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体检血脂“正常”也可能高危?医生:控脂目标需“量体裁衣”
Zhong Guo Xin Wen Wang· 2026-01-28 07:33
Core Viewpoint - The article emphasizes that a "normal" blood lipid test result does not guarantee safety, as individual cardiovascular risks vary significantly, necessitating personalized LDL-C control targets [1][2]. Group 1: LDL-C Management - LDL-C control targets should be individualized based on overall cardiovascular disease risk, with lower targets for high-risk patients such as those with a history of coronary artery disease [2][5]. - For young individuals without risk factors, maintaining LDL-C levels below 3.4 mmol/L is generally acceptable, while high-risk patients may need levels below 1.8 mmol/L or even 1.4 mmol/L [2][5]. Group 2: Public Misconceptions - Common misconceptions include the belief that vegetarians or thin individuals will have normal blood lipids, which is not scientifically supported as LDL-C levels are primarily influenced by metabolism and genetics [4]. - Statin medications are recommended as a foundational treatment for lowering LDL-C, with benefits outweighing potential side effects, and patients should not discontinue them based on temporary normal results [4]. Group 3: Young Patients and Risk Assessment - Increasing numbers of young patients are finding elevated LDL-C levels during check-ups, and they should not panic but take it seriously by consulting a cardiovascular specialist for a comprehensive risk assessment [5]. - Early screening for blood lipids is crucial for individuals with a family history of early cardiovascular diseases or other risk factors, and regular check-ups are essential for identifying potential risks [5].