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Cholesterol and Atherosclerosis: Symptoms and Treatment

August 16, 2026 · Town Hospital editorial team

Medically reviewed by the Cardiology Department at Town Hospital

Cholesterol and Atherosclerosis: Symptoms and Treatment
✅ Prepared and reviewed by the medical editorial team at Town Hospital — last updated 16/08/2026. This content is for general awareness and does not replace a doctor's consultation.

Many people discover that their cholesterol is high by chance, without any symptom to alert them. The problem is that high cholesterol quietly causes atherosclerosis over the course of years, which makes it one of the most dangerous risk factors for the heart. In this article we explain the symptoms, the causes, and the treatment and prevention options.

Symptoms

High cholesterol itself is often without clear symptoms for many years. Symptoms appear only when atherosclerosis progresses and affects blood flow, and they include:

  • Chest pain or pressure with exertion
  • Shortness of breath with minor effort
  • Fatigue or pain in the legs while walking (as a result of narrowing of the peripheral arteries)
  • High blood pressure as a common accompanying sign

Causes

High cholesterol and atherosclerosis usually result from several factors building up over time:

  • A diet rich in saturated and processed fats
  • Lack of movement and physical activity
  • Genetic factors (a family history of high cholesterol)
  • Smoking and obesity
  • Uncontrolled diabetes

When to see a doctor

There is no need to wait for symptoms to appear — routine screening with a simple blood test is the only way to know your actual cholesterol level. You must book an urgent consultation if you suddenly feel any of these signs:

  • Severe chest pain or pressure
  • Sudden shortness of breath
  • Cold sweating accompanied by dizziness or nausea

🚨 These are signs of a possible heart attack — call an ambulance immediately.

Treatment options

The treatment plan usually starts with lifestyle changes: a balanced diet, regular physical activity, and quitting smoking. If the results remain high despite these changes, the doctor may decide to add medication suited to your condition after a full assessment. Regular follow-up with a lipid profile is the key to knowing how your body is responding to treatment.

How Town Hospital helps you

At Town Hospital, the cardiology team provides a comprehensive assessment of cardiac risk factors, starting from your lipid profile and medical history, through to a prevention or treatment plan tailored to your condition. The goal is for you to protect your heart with clear, practical steps before the problem gets worse.

Frequently asked questions

Does high cholesterol cause clear symptoms?

Usually no, especially in the early stages. It is normally detected through a routine blood test.

Is all cholesterol harmful?

No, the body needs a certain type of cholesterol for its normal functions. It is the doctor who assesses the different levels in your test and determines whether they need intervention.

Is changing your diet alone enough to treat high cholesterol?

In many cases, yes, it is enough along with physical activity. In other cases, additional treatment may be needed depending on the doctor's assessment.

How often should I have a cholesterol test?

It is preferable to have a routine test as recommended by your doctor, especially if you have a family history or other risk factors such as obesity or smoking.

How do I book a consultation with a cardiology consultant at Town?

You can book by calling the hotline 15276, via WhatsApp, or through the booking page on our website.

Take care of your heart's health with a simple routine check-up. Book your consultation with the cardiology team at Town Hospital now via 15276, WhatsApp, or the /book-an-appointment/ page.

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