LDL goals for sons with family history
My husband had distal LAD lesion and is on statin and aspirin His LDL is below 55 We have 2 boys in 30’s What should be their LDL goal
Thanks for asking—this is exactly the right time to “know your numbers” for your sons. Given a first‑degree relative with coronary disease, the prudent goal for them is LDL <70 mg/dL, ideally with ApoB <80 mg/dL if measured. If either has additional risk (South Asian ancestry, central obesity/waist >90 cm men, hypertension, prediabetes/diabetes, smoker, high Lp[a], or CAC >0), aim even lower—LDL closer to <55 mg/dL. They should also check Lp(a) once in their lifetime; if elevated, we push LDL lower as the actionable lever. Quick add: start with a fasting lipid panel in their 30s, track non‑HDL too, and recheck every 1–2 years to stay on course.