Cholestoral is a lipid and we all probably know how harmful too much cholestoral can be to our health: hardening of the arteries leading to cardiac arrest and such. Specifically "Angina Pectoris" is caused by hyperlipidemia, i.e., too much lipid.
"Fats (lipids) are an important source of energy for the body. The body's store of fat is constantly broken down and reassembled to balance the body's energy needs with the food available. Groups of specific enzymes help the body break down and process fats. Certain abnormalities in these enzymes can lead to the buildup of specific fatty substances that normally would have been broken down by the enzymes. Over time, accumulations of these substances can be harmful to many organs of the body. Disorders caused by the accumulation of lipids are called lipidoses. Other enzyme abnormalities result in the body being unable to properly convert fats into energy. These abnormalities are called fatty acid oxidation disorders." http://www.merck.com/mmhe/sec23/ch282/ch282d.html
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