 Hi, my name is Dr. Narasandhi. Consultant Interventional Cardiologist at Manipal Hospital Vijayawada. Every year, September 29th, World Heart Day is celebrating. So, I am coming in front of you. Generally, World Heart Federation started in 1999. Main reason being, almost every year 20 million people are dying due to heart disease. It being the leading cause of death. So, to bring awareness to it, they are conducting World Heart Day. Similarly, this year, World Heart Day is being celebrated. Generally, the main theme is using the heart for humanity and for us and to save the planet. My best wishes to you all on this World Heart Day. In World Heart Day, we regularly discuss awareness programmes in OPD. About Triglycerides. There is a part about FATs. A lot of regular health check-ups have increased cholesterol. LDL cholesterol, bad cholesterol increase is awareness for a lot of people. So, everyone knows about the concept. This is another component of FATs. Generally, there are five components and one more component. This has also increased. There are a lot of people coming out of regular health check-ups. So, how common is this? In 2014, ICMR study was conducted. In that, almost 79% and 80% of the members, 15 states are around across India. Around 80% of the population know that a component of cholesterol has increased. That is almost 8 members and 10 people. Most of them have low HDL, almost 80% and 30% of them have triglycerides. And you can imagine, every 10 members have triglycerides. Most of the time, it is found in diabetic patients. Triglycerides are multiple studies. Prove it in E21, BIPs study, inter-heart study. All these studies have been published. There are those who have already had a heart attack and risk factors. Due to this, the risk of a heart attack is increasing. So, for those who have already had a heart attack, in the next two years, even bad cholesterol or LDL cholesterol control, when there are more triglycerides, there is another 40-50% chance of relative risk. So, that is why it is very important. It is called triglycerides management. Generally, in Indians, this visceral obesity, due to the fat in the skin, due to the fat in the nose, we can see more triglycerides. In diabetic people, the good cholesterol will decrease, the bad cholesterol will increase, and the triglycerides will increase. This is a common scenario. Ethrogenic triad. This is very risky for those who have it. So, for normal levels, previously, even if there were 200-250 or 150-200 in between, it would have been normal. But in recent evidence, the Lipid Association of India has given less than 150 is normal and optimal. If it is less than 100, it is optimal. If those levels are maintained, there will be a substantial risk. What is the reason for this? First, the patient thinks that there are more triglycerides. If the doctor consults, there are secondary risk factors for triglycerides. To increase triglycerides, there are diabetes, diabetes, kidney problems, overweight, obesity. There are many thyroid problems. There are more triglycerides for those who have these problems. So, if you address them, the triglycerides will automatically decrease. What is the other reason for this? Because of triglycerides, the cardiovascular risk is explained to you in the cardiologist's algorithms. The next procedure is the main first step is lifestyle modifications. Lifestyle modifications are regular exercise, diet. Diet avoids refined sugars completely. It reduces unhealthy fats and oils. You have to do this. Low salt, whole grain food, nuts, legumes. It is called Mediterranean diet. It is the most evident space diet. You have to take it. Lifestyle modifications alone can decrease triglycerides by 50%. In any case, you have to change your food habits. After that, if there are more triglycerides, there are many medications that you can use. This is just to give you an awareness about bad cholesterol components. Not only LDL, everyone has an idea on LDL. There are many other components. It is called non-HDL. It also has targets. There is a lot of triglycerides in non-HDL. If you keep that in control, it will reduce the risk. There is a risk of heart attack when LDL is under control. Residual risk is caused by other components. If you keep it in control, it will reduce the risk.