Total cholesterol above 7 points is defined as total cholesterol over 7.0mmol/L, which has exceeded the normal range, and is generally a more serious condition, seen in coronary heart disease, myocardial infarction and other diseases, requiring active intervention to control and avoid adverse events. The ideal range for total cholesterol is <5.20 mmol/L, with borderline elevations of 5.23 to 5.69 mmol/L and elevations of >5.72 mmol/L. The total cholesterol index can be used for early recognition of atherosclerosis risk. It is used for the assessment of high risk factors for cardiovascular disease and for monitoring the effectiveness of lipid-lowering therapy. Elevated cholesterol can be seen in diabetes, hypothyroidism, nephrotic syndrome, obstructive jaundice, hepatocellular carcinoma, and pregnancy. Patients with elevated total cholesterol are advised to seek prompt medical attention, rationalize their diet under doctor's guidance, and take medication if necessary.