R. Wayne Whitted MD, MPH
8740 North Kendall Dr.
Suite 101
Miami, Florida 33176-2212
Phone: 305-596-3744
Fax: 305-596-3676
Raymond Wayne Whitted MD,
...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-
 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-
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)
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
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)
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-
 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