Thanks for using healthcaremagic.I understand your concern. Brief answer:Long standing elevated cholesterol levels may result in peripheral vascular diseases,coronary artery disease,thromboembolic events(Pulmonary embolism,Stroke). Detailed Answer: If i were your physician,would advise you initially with lifestyle modifications (like avoid smoking,to increase physical activity,optimal weight management,dietary modifications(to limit saturated fat/cholesterol and encourage dietary fiber ) and will observe for three months.If there is no improvement in lipid profile,would think of adding drugs(fibrate,statin group) to get back the levels normal.However if risk factors (like family history of coronary heart disease before 50 years,obesity,smoking) present,would suggest for further evaluation and treatment accordingly.Hope this information helps you.If any further questions,wish to answer you.Take care.