Friedewald Equation:
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The Friedewald equation estimates LDL cholesterol (LDL-C) from total cholesterol, HDL cholesterol, and triglycerides. It is widely used in clinical practice as a cost-effective alternative to direct LDL measurement.
The calculator uses the Friedewald equation:
Where:
Explanation: The equation estimates LDL cholesterol by subtracting HDL cholesterol and VLDL cholesterol (estimated as TG/5) from total cholesterol.
Details: LDL cholesterol is a major risk factor for cardiovascular disease. Accurate estimation helps in assessing cardiovascular risk and guiding lipid-lowering therapy decisions.
Tips: Enter total cholesterol, HDL cholesterol, and triglycerides in mg/dL. All values must be valid and 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 is less accurate when triglycerides exceed 400 mg/dL, in non-fasting samples, or in patients with certain lipid disorders.
Q2: What are the limitations of this equation?
A: It underestimates LDL-C at low LDL levels and overestimates at high triglyceride levels. Direct LDL measurement is preferred in these cases.
Q3: What are optimal LDL cholesterol levels?
A: Generally, LDL-C below 100 mg/dL is optimal, below 70 mg/dL for high-risk patients, but targets should be individualized based on overall cardiovascular risk.
Q4: Can this equation be used with non-fasting samples?
A: The equation was designed for fasting samples. Non-fasting samples may yield inaccurate results due to elevated triglyceride levels.
Q5: Are there alternative equations for LDL estimation?
A: Yes, newer equations like the Martin-Hopkins equation may provide more accurate estimates, especially at low LDL and high triglyceride levels.