Friedewald Equation:
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The Friedewald equation is a formula used to estimate LDL cholesterol levels from measurements of total cholesterol, HDL cholesterol, and triglycerides. It provides a convenient way to calculate LDL without requiring direct measurement.
The calculator uses the Friedewald equation:
Where:
Explanation: The equation estimates LDL cholesterol by subtracting HDL cholesterol and one-fifth of triglycerides from total cholesterol.
Details: LDL cholesterol is a major risk factor for cardiovascular disease. Accurate estimation helps in assessing cardiovascular risk and guiding treatment decisions for cholesterol management.
Tips: Enter total cholesterol, HDL cholesterol, and triglycerides in mg/dL. All values must be valid (greater than 0). Note: This equation is not valid when triglycerides exceed 400 mg/dL.
Q1: When is the Friedewald equation not accurate?
A: The equation becomes inaccurate when triglycerides exceed 400 mg/dL, in non-fasting samples, or in certain medical conditions like dysbetalipoproteinemia.
Q2: What are normal LDL cholesterol values?
A: Optimal LDL is less than 100 mg/dL, near optimal is 100-129 mg/dL, borderline high is 130-159 mg/dL, high is 160-189 mg/dL, and very high is 190 mg/dL and above.
Q3: Are there alternative methods for LDL calculation?
A: Yes, direct LDL measurement or the Martin/Hopkins method can be used when triglycerides are elevated or when more precise measurement is needed.
Q4: Should this be used for all patients?
A: The Friedewald equation is suitable for most patients with triglycerides below 400 mg/dL and without certain lipid disorders.
Q5: How often should LDL be measured?
A: Frequency depends on individual risk factors, but generally every 4-6 weeks when starting treatment and every 3-12 months for monitoring.