Keywords: high cholesterol coronary heart disease

    Clinically, the patient’s laboratory tests show that the abnormal serum total cholesterol, triglycerides, high-density lipoprotein cholesterol and low-density lipoprotein cholesterol, often wear the hat of “coronary artery disease" lightly. This is a mistake high cholesterol as coronary heart disease and other atherosclerotic disease diagnostic criteria. Before the the Seventh National lipoprotein Conference held in Yinchuan, the experts stressed that the serum total cholesterol is neither specific nor sensitive, dyslipidemia, just a risk factor for coronary heart disease, rather than diagnostic indicators.

    It is understood, coronary heart disease and other atherosclerotic disease is a multifactorial disease, high cholesterol is just one of the major risk factors. High cholesterol to coronary heart disease more opportunities, but the majority of our patients with coronary artery disease serum total cholesterol close to the average level, and other diseases may also cause elevated cholesterol. In fact, in the diagnosis of coronary heart disease standard, not included in other lipid parameters is also used as the evaluation of the degree of risk of coronary heart disease, rather than diagnostic indicators.

    Experts pointed out that, in clinical practice, both doctors and patients are accustomed to biochemical test items (such as lipids) detection as diagnostic indicators look, which led to two errors. First, there are many clinical research papers, in the evaluation of a new lipid parameters, the average statistical difference between the patients with coronary heart disease and the control group, recklessly that this indicator can be used as a coronary heart disease diagnosis. Second, some masses misled by some unscientific propaganda too mean changes in blood lipids, erroneously high cholesterol and coronary heart disease incidence equated. Therefore, it is necessary to correct the deviation on this understanding, to avoid the risk factors as diagnostic indicators, so that a reasonable application of lipid tests and analysis to properly evaluate their application value.