Total Cholesterol / HDL Ratio

A direct indicator of cardiovascular risk

Last updated on: July 1, 2025

TC/HDL Ratio Calculator

What is the TC/HDL Ratio?

The Total Cholesterol to HDL Cholesterol ratio (TC/HDL) is a simple calculation that provides a more comprehensive measure of cardiovascular risk than looking at LDL or Total Cholesterol alone.

It assesses the balance between "bad" cholesterol (which is part of the total) and "good" cholesterol (HDL). A lower ratio is more favorable, indicating that there is a healthier proportion of good cholesterol compared to the total.

Why is this Ratio Important?

  • It is a strong predictor of ischemic heart disease risk.
  • Easy to calculate from a standard lipid panel, providing a quick risk assessment.
  • Many guidelines consider it a key metric for managing cardiovascular health.

Interpreting the Result

Ideal / Low Risk (Ratio < 3.5): This ratio indicates a very low risk of cardiovascular disease.
Average Risk (Ratio 3.5 - 5.0): This ratio represents a standard or average level of cardiovascular risk.
High Risk (Ratio > 5.0): This ratio is associated with an increased risk of cardiovascular disease. Lifestyle changes and medical consultation are recommended.

Managing Your Cardiovascular Risk

A high TC/HDL ratio can often be improved through lifestyle modifications. The goal is to lower Total Cholesterol (especially LDL) and/or raise HDL cholesterol.

  • Adopt a heart-healthy diet, rich in fiber, fruits, vegetables, and healthy fats (e.g., Mediterranean diet).
  • Engage in regular aerobic exercise (e.g., brisk walking, swimming, cycling).
  • Maintain a healthy weight and reduce abdominal obesity.
  • Avoid smoking and limit alcohol consumption.
  • Consult your doctor for a personalized management plan, which may include medication.

This page has been medically reviewed by Dr. Khoulah Attia – PharmD, Immunology Specialist.