Question 1

I've been tracking my triglycerides, and they were around 260. Lately, I've started doing a brisk walk every day for about 1.5 hours, just following what my doctor suggested. After about 20 days, my triglycerides dropped to 156. Is it normal for them to fall that much, or should I think about getting retested? Also, I'm curious whether high lipid profiles from before can get stuck in the arteries, or do they clear out once the levels go down?

Accepted Answer

It is possible for your triglyceride levels to decrease with regular exercise like brisk walking. However, it is advisable to repeat the test to confirm the improvement. As for the second part of your question, high lipid profiles can contribute to the buildup of plaque in your arteries over time. Lowering your lipid levels, such as triglycerides, through lifestyle changes and medication can help reduce this buildup and lower the risk of cardiovascular diseases.

Question 2

I'm experiencing these brief episodes of chest pain that just last a few seconds and then vanish. It's weird because my breathing feels fine, and my heart rate doesn't seem to speed up. I found out a while back that I have a small VSD, and my last echo six months ago was normal. Can you help me figure out what might be causing this?

Accepted Answer

"Hello, based on your description of experiencing chest pain for a fraction of seconds without any difficulty in breathing or increased heart rate, and considering your small ventricular septal defect (VSD) with a normal echocardiogram 6 months ago, this chest pain may be related to musculoskeletal issues or anxiety rather than a cardiac cause. To alleviate your symptoms, you can take over-the-counter pain relievers like acetaminophen (Tylenol) as needed for chest discomfort. Additionally, practicing relaxation techniques or deep breathing exercises may help reduce any anxiety-related chest pain episodes. If the chest pain persists or worsens, it is advisable to follow up with your cardiologist for further evaluation and management."

Question 3

I'm really concerned because I've been having upper back and chest pain along with shortness of breath for the last 10 months. Sometimes my heart palpitations get really intense. There's also this pain in my left chest that travels down to my left hand. Ive done multiple ECGs, a 2D Echo, and a treadmill test, and everything came back normal. My LDL was high at 276 but it's under control now. I also checked in with a lung doctor and even got an X-ray, which was also normal. What puzzles me is that I have no trouble when doing activities like cycling, swimming, or walking. No doctor has been able to pinpoint what's going on, so I'm really looking for some guidance. Any ideas on what could be causing these symptoms?

Accepted Answer

It sounds like you may be experiencing symptoms related to your heart and cardiovascular system. Given that your ECG, D Echo, and TMT tests have come back normal, but you are still experiencing chest pain, shortness of breath, and heart palpitations, it may be worth considering a medication like **Atorvastatin** to help further control your LDL levels and reduce the risk of cardiovascular issues. Additionally, considering your symptoms, a medication like **Metoprolol** can help in managing heart palpitations and chest pain. However, it is important to consult with your healthcare provider to discuss these medication options and determine the appropriate dosage for your specific condition.

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