High Cholesterol

Why cholesterol matters

Too much cholesterol can block your blood vessels, which can lead to heart problems (such as angina, heart attack, heart failure) or a stroke.

Often high cholesterol does not cause symptoms, so you may not know you have it, unless we check it.

NHS Health Check

The check is for anyone aged 40-74 who do NOT have any of the following pre-existing conditions:

  • heart disease (angina, heart failure)
  • kidney disease
  • diabetes
  • high blood pressure
  • atrial fibrillation
  • stroke or transient ischaemic attack
  • inherited high cholesterol
  • peripheral arterial disease
  • currently being prescribed statins to lower cholesterol

or if you have already had a previous NHS Health Check


Your Q Risk

If you have had a recent cholesterol test, we will calculate your heart/stroke risk - this is done by measuring your QRISK.

Your QRISK score will tell you whether you are at low, moderate or high risk of developing heart and stroke in the next 10 years.




If you are at moderate or high risk, we would be grateful if you could make a routine telephone appointment with one of our practice pharamcists or nurses.

Your QRISK score is calculated by:

  • Age
  • Gender
  • Ethnicity
  • Location
  • If you have diabetes, kidney disease, atrial fibrillation, rheumatoid arthritis
  • Any family history, smoking, on blood pressure treatment
  • Latest cholesterol, blood pressure, height and weight


Low risk – less than 10%; means that you have less than a 1 in 10 chance of having a stroke or heart attack in the next 10 years.

Moderate risk – 10-20%; means that you have between a 1 or 2 in 10 chance of having a stroke or heart attack in the next 10 years

High risk – more than 20%; means that you have at least a 1 in 5 chance of having a stroke of heart attack in the next 10 years

Making lifestyle changes to reduce cholesterol


  • Eat a healthy balanced diet - low in fat, sugar and salt
  • Eat 5 fruit / veg a day
  • Stop smoking
  • Reduce alcohol intake – aim for less than 14 units a week
  • Lose weight if needed
  • Exercise regularly



You can get help and advice about how you can do this, at the Your Health Your Way service. Take a look!

Some information about diet can be found at Low Fat Diet information leaflet

Couch to 5K

The Couch to 5K app has been designed to get you off the couch and running in just 9 weeks. Grab your trainers, download the app and follow the step-by-step instructions.

Download from: play.google.com

Download from: itunes.apple.com


Statins are high effective treatments to reduce your cholesterol and heart/stroke risk.

Guidelines now recommend taking statins if you are at moderate or high risk.

The most commonly prescribed statin is atorvastatin. We would recommend remaining on statins long-term.


Side effects:

Like with any medication, a small number of patients may experience side effects; the most common reported is muscle pain - this is reversible when you stop taking the statin. If you cannot tolerate one statin, we may offer you another to see if you tolerate that better.

Monitoring medication and cholesterol

If you are happy to try a statin, we would usually check your liver function on a blood test, before starting you on the new medication.

After 3 months, we will repeat the blood test, to check your liver function remains the same.