Question 1

I'm a bit worried about my recent health report. The doctor said I need an ECG before anesthesia, and the results mention a probable left atrial enlargement with a borderline ECG. I'm wondering what this means for my heart health. Should I see a cardiologist? Lately, I've been experiencing mild chest pains and numbness, and I'm a bit overweight, though my blood pressure is normal. I also have a fatty liver and occasionally notice shortness of breath. Do you think these symptoms are related?

Accepted Answer

Based on your symptoms and the findings in your ECG report, it is important to consult a cardiologist for further evaluation and management. The probable left atrial enlargement and borderline ECG findings may indicate underlying heart issues that need to be addressed. In the meantime, to help with your symptoms, you can take medications like Aspirin for chest pain (if not contraindicated) and Atorvastatin for high cholesterol. Additionally, to manage your fatty liver, you can take Ursodeoxycholic acid. For shortness of breath, you can use an inhaler like Salbutamol as needed. It is also important to make lifestyle changes such as maintaining a healthy weight, regular exercise, and a balanced diet to improve your overall health.

Question 2

I'm worried about my health since my hs-CRP is 3.60 and CRP is 4.20. Is this something I should be really concerned about and get treated right away? I had an angiogram back in December 2020, and everything came out normal then. Also, I've been dealing with high blood pressure and diabetes. Can you help me understand what these numbers mean?

Accepted Answer

Given your history of high blood pressure, diabetes, and previous angiogram, it is important to manage your CRP levels to reduce the risk of further complications. I recommend starting a statin medication like Atorvastatin 20mg daily to help lower your CRP levels and reduce inflammation in the arteries. Additionally, you should continue to manage your high blood pressure with medications like Amlodipine 5mg daily and control your diabetes with medications like Metformin 1000mg twice daily. Regular exercise, a healthy diet, and weight management are also important in managing inflammation and reducing cardiovascular risk.

Question 3

I'm really concerned because my cholesterol is still high even after changing my diet and starting to walk regularly for the last four months. I was really hoping these changes would help. My doctor prescribed Rosubest 10mg, and I'm worried about whether this medication could affect my liver. I had a grade 2 fatty liver before and my LFT blood report showed inflammation. Could taking this tablet make that worse? Just trying to get a sense of what I should look out for.

Accepted Answer

Rosuvastatin (Rosubest 10mg) can potentially affect liver function, especially with a pre-existing grade 2 fatty liver and elevated LFTs; however, your doctor may have considered this risk and prescribed it under careful monitoring; ensure regular liver function tests (every 6-12 weeks) and report any symptoms like fatigue, jaundice, or abdominal pain to your doctor, who may adjust the dosage or consider alternative treatments.

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