High Beta-Lipoprotein and Cholesterol Levels: What It Means for Your Heart Health - Cardiology

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Hello, doctor. What does it mean if beta-lipoproteins and total cholesterol levels in the blood are elevated?


Hello, doctor.
Recently, I have been dieting and eating less, and I decided to have a blood test.
I found that my "beta-lipoprotein" level is elevated at 496 mg%, with a normal range of 200-500.
My total cholesterol is 199 mg% (normal range 120-200), but other values are generally normal: LDL cholesterol 128 mg% (normal range 80-188), lactate dehydrogenase 205 U (normal range 100-400), creatine phosphokinase 42 U/L (normal range 10-80), total lipids 599 mg% (normal range 400-1000), phospholipids 187 mg% (normal range 150-250), triglycerides 81 mg% (normal range 40-150), and liver function tests C.C.F + GOT 47 (normal range 8-38).
My kidney function is normal, and my hemoglobin is 12.1 (normal range 14-18).
However, I jog for an hour every day.
I researched online and found that this might be related, but I am eating less and my diet is very light.
Why is my blood fat level elevated? Also, doctor, if I experience significant hunger before meals and my heart rate drops to 48 (as measured by a blood pressure monitor), but returns to normal after eating, is this considered normal? Can I drink coffee regularly? (Will it disturb my heart?)

Piao Piao Piao, 10~19 year old female. Ask Date: 2015/11/23

Dr. He Dongjin reply Cardiology


Hello, overall the data looks good, and there is no need for concern.
You can drink coffee or eat other foods.
Those who have not experienced any discomfort can continue to eat.
Changhua Hospital cares about you.

Reply Date: 2015/11/23

More Info


Understanding your cholesterol levels and their implications for heart health is crucial, especially when faced with elevated beta-lipoprotein levels. In your case, the beta-lipoprotein level of 496 mg/dL is on the higher side of the normal range (200-500 mg/dL), while your total cholesterol is at 199 mg/dL, which is just within the normal limits (120-200 mg/dL).
Beta-lipoproteins, also known as low-density lipoproteins (LDL), are often referred to as "bad cholesterol" because they can contribute to the buildup of plaque in arteries, leading to atherosclerosis and increasing the risk of heart disease. While your total cholesterol is acceptable, the elevated beta-lipoprotein level indicates that there may be a need for further evaluation and management.

Several factors can contribute to elevated beta-lipoprotein levels, including genetics, diet, and lifestyle. Even if you are eating less and consuming a light diet, your body may still produce cholesterol, particularly if you have a genetic predisposition to high cholesterol levels. The liver produces most of the cholesterol in your body, and dietary intake only accounts for a small portion of it. Therefore, even with a reduced caloric intake, your body may still synthesize cholesterol at a higher rate, especially if you have a family history of hyperlipidemia.

Regarding your other lab results, your triglycerides are within the normal range (81 mg/dL), and your phospholipids are also normal. However, your liver function tests show elevated GOT (AST) levels at 47 U/L, which may warrant further investigation. Elevated liver enzymes can indicate liver stress or damage, and it’s essential to discuss this with your healthcare provider.

You mentioned experiencing a slow heart rate of 48 beats per minute when hungry, which normalizes after eating. A resting heart rate below 60 beats per minute is termed bradycardia. While athletes often have lower resting heart rates due to improved cardiovascular fitness, it’s important to ensure that this isn’t symptomatic of an underlying issue, especially if you experience dizziness or fatigue. It would be advisable to consult with a cardiologist to evaluate your heart rate and overall cardiovascular health.

As for coffee consumption, moderate coffee intake is generally considered safe for most people and may even have some cardiovascular benefits. However, if you have any underlying heart conditions or experience palpitations or increased heart rate after consuming caffeine, it would be wise to limit your intake and discuss this with your healthcare provider.

In summary, your elevated beta-lipoprotein levels suggest a need for further evaluation of your cholesterol management, particularly in light of your dietary habits and exercise routine. Regular monitoring of your cholesterol levels, along with lifestyle modifications such as a balanced diet low in saturated fats and regular physical activity, can help manage your cholesterol levels. Additionally, addressing any concerns regarding your liver function and heart rate with your healthcare provider is essential for maintaining overall heart health.

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