Friedewald Equation:
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The Friedewald equation is a formula used to estimate low-density lipoprotein cholesterol (LDL-C) levels from measurements of total cholesterol, HDL cholesterol, and triglycerides. It provides a calculated LDL value 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 assess cardiovascular risk and guide treatment decisions, particularly when direct LDL measurement is not available.
Tips: Enter total cholesterol, HDL cholesterol, and triglycerides in mg/dL. All values must be valid (greater than 0). Note: This equation is less accurate when triglyceride levels exceed 400 mg/dL.
Q1: When is the Friedewald equation not accurate?
A: The equation is less reliable when triglyceride levels are above 400 mg/dL, in non-fasting samples, or in patients with certain metabolic disorders.
Q2: What are normal LDL 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: When should lipid measurements be taken?
A: Fasting for 9-12 hours is recommended for accurate triglyceride measurement, which affects LDL calculation.
Q4: Are there alternatives to the Friedewald equation?
A: Yes, the Martin/Hopkins equation and direct LDL measurements are alternatives, especially when triglycerides are elevated.
Q5: Should calculated LDL be used for treatment decisions?
A: While useful for screening, direct LDL measurement may be preferred for treatment decisions in high-risk patients or when triglycerides are elevated.