Friedewald Formula:
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The Friedewald formula is a widely used equation to estimate LDL cholesterol levels from total cholesterol, HDL cholesterol, and triglyceride measurements. It provides a practical alternative to direct LDL measurement when resources are limited.
The calculator uses the Friedewald formula:
Where:
Explanation: The formula estimates LDL cholesterol by subtracting HDL cholesterol and one-fifth of triglycerides from total cholesterol.
Details: Accurate LDL estimation is crucial for assessing cardiovascular risk, guiding lipid-lowering therapy, and monitoring treatment effectiveness in patients with dyslipidemia.
Tips: Enter total cholesterol, HDL cholesterol, and triglycerides in mg/dL. All values must be valid and greater than zero. Note: This formula is less accurate when triglycerides exceed 400 mg/dL.
Q1: When is the Friedewald formula not accurate?
A: The formula becomes less accurate when triglyceride levels exceed 400 mg/dL, in non-fasting samples, or in patients with certain metabolic disorders.
Q2: What are optimal LDL levels?
A: Optimal LDL levels are generally below 100 mg/dL, though targets may vary based on individual cardiovascular risk factors.
Q3: Should patients fast before lipid testing?
A: Yes, fasting for 9-12 hours is recommended for accurate triglyceride measurement, which affects LDL calculation.
Q4: Are there alternative methods for LDL measurement?
A: Yes, direct LDL measurement methods are available and preferred when triglycerides are elevated (>400 mg/dL).
Q5: Can this formula be used for children?
A: While the formula can be applied, pediatric lipid reference ranges differ from adults, and interpretation should consider age-specific norms.