Last Updated:July 07, 2025, 08:32 IST
Heart disease remains one of the leading causes of death in the country, accounting for nearly 7.8% of total mortalities
High LDL cholesterol (also known as “bad cholesterol”) is showing up more frequently in India’s younger population and it’s a silent threat.
Across the country, episodes of heart-related conditions like heart attacks are becoming increasingly common. But doctors are raising an alarm: high LDL cholesterol (also known as “bad cholesterol”) is showing up more frequently in India’s younger population and it’s a silent threat.
Heart disease remains one of the leading causes of death in the country, accounting for nearly 7.8% of total mortalities. Behind many of these cases lies high LDL cholesterol, which plays a critical role in blocking arteries and triggering conditions like atherosclerosis and strokes.
Dr. Sarita Rao, Senior Interventional Cardiologist and Director of Cathlab, Apollo Hospital, Indore, says, “The role of LDL cholesterol (LDLC) in the development of atherosclerosis is well documented, where LDLC tends to accumulate and form plaque, creating blockages in the arteries and restricting blood flow. What makes it even more concerning is that high LDLC, like most heart conditions, doesn’t show any symptoms. By the time there is chest pain or any warning sign, a cardiac event could already be underway and it may be too late. So, bringing high LDL cholesterol down to target levels is the primary objective for preventing serious heart conditions.”
Why Indians Need to Be Extra Cautious
When compared to Western populations, Indians have been found to have higher levels of LDL cholesterol and lower levels of HDL cholesterol (the “good” cholesterol that helps remove LDL from the bloodstream).
This is why doctors recommend that cholesterol screening begin as early as 18 years of age. Early testing helps in detecting silent threats and allows one to take action before things escalate. People who may appear fit can still have high LDL cholesterol.
“I’m in my 30s, I work out regularly and eat clean,” shares Delhi-based Ajay. “I was confused and surprised when a routine test showed that I had high LDLC. My cardiologist explained that elevated LDL cholesterol could have various reasons and encouraged me to continue medical therapy alongside my healthy routine.”
It’s Not Just About Eating Right
We know that lifestyle modifications like a healthy diet, regular exercise, and stress management are essential but they’re not always enough. Doctors emphasize that medical therapy should not be delayed or skipped, especially if your LDLC numbers are beyond the target range.
Each patient’s treatment journey is unique. Factors such as age, family history, diabetes status, or previous cardiac events all influence an individual’s LDLC targets. This is why personalized treatment plans are crucial. It’s important to seek professional medical advice and actively participate in treatment.
However, in India, it’s observed that only about 60% of patients adhere to their prescribed medication, a worrying trend. Misconceptions often lead people to stop their medication, which causes a rebound in LDL levels and heightens cardiovascular risk.
Moreover, stress, poor sleep, and metabolic imbalances can also elevate LDLC levels. These factors contribute to chronic inflammation, prompting the body to produce more LDL cholesterol, thereby increasing the risk of a heart attack or stroke.
When Lifestyle Isn’t Enough – Advanced Therapy Is Key
For patients who don’t respond well to conventional statins, advanced therapies are increasingly being prescribed. Targeted treatments like PCSK9 inhibitors, siRNA therapy, or inclisiran show great promise in helping patients reach their target LDLC levels when standard options fall short.
Always remember: high LDL cholesterol may not show symptoms but its consequences can be fatal. Whether you’re a gym regular or someone who’s never thought twice about your cholesterol, it’s time to get screened, stay informed, and stick to your treatment plan for a healthier heart.
Swati Chaturvedi, a seasoned media and journalism aficionado with over 10 years of expertise, is not just a storyteller; she’s a weaver of wit and wisdom in the digital landscape. As a key figure in News18 Engl…Read More
Swati Chaturvedi, a seasoned media and journalism aficionado with over 10 years of expertise, is not just a storyteller; she’s a weaver of wit and wisdom in the digital landscape. As a key figure in News18 Engl… Read More
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