LDL-C Equation:
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The LDL Calculated Equation (also known as the Friedewald equation) estimates LDL cholesterol levels from total cholesterol, HDL cholesterol, and triglyceride measurements. It provides a practical method for assessing cardiovascular risk when direct LDL measurement is not available.
The calculator uses the LDL equation:
Where:
Explanation: The equation estimates LDL cholesterol by subtracting HDL cholesterol and one-fifth of triglycerides from total cholesterol.
Details: Accurate LDL cholesterol estimation is crucial for assessing cardiovascular risk, guiding lipid-lowering therapy, and monitoring treatment effectiveness in managing dyslipidemia.
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 direct LDL measurement be used instead?
A: Direct measurement is recommended when triglycerides exceed 400 mg/dL, in patients with type 2 diabetes, or when very precise LDL measurement is required.
Q2: What are optimal LDL cholesterol levels?
A: Optimal is generally <100 mg/dL, though targets may be lower (<70 mg/dL) for high-risk patients. Values above 160 mg/dL are considered high.
Q3: Are there limitations to this equation?
A: The equation becomes less accurate with triglyceride levels above 400 mg/dL and may underestimate LDL in certain conditions like diabetes or hypertriglyceridemia.
Q4: Should fasting samples be used?
A: Yes, fasting samples (9-12 hours) are recommended for accurate triglyceride measurement, which affects the calculated LDL value.
Q5: Are there alternative equations?
A: Yes, newer equations like the Martin/Hopkins equation or Sampson equation may provide more accurate estimates in certain populations, particularly when triglycerides are elevated.