Overview
Elevated blood lipid levels – in particular elevated LDL cholesterol – are among the most important modifiable risk factors for heart attack and stroke. Because a lipid metabolism disorder usually causes no symptoms, it is generally only discovered through a laboratory test. Treatment rests on two pillars: lifestyle adjustments and – depending on individual risk – drug-based lowering of blood lipids, frequently with agents from the statin class. In the OpenClinic24 video consultation, you can have your current laboratory values assessed by a doctor. Following medical assessment, a private prescription for an existing, well-tolerated long-term therapy can be issued, or an adjustment of the treatment can be recommended. You will also receive structured advice on your personal cardiovascular risk, on target values and on sensible check-up intervals. Billing is carried out as a private service according to the German medical fee schedule (GOÄ) and is aimed at privately insured and self-paying patients.
Common causes
Elevated cholesterol and triglyceride levels usually arise from an interplay of several factors. Genetic predisposition plays a major role: in familial hypercholesterolaemia, LDL values are markedly elevated even at a young age. In addition, dietary habits rich in saturated fats and sugar, excess weight, lack of exercise, smoking and regular alcohol consumption contribute to a deterioration of lipid metabolism. Other diseases can also affect blood lipids, such as an underactive thyroid, diabetes mellitus, and kidney or liver diseases. Some medicines, for example certain corticosteroid or hormonal preparations, can likewise alter the values. For the medical assessment it is therefore important to know your pre-existing conditions, current medication and family history. Only in the overall picture of laboratory values, risk factors and lifestyle can it be judged whether and in what form treatment is advisable.
When to see a doctor
Have your blood lipids medically assessed if elevated values have been found in the laboratory, if early heart attacks or strokes have occurred in your family, or if risk factors such as high blood pressure, diabetes or smoking are present. Regular medical contact is also important for monitoring an existing statin therapy and for follow-up prescriptions. Newly occurring muscle pain, muscle weakness or dark urine during lipid-lowering therapy should be medically evaluated promptly; do not stop the medication without consulting a doctor. Go to an emergency department immediately or call the emergency number 112 in case of warning signs such as sudden pressure or tightness in the chest, shortness of breath, pain radiating to the arm, back or jaw, sudden paralysis, or speech or vision disturbances. These signs can indicate a heart attack or stroke and cannot be treated via video consultation.