Dyslipidaemia refers to abnormal blood lipid (fat) levels. Blood lipids include triglycerides, LDL cholesterol and HDL cholesterol. When levels of these fats are abnormal or disturbed patients are at risk of atherosclerosis, hypertension, coronary artery disease, stroke and a number of other disorders. The most common types of dyslipidaemia patients can present with (either alone or in combination) are:
High LDL:
low-density lipoproteins (LDL’s) transport cholesterol and triglycerides away from cells and tissues that produce cholesterol (e.g., liver), towards cells and tissues which are taking up cholesterol and triglycerides (e.g., peripheral tissues, muscles, nerves, etc). When too much LDL cholesterol circulates in the blood, it can slowly build up on the inner walls of the arteries that feed the heart and brain. Together with other substances LDL can form plaques, thick, hard deposits that can clog those arteries. This is why cholesterol inside LDL lipoproteins is called bad cholesterol. The risk of having a heart attack or stroke rises directly as a person's LDL cholesterol level increases.Low HDL:
high-density lipoproteins (HDL’s) carry cholesterol away from the arteries and back to the liver, where it's excreted via the hepatobiliary excretion route. HDL also removes excess cholesterol from plaques in arteries, thus slowing the progress of cardiovascular disease. This is why HDL cholesterol is known as the "good" cholesterol. Low HDL cholesterol levels increase the risk for cardiovascular disease.High triglycerides:
triglycerides are fats that contain a glycerol molecule attached to three fatty acids. These fats come from foods and are also made endogenously by the liver. The fat stored in the body is predominantly made from triglycerides. LDL carries triglycerides from the liver into the peripheral tissues and deposits it there; HDL carries it from the peripheries back to the liver for excretion. For this reason, hypertriglyceridaemia is commonly associated with high LDL and low HDL levels. High blood triglyceride levels are associated with increased risk for cardiovascular disease.Aetiology / Risk Factors
Major causative factors and risk factors that can contribute to dyslipidaemia include
Symptoms & Signs
High cholesterol levels may cause few, if any, symptoms. Diagnosis is usually made through blood tests. Severe symptoms may include: