Test Detail
Understanding the Test
Test Measures
Interpreting Results
FAQ's
References
Other Tests
Content created by
Written by
Dr. Betina Chandolia
BDS, MDS - Oral Pathology and Microbiology
Reviewed by
Dr. Ashish Ranjan
MBBS, MD (Pharmacology)
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Cholesterol - LDL

Also known as Direct LDL Cholesterol Test
You need to provide
Blood
This test is for
Male, Female

Understanding Cholesterol - LDL


What is Cholesterol - LDL?

A Cholesterol - LDL test is a blood test that measures the levels of low-density lipoprotein (LDL) in the body. This test is done to evaluate your cardiovascular health, especially when you have risk factors, such as obesity, diabetes, and high blood pressure. It is also done as part of a routine health checkup or a lipid profile.

Cholesterol is a waxy, fat-like substance found in all cells of the body. It is essential for the production of hormones and vitamin D and for digesting food. There are generally two types of cholesterol: low-density lipoproteins (LDL) or the "bad" cholesterol and high-density lipoproteins (HDL) or the “good” cholesterol. Although referred to as bad, LDL cholesterol is not essentially unhealthy. Your body needs it in an optimum amount for nerve protection, cell production, and hormone synthesis. However, excessive amounts may clog or block the blood vessels (plaque formation) and increase the risk of heart conditions, such as heart attack, stroke, and angina. 

A Cholesterol - LDL test helps determine LDL levels in the blood. High LDL cholesterol levels (hypercholesterolemia) generally show no symptoms in the early stages but may eventually lead to several cardiovascular complications. Whereas, low LDL cholesterol levels (hypocholesterolemia) are rare and are caused generally due to underlying health conditions like hyperthyroidism, liver disease, or malnutrition. This test does not require any special preparations. Usually, you do not have to stop your medications unless specifically advised by your doctor. 

Test result ranges are approximate and may differ slightly between different labs depending on the methodology and laboratory guidelines. Talk to your doctor about your specific test results. The results will help them evaluate your medical condition; make recommendations for diet, exercise, or medication; and formulate your overall treatment plan.

What is Cholesterol - LDL used for?

Cholesterol - LDL test is done:

  • As part of routine health checkups to measure the level of LDL cholesterol in the blood.

  • To determine an individual's risk of developing heart disease, stroke, and peripheral artery disease.

  • For monitoring the LDL levels in individuals already diagnosed with high cholesterol or cardiovascular disease.

  • To detect early elevated levels in individuals with a family history of high cholesterol levels or premature heart disease.

What does Cholesterol - LDL measure?

A Cholesterol - LDL test measures the concentration of low-density lipoprotein (LDL) cholesterol in the blood. LDL cholesterol plays an important role in your body. It carries cholesterol from your liver to other parts of the body where it's needed for things like building cell walls and making hormones. However, it is often referred to as "bad" cholesterol because when present in excess in your blood, it can stick to your blood vessel walls leading to the formation of plaque, making them narrow and less flexible. When this happens, it's harder for the blood to flow, which can lead to heart problems, like heart attacks and strokes. By measuring LDL cholesterol levels, your doctor can assess your risk of developing cardiovascular diseases and can recommend appropriate preventive or treatment strategies.

Interpreting Cholesterol - LDL results


Interpretations

  • If the LDL cholesterol level is less than 100 mg/dL - Optimal 

  • If it is between 100-129 mg/dL — Near optimal, above optimal 

  • Levels between 130-159 mg/dL — Borderline high 

  • Level between 160-189 mg/dL — High 

  • Greater than 189 mg/dL— Very high

Low levels of LDL cholesterol are not generally a concern and are not monitored.

 

Answers to Patient Concerns & Frequently Asked Questions (FAQs) about Cholesterol - LDL


Frequently Asked Questions about Cholesterol - LDL

Q. What is a Cholesterol - LDL test?

A Cholesterol - LDL test measures the levels of low-density lipoprotein (LDL) cholesterol, often called "bad" cholesterol, in the blood. High LDL cholesterol levels can contribute to plaque buildup in the arteries, increasing the risk of heart disease, stroke, and peripheral artery disease.

Q. Why is it important to get a Cholesterol - LDL test done?

Getting a Cholesterol - LDL test helps assess your risk of developing cardiovascular diseases. The test results can guide the doctor in recommending preventive measures, lifestyle modifications, and if necessary, medication to manage high LDL cholesterol levels and reduce the risk of heart-related complications.

Q. How can I lower my LDL cholesterol levels?

Lowering LDL cholesterol levels typically involves lifestyle modifications, such as adopting a heart-healthy diet, engaging in regular exercise, maintaining a healthy weight, quitting smoking, limiting alcohol consumption, and managing stress. In some cases, the doctor may prescribe cholesterol-lowering medications to better manage your cholesterol levels.

Q. Is fasting required for an LDL cholesterol test?

Usually, fasting is not required before taking this test. However, it’s recommended to follow any specific instructions provided by the doctor.

Q. What is meant by “good” and “bad” cholesterol?

Low Density Lipoprotein Cholesterol or LDL-C is also called “bad cholesterol”. These low-density particles easily come out from blood and get deposited in the vessels as plaque, giving rise to cardiovascular diseases. High Density Lipoproteins Cholesterol or HDL-C is called “good cholesterol”. These high-density particles can pick up LDL-C particles while flowing through blood vessels and help transport them to the liver for disposal.
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