Topic Overview

If you have high cholesterol, you need treatment to lower your risk of heart attack and stroke. The two main treatments are lifestyle changes and medicine. The treatment that is right for you depends on your risk for having a heart attack.

Your doctor will use your health and family history to check your risk of a heart attack. You can find your risk by using the Interactive Tool: Are You at Risk for a Heart Attack? Use the percentage you get from the tool to find your risk category in the table below:

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Highest risk (Category I)

Keep LDL at less than 100.

Your doctor may want your goal to be lower, less than 70, based on your risk factors. Getting your cholesterol to less than 100, or less than 70, means:

• Making changes in what you eat.
• Getting more exercise.
• Taking medicine, especially if you have coronary artery disease or other risk factors and need to get your LDL to less than 70.

You also may want to talk to your doctor about taking a low-dose aspirin each day. It may help reduce your risk of heart attack.

Even if you are taking medicines, a healthy lifestyle will help lower your risk of a heart attack. If you need to make healthy changes, a good place to start is the Therapeutic Lifestyle Changes (TLC) program. The program will help you eat better, exercise more, and lose weight if you need to. When you start to make these changes part of your daily life, you will be on the way to reducing your risk of heart disease and stroke.

Moderately high risk or moderate risk (Category II or III)

Keep LDL at less than 130.

Getting your cholesterol to this level means:

• Making changes in what you eat.
• Getting more exercise.

You may have to take medicine too.

Check out the Therapeutic Lifestyle Changes (TLC) program. It can help you lower your cholesterol and your risk of heart disease and stroke.

Lower risk (Category IV)

Keep LDL at less than 160.