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Hypercholesterolemia:
Increase in plasma cholesterol (>200mg/dl) is
known as Hypercholesterolemia.
It is observed in
Diabetes mellitus:
Due to increased cholesterol synthesis.
The availability of acetyl CoAis increased.
Hypothyroidism: Due to decrease in HDL
receptors on hepatocytes.
Obstructive jaundice:
Due to an obstruction in the excretion of
cholesterol through bile.
Nephrotic syndrome:
Due to increase in plasma lipoprotein fractions.
Hypercholesterolemia is associated with
atherosclerosis &coronary heart disease.
Deposition of cholesterol esters &lipids in the
intima of arterial walls leading to hardening of
coronary arteries &cerebral blood vessels.
Bad cholesterol &good cholesterol:
LDLCis considered bad due to its involvement in
atherosclerosis &related complications.
LDLCmay be regarded as lethally dangerous
lipoprotein.
HDLCcholesterol is good cholesterol.
High concentrations counteracts atherogenesis.
HDLCmay be considered as highly desirable
lipoprotein.
HDLC-is good cholesterol
LDLC-isbad cholesterol.
Consumption of PUFA: Dietary intake of PUFA
reduces the plasma cholesterol levels.
Dietary cholesterol: Cholesterol is found only in
animal foods &not in plant foods.
Dietary cholesterol influence on plasma
cholesterol is minimal.
Avoidance of cholesterol-rich foods is
advocated to be on the safe side.
Plant sterols: Certain plant sterols (sitostanol
esters) &their esters reduce plasma cholesterol
levels.
They inhibit the intestinal absorption of dietary
cholesterol.
Dietary fiber: Fiber present in vegetables
decreases the cholesterol absorption from the
intestine.
Avoiding high carbohydrate diet: Diets rich in
carbohydrates (particularly sucrose) should be
avoided to control hvpercholesterolemia.
lmpact of lifestyles: Elevation in plasma
cholesterol is observed in people with smoking,
abdominal obesity, lack of exercise, stress, high
blood pressure, consumption of soft water.
Drugs suchas lovastatin which inhibit HMC
CoAreductase &decrease cholesterol
synthesis.
Statins currently in use include atorvastatin,
simvastatin & pravastatin

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Hypercholesterolemia.pptx

  • 1. Hypercholesterolemia: Increase in plasma cholesterol (>200mg/dl) is known as Hypercholesterolemia. It is observed in Diabetes mellitus: Due to increased cholesterol synthesis. The availability of acetyl CoAis increased.
  • 2. Hypothyroidism: Due to decrease in HDL receptors on hepatocytes. Obstructive jaundice: Due to an obstruction in the excretion of cholesterol through bile. Nephrotic syndrome: Due to increase in plasma lipoprotein fractions. Hypercholesterolemia is associated with atherosclerosis &coronary heart disease.
  • 3. Deposition of cholesterol esters &lipids in the intima of arterial walls leading to hardening of coronary arteries &cerebral blood vessels. Bad cholesterol &good cholesterol: LDLCis considered bad due to its involvement in atherosclerosis &related complications.
  • 4. LDLCmay be regarded as lethally dangerous lipoprotein. HDLCcholesterol is good cholesterol. High concentrations counteracts atherogenesis. HDLCmay be considered as highly desirable lipoprotein. HDLC-is good cholesterol LDLC-isbad cholesterol.
  • 5. Consumption of PUFA: Dietary intake of PUFA reduces the plasma cholesterol levels. Dietary cholesterol: Cholesterol is found only in animal foods &not in plant foods. Dietary cholesterol influence on plasma cholesterol is minimal. Avoidance of cholesterol-rich foods is advocated to be on the safe side.
  • 6. Plant sterols: Certain plant sterols (sitostanol esters) &their esters reduce plasma cholesterol levels. They inhibit the intestinal absorption of dietary cholesterol. Dietary fiber: Fiber present in vegetables decreases the cholesterol absorption from the intestine.
  • 7. Avoiding high carbohydrate diet: Diets rich in carbohydrates (particularly sucrose) should be avoided to control hvpercholesterolemia. lmpact of lifestyles: Elevation in plasma cholesterol is observed in people with smoking, abdominal obesity, lack of exercise, stress, high blood pressure, consumption of soft water.
  • 8. Drugs suchas lovastatin which inhibit HMC CoAreductase &decrease cholesterol synthesis. Statins currently in use include atorvastatin, simvastatin & pravastatin