Question 1

I'm really worried about my wife's recent blood test results. She's 36 and not obese, but some of her levels seem quite high to me. Her HbA1c is at 4.9, her sugar fasting is at 94, LDL is 133, HDL is 40, VLDL is 29, and triglycerides are 145. With these numbers, should she start taking medications like statins to help lower her cholesterol, or can we possibly manage this with some lifestyle changes instead?

Accepted Answer

Given your wife's blood report, her HbA1c and fasting blood sugar levels are within normal ranges, indicating good blood sugar control. Her LDL cholesterol level of 133 mgdL is slightly elevated, while HDL and triglycerides are within acceptable limits. At this point, her cholesterol management may benefit significantly from lifestyle changes such as adopting a heart-healthy diet rich in fruits, vegetables, whole grains, and lean proteins, as well as engaging in regular physical activity, maintaining a healthy weight, and avoiding smoking. Unless she has other significant risk factors for cardiovascular disease, such as a family history or existing heart disease, lifestyle changes might be sufficient. However, it's important to follow up with her healthcare provider, who can assess her overall risk profile and determine if starting a statin or other medications is necessary.

Question 2

I've been having these random chest pains for the last three months and just did a TMT test today. I couldn't go past 7 minutes, and my heart rate shot up to 190 really fast, so they stopped the test early. The doctor said it's nothing to worry about, but I'm still feeling a bit heavyheaded and stressed. I also have anxiety and my heart rate was already at 114 before the test even started. Does all this sound normal or okay?

Accepted Answer

It sounds like you experienced some discomfort during the TMT test due to your anxiety and elevated heart rate. Since the doctor mentioned that there is nothing to worry about, it is likely that the symptoms you experienced were related to your anxiety rather than any underlying heart issue. However, it is important to address your anxiety to prevent such symptoms in the future. To help manage your anxiety and heart rate, you can consider taking a beta-blocker medication such as Metoprolol. The usual dosage for anxiety-related tachycardia is 25-100mg once daily. This medication can help lower your heart rate and reduce symptoms of anxiety. Additionally, you may benefit from an anti-anxiety medication such as Alprazolam. The usual dosage for anxiety is 0.25-0.5mg three times daily. This medication can help alleviate feelings of anxiety and reduce physical symptoms such as rapid heart rate. It is important to follow up with your doctor to discuss your symptoms and explore treatment options for your anxiety. Regular exercise, stress management techniques, and therapy can also be beneficial in managing anxiety and improving overall heart health.

Question 3

Does walking lower blood pressure immediately?

Accepted Answer

No walking do not lower blood pressure immediately in minutes but a regular habit of at least 20 minutes of brisk or moderate walking for 5 days in a week helps in controlling it gradually. Exercise lowers blood pressure by reducing blood vessel stiffness so blood can flow more easily

yes u can use it, visit ur physician for apprpropriate managent

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