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The cholesterol/HDL ratio is calculated by dividing your total cholesterol value by your HDL cholesterol level. It is used as a measure of cardiovascular risk because it gives a good insight into the proportion of your total cholesterol which is “good” (i.e. high-density lipoprotein, HDL). If your health check includes advanced cardiovascular risk scoring – QRisk then this value is important and used to help calculate your risk of having a heart attack.