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Q&A with Australian Health Practitioners
Any advice on high cholesterol and coronary calcium score?
Related Topic
My cholesterol is HDL 1.9 and LDL 6.1. The total HDL ratio is 4.5 The total cholesterol is 8.8 mmo1/L My coronary calcium score is 102. I am healthy, not overweight (54 kg) , 55 year old female. I have tried diet without any improvement. I brisk walk 45 minutes 3 times per week. My cholesterol problem is genetic. My family has a history of heart problems. I have tried statins but cannot tolerate them. What positive and helpful things can I do to improve my situation? Thanks. -
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Dr Reza Moazzeni
Cardiologist (Heart Specialist)
Dr Moazzeni earned his medical degree in 2000 and subsequently garnered diverse experience in various medical sub-specialties, including general practice in remote regions. In 2009, … View Profile
With an LDL of 6.1, a calcium score of 102, and a family history of heart disease, it’s clear your cholesterol needs to be actively managed. Statins have the strongest evidence for reducing cardiovascular events, so it's worth revisiting them. Many side effects can be mitigated by using lower doses, alternate dosing schedules, or different formulations. It’s best not to write them off completely. A cardiology review and further imaging (like a CT coronary angiogram or stress echo) can help determine if there’s any actual "obstructive" disease. If so, more intensive therapy, with other agents, may be needed. If not, your management could potentially be more flexible. You're already doing many of the right things — staying active and maintaining a healthy weight — but lowering LDL remains crucial to reducing long-term risk.
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