What It Means if You Have Borderline High Cholesterol—And What to Do About It

Sarah Klein in Time Magazine:

Almost 25 million adults in the U.S. have high cholesterol, which puts them at a higher risk for a heart attack or stroke in the next decade. But a much bigger portion have what’s called borderline high cholesterol, an in-between place that’s not quite high, but not quite within a normal range. Here’s what to know about borderline cholesterol.

High cholesterol is defined as having a total cholesterol number of 240 mg/dL or above. Someone has borderline cholesterol, meanwhile, when their total cholesterol is in the 200 to 239 range.

“We create these thresholds—which are admittedly somewhat artificial—to classify people so we can understand if we need to do further analysis or assessment to understand their risk for cardiovascular disease,” says Dr. Donald Lloyd-Jones, past president of the American Heart Association and a professor of cardiology and the chair of preventive medicine at Northwestern University Feinberg School of Medicine. There’s some flexibility: Some people may be completely healthy with a total cholesterol level of 235, while others could be at risk at 205. It depends on a person’s other risk factors. But broadly speaking, these thresholds help doctors make decisions about patient care.

More here.