Question 1

I'm 36 years old and my cholesterol levels are quite high. I've got the details here: Total cholesterol is 212 mgdL, triglycerides are 333 mgdL, HDL is 33.60 mgdL, LDL is 143 mgdL, VLDL is 35.4 mgdL, and Non-HDL is 178 mgdL. My liver function tests show bilirubin total at 0.42 mgdL, bilirubin direct at 0.07 mgdL, and bilirubin indirect at 0.35 mgdL. My SGOT is 40 UL, SGPT is 34 UL, GGTP is 28 UL, ALP is 121 UL, total protein is 7.20 gdL, and albumin is 4.48 gdL with an AG ratio of 1.65. My fasting blood sugar is 102 mgdL. The doctor recommended taking Rozavel F 10 mg twice a day, but I'm really concerned and wondering if there's anything else I can do to lower my cholesterol quickly. Any advice or tips would be greatly appreciated.

Accepted Answer

"Based on your cholesterol levels and liver function test results, I recommend adding Ezetimibe 10 mg once daily to your current treatment with Rozavel F 10 mg twice a day. This combination can help in faster reduction of cholesterol levels. Additionally, you can consider adding Omega-3 fatty acids supplement to further improve your lipid profile. Make sure to follow a healthy diet low in saturated fats and engage in regular physical activity to complement the medication therapy."

Question 2

Hey there doc, I'm a 38-year-old guy working in software, and I've noticed something strange lately. My resting heart rate used to be between 60-65 bpm when I'd check it after waking up, and that's when I was working out regularly. I was doing weight training five days a week focusing on different muscle groups each day. But ever since the lockdown and not being able to hit the gym for about two months, I've seen my resting heart rate drop to 50-55 bpm. It's weird because I thought it'd go the other way around without my workouts. Do you think this is something I should be concerned about or is it normal? What's happening here?

Accepted Answer

it's great that you are monitoring your resting heart rate regularly. A decrease in resting heart rate can be a normal response to regular exercise and improved cardiovascular fitness. Since you have stopped your weight training routine for the past 2 months due to the lockdown, it is expected to see a decrease in your resting heart rate. However, if you are not experiencing any other symptoms such as dizziness, fainting, chest pain, or shortness of breath, a resting heart rate of 50-55 bpm is generally considered normal for physically active individuals. I recommend staying physically active with alternative home workouts or activities to maintain your cardiovascular fitness. Additionally, ensure you are getting adequate rest and managing stress levels. If you have any concerns or experience any unusual symptoms, it is always best to consult with a healthcare professional for personalized advice and evaluation

Question 3

I'm having this persistent pain on the left side of my chest, and I've already seen a cardiologist about it. They had me do a bunch of tests like an ECG, 2D echo, TMT, CT coronary angiography, and even conventional angiography. Everything came back normal, which was a relief. But just a few days ago, the chest pain came back and the ECG now shows a T wave abnormality, possibly anterior ischemia. I'm really worried about what this could mean. Is this something I should be seriously concerned about, and what do you think my next steps should be?

Accepted Answer

Hello, based on your history and the recent ECG findings showing T wave abnormality suggesting anterior ischemia, it is important to further evaluate the cause of your chest pain. Since your cardiac tests have all come back normal, the T wave abnormality may be due to other factors such as coronary artery spasm, inflammation, or even non-cardiac causes. I recommend discussing with your doctor about starting medication like Nitroglycerin sublingual tablets for immediate relief during chest pain episodes. Additionally, you may benefit from medications like Beta-blockers (e.g. Metoprolol) and Calcium channel blockers (e.g. Amlodipine) to help prevent chest pain episodes. It would also be helpful to consider a referral to a gastroenterologist to rule out any gastrointestinal causes of chest pain, as well as a follow-up with a cardiologist for further evaluation and management. Remember to follow up with your healthcare provider for a personalized treatment plan.

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