Dr. Charles Mok explains why cholesterol alone doesn't predict heart disease risk. Genetics, hemoglobin A1C, HOMA, uric acid, homocysteine, and oxidized LDL matter more. Imaging like coronary CTA shows what cholesterol numbers can't.
Chapters
If you ask somebody, do you want to have your heart screened? They go, my cholesterol is good. That is almost the most worthless of the things we check. I mean, it's better than nothing, right? Better than guessing. But you have genetics, and then you check your cholesterol, but it's not a good predictor. Medicine has to be very individualized. People can have, you know, sky high lipid numbers and a totally clean coronary cath or a coronary cta. And that can also be the opposite, where you have borderline. We look at really what predicts having a atherosclerosis or plaque in the arteries, hemoglobin A1C, something called homa, uric acid, homocysteine, oxidized LDL. There's all kinds of things that come way before cholesterol and ldl.