- male
- 29 Years
- 22/01/2025
I'm a 29-year-old male and I've just got my blood pressure checked and it's 140100. Honestly, I dont feel any symptoms like having high blood pressure, but I thought I would look into it further. I did a lipid profile test as well, and here are the results: total cholesterol is 244, HDL is 54, LDL is 146, VLDL is 44, and triglycerides are 232. Am I in a position where I should consider starting medication for this? I'm kind of worried and I'd appreciate any advice you can give.
Answered by 1 Apollo Doctors
Based on your blood pressure reading and lipid profile results, it is important to take steps to manage your cardiovascular health. With your age and lipid profile results, it is advisable to start medication to help lower your cholesterol levels and reduce the risk of cardiovascular diseases. I recommend starting a statin medication such as Atorvastatin to help lower your LDL cholesterol levels. Additionally, you can consider starting an antihypertensive medication such as Amlodipine to help manage your blood pressure. It is important to follow up with your healthcare provider for further evaluation and monitoring of your blood pressure and cholesterol levels while on these medications. Making lifestyle changes such as adopting a healthy diet, regular exercise, and avoiding smoking can also greatly benefit your cardiovascular health.
Dr. Kareemulla Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
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View allI've recently come across my TMT results, which show a mildly positive reaction with horizontal ST depression up to 2mm in some leads, but it normalizes quickly in recovery. My echo came out normal, and I don't smoke, drink, or have any early CAD family history. My lipid profile reads LDL at 101, triglycerides at 139, HDL at 33, and a total of 157. I'm quite sedentary, and lately, I've noticed pinpoint pain and pressure in my chest, shoulders, and upper abdomen. It flares up intermittently during brisk walking and feels really localized. I've also been dealing with anxiety for the past four years, so I sometimes have breathing difficulties whether I'm resting or active. Is it possible to have CAD at this age without any obvious risk factors, or could this pain just be anxiety? I did have stress echo tests in the past, which were negative, just like a TMT back in 2016. Could you offer some insight?
Given your history of chest painpressure, especially with brisk walking, and the findings on your recent TMT showing mildly positive results with horizontal ST depression, it is important to consider the possibility of coronary artery disease (CAD) even in the absence of traditional risk factors. The fact that the ST depression normalizes within 15 seconds of recovery is somewhat reassuring, but further evaluation is warranted. Considering your symptoms and history of anxiety, it is also possible that the chest pain you are experiencing could be related to anxiety. However, it is crucial not to dismiss the possibility of CAD, especially with the new onset of localized chest pain and your TMT results. Given your overall profile and symptoms, I would recommend further evaluation by a cardiologist. They may consider additional tests such as a coronary angiogram to assess the extent of any possible blockages. In the meantime, it is important to continue monitoring your symptoms and seek medical attention if they worsen or become more frequent. In terms of medication, based on your lipid profile, a statin medication such as Atorvastatin (10-20mg) may be considered to help lower your LDL cholesterol levels and reduce the risk of CAD progression. Additionally, medications to manage anxiety such as Escitalopram (10mg) may be prescribed to help alleviate your symptoms. It is important to address both the cardiac and psychological aspects of your symptoms to ensure a comprehensive treatment approach.
Answered by 1 Apollo Doctors
I'm looking for some advice. My husband, who's 29 and weighs around 92 kg, has been feeling a pinching sensation in his chest and some pain in his left arm for about 45 days now. He's a non-smoker, drinks occasionally, and his parents both had heart attacks before. Our cardio doctor suggested a CT coronary angio test, which is non-invasive. About six months ago, he had episodes of increased heartbeats, anxiety, and sweating, and we did a bunch of tests like the 2D Echo Doppler, TMT, and trop T, which all came back normal in September 2018. I'm wondering if this is a good step to take to get more clarity on what's happening with him. Are there any side effects from this test we should be aware of, and is there anything specific we should do to prepare before he takes the test?
Thats unusual,visit General Physician for appropriate approach.and maintain balanced diet and healthy lifestyle
Answered by 1 Apollo Doctors
I'm a bit confused about my medication change. My doctor used to prescribe Concor AM 2.5mg, but now they've switched me to Concor COR 2.5mg. Can you explain the difference between the two? I'm curious if there's a big change or anything I should be concerned about.
Concor AM 2.5mg is a combination medication containing bisoprolol (a beta-blocker) and amlodipine (a calcium channel blocker), while Concor COR 2.5mg contains only bisoprolol. The main difference is that Concor AM helps control blood pressure through two different mechanisms because of its two active ingredients, while Concor COR works through just one mechanism (beta-blocking). However, since this involves your prescribed medication, you should check with your doctor or pharmacist about why they made this change, as they know your specific medical situation and can explain their reasoning for modifying your prescription.
Answered by 1 Apollo Doctors
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