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Blood cholesterol plays an important part in deciding a person’s chance or risk of getting coronary heart disease. The higher your blood cholesterol levels, the greater your risk. High blood cholesterol is a risk factor for coronary heart disease. When you have too much cholesterol in your blood, the excess builds up on the walls of the arteries that carry blood to the heart. Over time, this build-up can narrow the arteries, slow down and impede the flow of blood to the heart. Thereby, possibly leading to a heart attack and related symptoms.