Friedewald Equation:
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The Friedewald equation is a formula used 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 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 lipid-lowering therapy decisions.
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 optimal LDL cholesterol levels?
A: Optimal LDL levels are generally below 100 mg/dL, though targets may vary based on individual cardiovascular risk factors.
Q3: How does this compare to direct LDL measurement?
A: Direct measurement is more accurate, especially when triglycerides are elevated, but the Friedewald equation provides a reliable estimate in most cases.
Q4: Are there limitations to this equation?
A: The equation assumes a fixed ratio of triglycerides to VLDL cholesterol (5:1), which may not hold true in all individuals, particularly those with hypertriglyceridemia.
Q5: Should fasting samples be used?
A: Yes, for accurate results, blood samples should be collected after a 9-12 hour fast to minimize the effect of recent food intake on triglyceride levels.