HEART SPECIALISTS IN YELAHANKA NEW TOWN BANGALORE
The independent effect of triglyceride levels is weak, and high triglyceride levels are often associated
with other risk factors (e.g. low HDLs). Secondary causes of high triglycerides
are common and confuse the picture, as does the fact that serum levels can vary greatly with
fasting and recent alcohol intake.
The combination of high triglycerides and elevated LDL (combined dyslipidaemia) is associated
with a marked increase in coronary disease risk. Isolated extremely high triglycerides
(greater than 15 mmol/L) are a risk factor for pancreatitis rather than vascular disease.
Modest elevations of triglycerides can usually be managed by weight control, a reduction in
alcohol consumption and changes in medication.
Table 1.5 Factors that affect HDL levels
Factors that increase HDL levels Factors that reduce HDL levels
3 Small amounts of alcohol (10–20 g
per day in men)
5 Postmenopausal state
Table 1.6 Factors that increase triglyceride levels
4 Oestrogen (including HRT in 20% of users)
7 Secondary causes:
• Cushing’s syndrome
• acute hepatitis
8 High triglycerides and low HDLs are associated with insulin resistance