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Half of all people who suffer a heart attack had no prior warning signs.
Assessing raised cholesterol early can help prevent this. At the Cardiology Centre Munich-Pasing, we never look at cholesterol in isolation, but always in the context of your blood vessels, your metabolism and your individual overall risk.
Raised cholesterol causes cholesterol particles to be deposited in the vessel wall, forming plaques. The danger is that people feel healthy for a long time. Symptoms, heart attacks or strokes only occur once the vessels are severely narrowed or plaques become unstable.
- Studies show that every 40 mg/dl reduction in LDL cholesterol lowers the risk of heart attack and stroke by about 20–25%.
- ApoB reflects the actual number of harmful cholesterol particles.
- Lipoprotein(a) is genetically determined and can increase the risk of heart attack independently of LDL cholesterol. About 20% of the population have elevated levels.
- Treated early, arterial calcification can be slowed – and even reversed.
What matters is not the cholesterol level alone – but whether, and for how long, it has already been affecting your blood vessels.
Book an appointment for an individual cholesterol assessment
Lifestyle-related factors
- unhealthy diet (high proportion of saturated fats, highly processed foods)
- lack of exercise
- visceral abdominal fat
Genetic causes
- Genetic lipid disorders can now be reliably detected with a simple blood test.
Hormonal & metabolic factors
- menopause
- underactive thyroid
- diabetes
In our practice, we often see a combination of several factors – which is exactly why one-size-fits-all treatment rarely works well.
Book an appointment for an individual cholesterol assessment
Our targeted cholesterol diagnostics include:
- LDL and HDL cholesterol, ApoB and triglycerides
- lipoprotein(a) as an important genetic high-risk factor
- body composition using bioimpedance analysis (InBody)
- an ultrasound of the carotid arteries (carotid ultrasound) to detect early vascular changes
- where indicated, a cardiac CT to assess the coronary arteries
Book an appointment for an individual cholesterol assessment
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Lowering cholesterol through lifestyle – personal, evidence-based and practical.
With raised cholesterol, lifestyle changes are not an optional extra but a central part of treatment. Numerous large studies show that targeted changes in diet, exercise, weight and sleep have measurable effects on LDL cholesterol, triglycerides, ApoB and vascular health. What matters is not short-term sacrifice, but lasting changes that fit into everyday life.
A heart-healthy diet can lower LDL cholesterol by 5–15%.
A Mediterranean-style diet is particularly effective, with:
- a high proportion of vegetables, fruit, pulses and wholegrain products.
- regular fish (especially oily sea fish rich in omega-3).
- high-quality plant fats (e.g. olive oil, nuts).
At the same time, saturated fats (e.g. from fatty meat, sausages, butter) and highly processed foods should be reduced.
It is not body weight alone but, above all, visceral (abdominal) fat that is closely linked to high cholesterol.
Even moderate weight loss of 5–10% of the starting weight can significantly improve cholesterol and triglycerides and reduce inflammatory processes. The aim is to maintain muscle mass while reducing metabolically active fat deposits, in order to prevent the yo-yo effect.
Regular physical activity has been shown to have a positive effect on cholesterol levels and vascular function.
Studies show that exercise:
- can lower triglycerides by 20–30%
- can reduce cholesterol by 5–10%
A combination of endurance training and regular strength training is recommended. Training at the right individual intensity (aerobic threshold determined by a lactate test) is important – especially if you already have heart or vascular disease.
Cholesterol-lowering medication
We only use medication that has been proven to reduce the risk of heart attack and stroke – never on the basis of a single lab value.
Related news
- Detecting arterial plaque early: already common in young adults · 5 October 2026
Frequently asked questions about cholesterol and lipid metabolism at the Cardiology Centre Munich-Pasing
When are cholesterol and triglyceride levels considered too high?
Total cholesterol above 200 mg/dl is considered raised; for triglycerides, the threshold is 150 mg/dl.
Do elevated values always need to be treated?
No, not in every case. Several large studies show that in people without vascular changes or increased cardiovascular risk, cholesterol-lowering medication brings no meaningful health benefit. We therefore do not prescribe medication reflexively; instead, we look at the condition of your blood vessels as well as your blood values, and then advise you on whether treatment is needed.
Can I lower elevated cholesterol and triglycerides naturally?
Targeted changes to diet and exercise can lower cholesterol to some extent – triglycerides respond particularly well. If levels are very high or the blood vessels are already significantly affected, medication is usually needed as well. We choose medications and doses that are usually well tolerated.
How exactly is cholesterol tested?
We go beyond standard tests: in addition to LDL and HDL, we measure ApoB, lipoprotein(a) and homocysteine. This gives us a precise picture of your individual vascular risk and shows how best to protect you.
