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The total cholesterol to HDL ratio combines two pieces of information — the total burden of cholesterol and the protective HDL fraction — into a single cardiovascular risk score. A ratio above 5 is considered elevated risk; below 3.5 is considered optimal. It is more predictive than total cholesterol alone because it rewards high HDL: a high total cholesterol driven by excellent HDL carries far less risk than the same number driven by LDL.
Also known as: CHOL/HDL, Chol/HDL Ratio, Cholesterol.gesamt/Cholesterol.in HDL, Cholestérol/cholestérol HDL, Cholesterol/HDL, Cholesterol/HDL Ratio, Colesterol total/Colesterol HDL, Colesterol.total/Colesterol.HDL
A high ratio indicates disproportionately low HDL relative to total cholesterol, reflecting increased cardiovascular risk. Ratios above 5.0 significantly elevate heart attack risk.
Standard acceptable range is below 5.0. Functional practitioners target below 3.5, ideally 2.5-3.0.