https://www.fda-gov.asia/lcholextrol

News Perpetual Help Medical Center - Las Piñas, 32nd Street, 5th Avenue, Taguig, 1634 Metro, Manila (2026)

19/04/2025

Here are 5 types of vegetables and fruits that are especially good for people with high blood fat, recommended by nutritionists and clinical medicine:

🥬 1. Green vegetables (spinach, kale)
Rich in soluble fiber and antioxidants such as lutein and beta-carotene
Helps reduce the absorption of bad cholesterol (LDL) in the blood

🥦 2. Broccoli
Has the effect of lowering cholesterol thanks to sulforaphane
Helps prevent atherosclerosis and improve blood circulation

🥑 3. Avocado
Although it contains fat, it is good fat (mono-unsaturated fat)
Helps increase good cholesterol (HDL) and reduce LDL

🍎 4. Apple
Rich in pectin - a type of soluble fiber that helps reduce fat absorption
A "golden" fruit in preventing blood fat, blood pressure, diabetes

🧅 5. Onions
Has contains quercetin, which helps reduce inflammation, lower blood pressure, and lower blood lipids
Eat raw or lightly cooked to retain nutrients

18/04/2025

Tips for healthy eating, diabetes prevention and management
🥦 1. Limit bad fats (saturated fats & trans fats)
❌ Avoid: Red meat, organs, animal skin, deep-fried foods, industrial biscuits, margarine

✅ Should eat: Olive oil, canola oil, avocado, fatty fish (salmon, mackerel)

🍚 2. Prioritize whole grain foods & less refined starch
❌ Avoid: White bread, industrial noodles, lots of white rice

✅ Should eat: Brown rice, oats, sweet potatoes, beans with shells
→ Helps stabilize blood sugar and reduce blood triglycerides

🧂 3. Reduce sugar & salt - hidden enemies of blood fat
❌ Soft drinks, cakes, condensed milk coffee, salty braised dishes

✅ Drink plenty of filtered water, eat fresh fruit instead of bottled juice
→ Helps control weight and blood pressure - both affect blood fat

🥬 4. Eat lots of green vegetables, fruits high in fiber
✅ Types such as: kale, broccoli, spinach, apples, pears, grapefruit
→ Fiber helps "roll" bad cholesterol out of the digestive system

🥛 5. Use low-fat milk or cholesterol support products
✅ Choose low-fat milk, milk rich in phytosterols (like Chölextrol...)
→ Support to reduce LDL (bad cholesterol) while still having enough calcium & nutrition

📌 Golden rule: "Eat light - nutritious but not fat - diverse but selective"

28/02/2025

Heart failure is a condition in which the heart is unable to pump enough blood to meet the body's needs. Heart failure is the final common path of most cardiovascular diseases. Patients with heart failure will have reduced ability to function, reduced quality of life, depending on the level will need different support. In addition, patients with severe heart failure will face a high risk of death due to arrhythmias and episodes of decompensated heart failure. Heart failure is divided into two types: acute and chronic heart failure. This article will discuss chronic heart failure.
Causes of Heart Failure
Clinically, the causes of heart failure are divided into groups: left heart failure, right heart failure, total heart failure
Causes of left heart failure:
Hypertension: is the most common cause
Chronic ischemic heart disease, heart failure after myocardial infarction
Valveolar heart disease: aortic valve stenosis, mitral valve regurgitation
Cardiomyopathy
Congenital heart disease: patent ductus arteriosus, coarctation of the aorta, etc.
Causes of right heart failure:
Chronic lung disease: COPD, bronchiectasis, pulmonary fibrosis, ...
Increased pulmonary artery pressure
Mitral valve stenosis
Long-term left heart failure will lead to right heart failure, this is the most common cause
Causes of total heart failure:
Usually due to long-term progression of left heart failure to total heart failure
Dilated cardiomyopathy

26/02/2025

Chest pain in a 26 year old man is a sign of what disease?
Question

Hello doctor,

I am 26 years old, recently I often have chest pain. At first, the pain lasted from 5 seconds, gradually increasing to 10s - 15s, now the pain increases for 1-3 minutes, feeling a burning pain and difficulty breathing in the chest area. After that, it stopped, I am really worried. I hope the doctor can advise me on chest pain in a 26-year-old person, what is the sign of the disease?

Anonymous customer

Answer

Answered by Master, Doctor Phan Ngoc Toan - Department of Emergency Resuscitation
Hello,

With the question "What is the sign of chest pain in a 26-year-old person?", the doctor answered as follows:

Symptoms related to the chest area can be related to different diseases, from simple to complex such as: Reflux gastritis, Cardiac neurosis, Coronary artery disease, aortic disease,... Therefore, to get a complete answer and treatment plan, you should visit a medical facility with full specialties.

26/02/2025

Familial hypercholesterolemia, the world's most common genetic disease
Article written by Dr. Do Phuoc Huy - Genetic Counselor - Vinmec Stem Cell and Gene Technology Research Institute

Familial hypercholesterolemia (FH) is an inherited defect in the way the body metabolizes and eliminates LDL cholesterol (also known as “bad” cholesterol). As a result, LDL cholesterol levels in the blood remain very high, above 190 mg/dL (normal LDL cholesterol levels range from 60-130 mg/dL), and in severe cases, levels can reach over 400 mg/dL.

1. Learn about familial hypercholesterolemia
Those who areincreased cholesterolFamilial hypercholesterolemia is basically being born with high LDL cholesterol. Everyone's cholesterol levels tend to increase with age. But people with familial hypercholesterolemia have very high baseline LDL cholesterol levels that increase more rapidly over time .

Like non-genetic cholesterol problems, this contributes to the buildup of atherosclerotic plaques, leading to an increased risk ofcoronary artery diseasemuch higher than normal. If left untreated, people with familial hypercholesterolemia have a 20-fold increased risk of heart disease. Not only is the risk increasedcardiovascular diseasebut also increases the risk of other diseases, especially diseases caused by obstruction orcerebral hemorrhage.

Men with familial hypercholesterolemia develop coronary heart disease 10 to 20 years earlier (than those without the gene mutation). Half of men with untreated familial hypercholesterolemia will developmyocardial infarctionbefore turning 50. Some reports place the earliest age at which coronary artery disease occurs as early as the 20s. In women, coronary artery disease occurs 20 to 30 years earlier. About 30% of untreated women will develop complications before turning 60.

These risk factors are independent of other factors such as lifestyle environment. Therefore, if combined with factors such as diet, exercise and inappropriate physical activity... can make the condition of increased LDL cholesterol worse.
2. How common is high cholesterol?
About one in 200 adults has a mutation in the gene for familial hypercholesterolemia. Including children, familial hypercholesterolemia affects about 1.3 million people in the United States. But only about 10 percent are aware they have it. That makes familial hypercholesterolemia the most common genetic condition.

2.1 Causes of familial hypercholesterolemia
Familial hypercholesterolemia is usually due to mutations in the LDL cholesterol receptor gene, which is involved in the metabolism and excretion ofLDL cholesterolout of the body. Mutations in other genes can also cause familial hypercholesterolemia. These include the PCSK9 gene and the Apolipoprotein B gene. If you inherit or carry one or more mutations in any of these three genes, you can develop familial hypercholesterolemia.
The most common form of familial hypercholesterolemia is heterozygous, meaning that the individual has only one mutation in the gene mentioned above. However, there is a rarer but more severe form called homozygous, meaning that the mutation is present in both copies of the same gene. People with homozygous familial hypercholesterolemia can have very high LDL cholesterol levels (greater than 400 mg/dL). Some may need aggressive treatment before adulthood. Without treatment, people with homozygous familial hypercholesterolemia rarely live to the age of 20.

2.2 Diagnosis of familial hypercholesterolemia
Not all individuals with familial hypercholesterolemia have symptoms. Therefore, a combination of clinical and laboratory investigations is necessary.

One of the typical symptoms is cholesterol deposits in the Achilles tendon or tendons of the hands or elbows. People with familial hypercholesterolemia can also develop cholesterol deposits in other places, such as around the eyes.

Familial hypercholesterolemia is usually diagnosed based on a combination of physical exam and laboratory results, as well as personal and family history. Familial hypercholesterolemia can also be detected throughgenetic testingGenetic testing is not only valuable for diagnosis but also for prognosis and risk assessment for other family members. If one family member has familial hypercholesterolemia, all immediate relatives (including parents, siblings, and children) should be tested for the disease. Similarly, if a family member has had an early heart attack, other family members should be examined and tested for screening and proper risk assessment.

Children at risk for familial hypercholesterolemia should have regular heart health screenings starting at age 2. All children should have their cholesterol checked between ages 9 and 11 and again between ages 17 and 21. Children may be started on medication as early as age 8 or 10 if their cholesterol is high enough or there is other evidence of a genetic problem.
3. Treatment of familial hypercholesterolemia
Familial hypercholesterolemia is also considered a genetic disease , and is currently underdiagnosed and undertreated. As a result, many individuals with the disease are not diagnosed and treated promptly. However, people with familial hypercholesterolemia have a good prognosis if the disease is diagnosed early and treated appropriately.

Familial hypercholesterolemia cannot be treated with diet and exercise alone. These lifestyle changes may help, but they need to be combined with medication.
Treatment usually includes one type ofStatin drugsand typescholesterol lowering drugsothers such as ezetimibe. People with extremely high LDL cholesterol, such as those with homozygous familial hypercholesterolemia, may need to undergo a treatment called LDL apheresis. This is a dialysis-like treatment that is done every few weeks to remove “bad” cholesterol from the body.

Another group of lipid-lowering drugs, bile acid sequestrants (such as cholestyramine or colesevelam), may also be used. These drugs reduce the amount of cholesterol absorbed by the intestine. This reduces the amount of cholesterol that enters the blood.

An injectable medication called a PCSK9 inhibitor can also lower “bad” cholesterol levels. These drugs target and block the PCSK9 protein, which helps release more receptors on liver cells to increase the body’s ability to remove this “bad” cholesterol.

Once you have answered the questions about what is hypercholesterolemia and familial hypercholesterolemia , you need to be proactive in protecting your health and contact your doctor for examination to get appropriate instructions.

To make an appointment at the hospital, please dial HOTLINE or book directlyHERE. Download and schedule an appointment automatically onMyVinmec applicationto manage, track schedules and book appointments anytime, anywhere right on the app.

26/02/2025

Charlotte’s Story
The Journey to Accepting My FH Diagnosis “We lost her unexpectedly. From the outside, she had no indication something was wrong.” Charlotte was only 17 when her mother passed away from a heart attack. “She was so petite,” Charlotte explains, “and she lived a very stress-free life. She was radiant and active and you would have never known she had heart disease.”

A few months after their loss, Charlotte’s dad recommended she have her cholesterol checked. “I was getting ready to leave for college,” explains Charlotte, “so I had a physical and my cholesterol came back very high.” Her total number was around 340.

“You’ve got high cholesterol, and you need to go on statins as soon as possible.” Charlotte’s doctor noted her extremely high LDL, or “bad” cholesterol, and told her she had to make a drastic change to avoid heart disease. “She told me ‘you need to go on statins as soon as possible,’” says Charlotte. She took that information home and had a long talk with one of her sisters. Charlotte’s sister had recently discovered she also had high cholesterol and was trying to change her diet and lifestyle before going on medicine.

She suggested Charlotte do the same thing.

Charlotte decided to take her sister’s advice and try to lower her cholesterol with diet and exercise. “I pretty much cut everything out of my diet right away,” Charlotte explains, “I gave up meat, cheese, dairy, saturated fats, and sugar. I went really, really intense.” She became a group fitness instructor, a personal trainer, and a yoga instructor.

“There’s power in diet and exercise, but it wasn’t enough.” With all of that effort, Charlotte’s cholesterol fell about 100 points down to 240. “I realized there’s power in diet and exercise,” says Charlotte, “but my LDL wasn’t where we wanted.”

Recent recommendations from the American College of Cardiology say to increase your chances for a long life, you should get your LDL cholesterol to a safe place for as long as possible. Those without heart disease should have LDL at or below 100 mg/dL, and those with heart disease should aim for 55 mg/dL or lower.

Eventually Charlotte went on a statin to get her LDL down, and this year she began taking a PCSK9 inhibitor and is responding very well.

“There’s nothing wrong with me. I just have a genetic condition that I can’t control without medicine.” It’s been 12 years since Charlotte lost her mother, but it was only a year ago that she discovered what she has, has a name – Familial Hypercholesterolemia (FH).

“I’ve been through so many cardiologists and doctors who treated me like any other patient with high cholesterol,” she says, “I’ve even had pharmacists tell me I could just control my cholesterol with diet and exercise. It can be very infuriating.”

She started reading about FH, found the Family Heart Foundation, and started making sense of everything that happened in her family.

“It was so validating,” she says, “I realized there’s nothing wrong with me. I just have a genetic condition that I can’t control without medicine.”

“I had no interest in fitness before I found out about my high cholesterol.” Charlotte’s diagnosis also set her on a life path she never would have considered before. “I had no interest in fitness before I found out about my high cholesterol,” she explains, “I found I really loved it. Since then, I have opened up my own yoga studio.” Charlotte has dedicated her life to helping people be well and educating them about FH.

“So many people don’t know about it,” she explains, “but there are so many people that do know about it, and I want to be part of that group.”

“When you accept the diagnosis, you’re that much closer to treatment.” With all of that effort, Charlotte’s cholesterol fell about 100 points down to 240. “I realized there’s power in diet and exercise,” says Charlotte, “but my LDL wasn’t where we wanted.”

Recent recommendations from the American College of Cardiology say to increase your chances for a long life, you should get your LDL cholesterol to a safe place for as long as possible. Those without heart disease should have LDL at or below 100 mg/dL, and those with heart disease should aim for 55 mg/dL or lower.

Eventually Charlotte went on a statin to get her LDL down, and this year she began taking a PCSK9 inhibitor and is responding very well.

“There’s nothing wrong with me. I just have a genetic condition that I can’t control without medicine.”

News Perpetual Help Medical Center - Las Piñas

19/04/2025

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