de-

creased blood flow and heart attack.

 About 65% of the cholesterol in your

blood is LDL. An LDL of less than

130 mg/dl is desirable. If you have a

personal history of CHD or if you

have multiple risk factors, your LDL

should be below 100 mg/dl.

Your healthcare provider will carefully

examine your lipid profile to fully as-

sess your risk for coronary heart dis-

ease (CHD).

...

dedicated to healthy lifestyles and safe, state-of-the-art, innovative surgery for women of all ages

...Because you deserve the best!

Other Important Tests:

Alanine Aminotransferase (ALT) and

Aspartate Aminotransferase (AST)

are enzymes that measure liver func-

tion. A normal ALT is 10-40 U/L

(units/liter) and a normal AST is 10-30

U/L. Your ALT and AST levels are

monitored if you are on cholesterol

lowering medications or medications

to control diabetes.

Glucose (GLU) is a measure of the

sugar level in your blood. Fasting

glucose levels should be below 100

mg/dl. If you are overweight or have

a family history of diabetes, your glu-

cose levels hould be checked peri-

odically.

 Total Cholesterol _____ (TC < 200

 HDL Cholesterol _____ (HDL> 45)

 LDL Cholesterol _____ (LDL<130)

 TC/HDL Ratio _____ (< 4.5)

 Triglycerides _____ (TRG< 150)

 Glucose _____ (GLU< 100)

 Blood Pressure _____ (< 140/90)

 ALT _____ (10-40 U/L)

 AST _____ (10-30 U/L)

Raymond Wayne Whitted MD, MPH,

Understanding Your Test Results