Question 1

I'm really concerned about my blood work. Am I at risk for a cardiac arrest at any moment? My lipoprotein A is 53 mgdl, HS CRP is 4.3 mgL, total cholesterol is 222 mgdl, triglycerides are 212 mgdl, VLDL cholesterol is 42.48 mgdl, and non-HDL cholesterol is 172.2 mgdl. My TSH is 6.93, and I also have hypertension. Are these numbers something to be really worried about?

Accepted Answer

Your Lipoprotein A level is 53mgdl, HS-CRP is 4.3mgL, Total Cholesterol is 222 mgdl, Triglycerides are 212 mgdl, VLDL Cholesterol is 42.48 mgdl, NON HDL Cholesterol is 172.2 mgdl, and TSH is 6.93. These values indicate a higher risk for cardiovascular issues. To manage your cholesterol levels and reduce the risk of cardiac events, I recommend starting a statin medication such as Atorvastatin 20mg once daily. Additionally, for hypertension, you can take Amlodipine 5mg once daily. It is important to follow up with regular check-ups and lifestyle modifications to improve your overall cardiovascular health."

Question 2

I'm a 26-year-old male, around 78 kg, and about 5'9". During my UPSC physical test, the doctor mentioned hearing a slight heart murmur through the stethoscope. I went through an echo test and an ECG, but they didn't find anything specific. I passed the test, but I'm kind of worried about what this could mean for my future. My recent cholesterol levels are 195 total, 96 LDL, 35 VLDL, and 39 HDL. The echo test showed that my IV septum is 11. Should I be concerned about this murmur, and is there something I should be doing to address it? Your guidance would be really helpful.

Accepted Answer

Given your situation, it is important to monitor your heart health regularly. To address the heart murmur, you can take a low dose of **Aspirin** daily to prevent blood clots and reduce the risk of heart attack. Additionally, **Atorvastatin** can be used to manage your cholesterol levels effectively. It is recommended to take **Atorvastatin 20mg** daily to keep your LDL cholesterol in check. Regular exercise, a healthy diet low in saturated fats and cholesterol, and avoiding smoking can also help improve your heart health and reduce the risk of future issues. It's essential to follow up with your healthcare provider for regular check-ups and monitoring.

Question 3

I'm feeling a bit unsure about this medication Prolomet R 25 that my cardiologist prescribed. They said not to worry after some tests, but I found out it's a beta blocker, and I'm concerned because I don't have any blood pressure issues. Could you please guide me on if and how I should stop taking it?

Accepted Answer

Prolomet R 25, a beta-blocker, is often prescribed for heart-related issues such as palpitations, anxiety, or to improve heart function, even if you do not have high blood pressure. If you have concerns about this medication, do not stop taking it abruptly, as this can lead to withdrawal symptoms or exacerbation of your condition. Instead, consult your cardiologist to discuss your concerns and to determine whether you need to continue the medication or if it can be gradually tapered off under medical supervision. Your doctor can provide a safe plan for discontinuing the medication if it is deemed appropriate.

Physician opinion for bp.

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