Friedewald Equation:
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The Friedewald equation is a formula used to estimate LDL cholesterol levels from a standard lipid panel. It provides an indirect calculation of LDL-C without requiring direct measurement, making it a cost-effective alternative in clinical practice.
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 should the Friedewald equation not be used?
A: The equation should not be used when triglyceride levels exceed 400 mg/dL, as it becomes less accurate in these cases.
Q2: What are normal LDL cholesterol values?
A: Optimal LDL cholesterol is less than 100 mg/dL. Values between 100-129 mg/dL are near optimal, 130-159 mg/dL are borderline high, and above 160 mg/dL are high.
Q3: Are there alternatives to the Friedewald equation?
A: Yes, direct LDL measurement or the Martin/Hopkins equation can be used, especially when triglycerides are elevated.
Q4: Should this be used for fasting or non-fasting samples?
A: The equation was developed for fasting samples. Non-fasting samples may affect triglyceride levels and thus LDL calculation accuracy.
Q5: How often should LDL be measured?
A: Frequency depends on individual risk factors, but generally every 4-6 years for adults without risk factors, and more frequently for those with elevated risk.