The second set of numbers makes sense, the first do not - probably a lab error in either measurement or calculation. Your LDL is high. If you have coronary artery disease, it certainly needs to be treated with medications and diet. I hope this has been useful. Feel free to write back with further questions.
Information provided here is of a general nature.
Specific diagnoses and treatments can only be made by your doctor. Only your physician can provide specific diagnoses and therapies. All rights reserved.