In recent times, in the lay press and in social media, there have been several controversies which seek to question the cholesterol hypotheses. Often, as doctors, we are asked to comment or discuss these topics. Traditionally, as doctors, we have sought to believe, that LDL cholesterol or the “bad” cholesterol is an important risk factor for coronary artery disease. However, new data is increasingly questioning the importance of cholesterol and statin treatment in young asymptomatic individuals.
Moreover, even certain medical associations like the American Heart Association, while endorsing LDL cholesterol, have moved from a level based guidance to a risk-based guidance. For example, the American Heart Association now recommends that all diabetic patients above 40 years of age, irrespective of the baseline LDL levels, must be prescribed a statin. Those with high cardiovascular risk be…
