- With Mayo Clinic cardiologist
Thomas Behrenbeck, M.D.
read biographyclose windowBiography of
Thomas Behrenbeck, M.D.
Thomas Behrenbeck, M.D.
Dr. Thomas Behrenbeck is a native of Germany, where he received his medical education at the Westfalian Wilhelm University in Munster and became board certified in internal medicine and cardiology.
He also received a Ph.D. in biophysics and physiology at the University of Minnesota. Dr. Behrenbeck joined the Mayo Clinic staff in 1990 and is currently an associate professor at Mayo Medical School and an academic faculty member at the Westfalian Wilhelm University. He is chair of the Cardiovascular Medicine and Surgery NetWork of the American College of Chest Physicians.
Dr. Behrenbeck is a noninvasive cardiologist, specializing in cardiovascular (CV) imaging modalities (echocardiography, nuclear cardiology, and CT), coronary artery disease and prevention of coronary artery disease. His research interests are the application of imaging technology to early recognition and treatment of atherosclerosis. He is passionate about patients' involvement in their health issues.
"The Internet and patient education present ideal synergies in the ever-growing field of knowledge in cardiology," he said.
Definition (1)
- VLDL cholesterol: What is it?
Symptoms (1)
- Arcus senilis: A sign of high cholesterol?
Tests and diagnosis (3)
- Cholesterol test kits: Are they accurate?
- Cholesterol level: Can it be too low?
- Cholesterol ratio: Is it important?
Treatments and drugs (7)
- High cholesterol in children: How is it treated?
- LDL apheresis: Can it lower LDL cholesterol?
- Lipitor and Zocor: Are they equally effective?
- see all in Treatments and drugs
Lifestyle and home remedies (4)
- Kefir: Can it lower my cholesterol?
- Eggs: Are they good or bad for my cholesterol?
- Pomegranate juice: Can it lower cholesterol?
- see all in Lifestyle and home remedies
Alternative medicine (2)
- High cholesterol treatment: Does cinnamon lower cholesterol?
- Noni juice: Can it reduce cholesterol?
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Question
High cholesterol in children: How is it treated?
My family doctor says my son's cholesterol level is too high. How should high cholesterol be treated in children?
Answer
from Thomas Behrenbeck, M.D.
Treatment of high cholesterol in children is controversial. Many doctors think that diet and exercise are the best initial treatment for children age 2 and older who have high cholesterol or who are obese.
The American Academy of Pediatrics recommends treating high cholesterol in children with prescription drugs, such as statins, for children age 8 and older if a child has a high level of low-density lipoprotein (LDL, or "bad") cholesterol. This is because some researchers think that heart disease in adulthood can begin to develop early in a child's life if his or her cholesterol level is too high.
However, many doctors disagree that cholesterol-lowering drugs are an appropriate treatment, since little research has been done on the safety and effectiveness of these drugs in children. Some doctors also think few children have a cholesterol level high enough to require cholesterol-lowering drugs as treatment.
The long-term effects using cholesterol-lowering drugs to treat high cholesterol in children haven't been studied much. In addition, certain cholesterol medications such as niacin aren't recommended for children because of safety concerns.
Because of disagreement in the medical community about treating high cholesterol in children, talk to your child's doctor about what's best for your child.
Next questionLDL apheresis: Can it lower LDL cholesterol?
- Daniels SR, et al. Lipid screening and cardiovascular health in childhood. Pediatrics. 2008;121:198.
- Ford ES, et al. Concentrations of low density lipoprotein cholesterol and total cholesterol among children and adolescents in the United States. Circulation. 2009;119:1108.
- Children and cholesterol. American Heart Association. http://www.americanheart.org/presenter.jhtml?identifier=211. Accessed Aug. 26, 2009.
