Review your cholesterol results
Discuss your lipid panel and how the results relate to your medical and family history. Hyperlipidemia is the medical term for elevated blood lipids.
Cholesterol & Cardiovascular Prevention | Rockledge, Florida
Know your risk.
Plan for your heart health.
Cholesterol care is about reducing your risk of heart attack and stroke over time. We look beyond a laboratory number to your overall cardiovascular risk and a prevention plan built around you.
Our approach
A conversation.
A personalized plan.
Your evaluation and treatment depend on your individual needs. These are topics you can discuss with your care team.
Look at overall risk
Your clinician can consider factors such as blood pressure, diabetes, tobacco exposure, and prior cardiovascular disease when discussing prevention.
Discuss practical treatment
Review nutrition, activity, medication options, possible side effects, and follow-up testing when appropriate. Recommendations depend on your individual situation.
Coordinate with specialists
Internal medicine care can support ongoing risk management and coordination with your cardiologist or other specialists. This is not a cardiology practice or an emergency service.
Prepare for your visit
Bring your questions.
Start with your story.
Bring your medication and supplement list, relevant records or home readings, and the concerns you want to discuss. Confirm any specific visit instructions with our office.
Expertise in adult health
Learn about Victor Soriano, MD, FACP, and our care team. Care begins with an assessment of your individual situation.
Here in Rockledge
Our Rockledge office welcomes patients from surrounding Brevard County communities. See the communities we serve.
Availability & coverage
Confirm current services, appointment availability, insurance participation, and potential out-of-pocket costs before your visit.
Common questions
Understand your next step.
Why treat cholesterol if I feel well?
The main goal is to reduce the risk of heart attack, stroke, and other atherosclerotic cardiovascular disease (ASCVD), not simply to improve a laboratory number. Plaque can develop silently over many years, so prevention may not produce an immediate change you can feel. We explain your expected benefit and build a plan that fits your risk and preferences.
How do you assess ASCVD risk and use a coronary calcium score?
We estimate ASCVD risk when appropriate using current risk tools, including PREVENT-ASCVD, together with your medical history, family history, blood pressure, diabetes status, and tobacco exposure. A coronary artery calcium (CAC) score is a CT scan that measures calcified plaque. We may recommend it selectively when it could clarify risk or a treatment decision. It is not needed for everyone, involves radiation, and a score of zero does not mean zero cardiovascular risk. It is not a test for emergency symptoms.
What LDL cholesterol goals do current guidelines recommend?
The 2026 ACC/AHA dyslipidemia guideline uses risk-based LDL-C goals. Common examples are:
- Borderline or intermediate risk of a first ASCVD event: below 100 mg/dL.
- High risk of a first ASCVD event: below 70 mg/dL.
- Established ASCVD, not at very high risk: below 70 mg/dL, with lower goals sometimes considered.
- Established ASCVD at very high risk: below 55 mg/dL.
The percentage reduction from your starting LDL also matters. Diabetes, kidney disease, inherited lipid disorders, and calcium-score findings can change the plan. Your clinician will explain your individual target.
What is apolipoprotein B (ApoB)?
ApoB helps estimate the number of cholesterol-carrying particles that can contribute to plaque. It can reveal additional risk that an LDL result alone may miss, particularly with diabetes, high triglycerides, or cardiovascular-kidney-metabolic disease. We consider ApoB selectively to refine risk and guide treatment, including when LDL goals have already been reached.
What is lipoprotein(a), or Lp(a), and should I have it checked?
Lp(a) is a largely inherited cholesterol-carrying particle associated with increased cardiovascular risk. Current guidelines recommend measuring it at least once in adulthood. An elevated result can influence how intensively we address LDL and other risks and may prompt discussion of family testing. Lifestyle changes have little effect on Lp(a), and routine repeat testing is usually unnecessary. We include these markers in preventive risk discussions; not every patient needs every test at each annual exam.
Do you manage existing cardiovascular conditions?
Discuss your diagnosis, specialist care, and current medications with the office. The scope of management and any referral needs depend on your individual condition.
What if I have chest pain or severe symptoms?
For a medical emergency, call 911. Do not use this website, routine appointment booking, or portal messages for emergency assessment.
How do I book or contact my care team?
View appointment availability through Privia scheduling. Existing patients can use the patient portal for routine messages. For a medical emergency, call 911.
Patient education: Blood cholesterol information from NHLBI. General information does not replace individualized medical advice.
Take the next step
for your health.
Schedule a visit with Soriano Med.