Friedewald Equation:
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LDL Calculated refers to the estimation of Low-Density Lipoprotein cholesterol using the Friedewald equation. This method calculates LDL-C from measured values of total cholesterol, HDL cholesterol, and triglycerides, providing an indirect measurement when direct LDL testing is not available.
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, based on the assumption that VLDL cholesterol equals TG/5.
Details: LDL cholesterol is a major risk factor for cardiovascular disease. Accurate calculation helps assess cardiovascular risk and guide treatment decisions for cholesterol management.
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 is the Friedewald equation not accurate?
A: The equation becomes inaccurate when triglycerides exceed 400 mg/dL, in non-fasting samples, or in patients with dysbetalipoproteinemia.
Q2: What are the limitations of calculated LDL?
A: It assumes a fixed ratio of triglycerides to VLDL cholesterol (5:1), which may not hold true in all individuals, particularly those with hypertriglyceridemia.
Q3: When should direct LDL measurement be used instead?
A: Direct LDL measurement is preferred when triglycerides are >400 mg/dL, in non-fasting states, or when precise LDL quantification is clinically necessary.
Q4: What are optimal LDL levels?
A: Optimal LDL is <100 mg/dL, though targets may be lower (<70 mg/dL) for high-risk patients based on individual cardiovascular risk assessment.
Q5: Can this equation be used for children?
A: While the equation can be applied, pediatric lipid values and interpretations differ from adults, and age-specific percentiles should be used for assessment.