High Cholesterol - What Happens

Having high LDL cholesterol or having low HDL cholesterol can lead to the buildup of plaque in artery walls. This buildup is called atherosclerosis, and it can:

  • Narrow your arteries. When enough plaque builds up, it starts to block your arteries. This happens slowly over many years. In time, the plaque can limit blood flow. The parts of your body that depend on the arteries for blood can suffer from lack of oxygen. This is called ischemia. If it's your heart muscle that isn't getting enough oxygen, you may have chest pain (angina).
  • Harden your arteries. A healthy artery can widen (dilate) so that more blood can flow through when needed, such as during activity. When hard plaque forms in the walls of an artery, it can make the artery too stiff to widen. This "hardening" of your coronary arteries can also cause chest pain.
  • Block your arteries. When a blood clot forms around a crack or rupture in the plaque, it can plug the artery. This damages tissues or organs that should receive blood from that artery. Men who smoke, have high cholesterol, or both have a greater chance of having a plaque rupture, causing a heart attack or sudden death.

See a picture of how plaque causes a heart attack Click here to see an illustration..

Atherosclerosis can lead to:

Use the Interactive Tool: Are You at Risk for a Heart Attack? Click here to see an interactive tool.

More information

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