Mar, 14
Dr. Nicolas Madsen

About the Author Dr. Nicolas Madsen

Nicolas Madsen, MD, is a cardiologist at Cincinnati Children’s Heart Institute, with special interest in the prevention of cardiovascular disease. He is focused on research and community outreach programs to find better ways to screen and educate children and adolescents regarding their risks for heart disease or sudden cardiac arrest.


  1. Hi,
    I have a question about the levels, is there is a borderline level which is specific for kids at that age.

    Sanu - March 13, 2014 at 1:11 pm Reply
  2. Almost thirty years ago, I was diagnosed with high cholesterol (360), hereditary, as I was neither obese nor led an unhealthy lifestyle. I was 13 or 14 years old, and had a routine cholesterol check with a physical for varsity level sports. I received care through a clinical trial at John Hopkins University for at most 2 years. The experience led me to develop first an aversion to food, and later an eating disorder. I did not do anything for the cholesterol until I reached my mid-thirties, and had two children. While the tips that you offer above are all reasonable for anyone to follow, the reality is that when you have high cholesterol as a child, medicating is nearly always the method of treatment in the eyes of a physician. At the time of my diagnosis, I was a young girl, and felt that the medicine was mainly used and tested on 50+ yr old men. It was a crapshoot whether or not the side effects of long term use would outweigh the benefits of a lifetime of use. Unfortunately, I don’t believe that this has changed in the thirty years, and I agonize over having my children tested. To date, I have refused, because I know that if they do test positive, there appears to be only one method of treatment. I wonder if you have a reason for not mentioning medication as an intervention….

    Belinda c. - January 3, 2015 at 8:05 pm Reply
  3. I have genetically high cholesterol combined number 333 and I am not on a statin drug .( I am under the watchful eye of a cardiologist). They have recently changed the guidelines I took a test called a VAP test which is more accurate in determining ones risk for cardiovascular disease. Some people do need statin drugs but there are a lot of variables to consider. Remember there are risks associated with statin drugs and in some people the benefits do not out way the risks. I am not advocating going off statin drugs without talking to your Dr. But we must educate ourselves.

    Goldilocs - March 2, 2015 at 12:42 am Reply

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