Question 1

I've just gotten my cholesterol test results back, and I'm a bit concerned about what they mean. My Total Cholesterol is at 155 mgdl, Triglycerides at 193 mgdl, HDL at 29 mgdl, VLDL at 39 mgdl, LDL at 87 mgdl, with a TCholHDL ratio of 5.3 and an LDLHDL ratio of 3.0. Can you help me understand these numbers and suggest what steps I should take? I'm not sure if these levels are something to worry about, and I'd appreciate any advice on how to handle this.

Accepted Answer

Your cholesterol report shows a total cholesterol of 155 mgdL, which is normal, but triglycerides are elevated at 193 mgdL, indicating a potential risk for heart disease. Your HDL ("good cholesterol") is low at 29 mgdL, which is concerning, as higher HDL helps reduce heart disease risk. Your LDL ("bad cholesterol") is at a good level of 87 mgdL, and your VLDL and cholesterol ratios are slightly elevated due to the low HDL and high triglycerides. To improve your cholesterol profile, focus on a healthy diet rich in healthy fats (like omega-3s), fiber, and whole foods, while cutting back on sugary and processed foods. Exercise regularly, aim for weight management, avoid smoking, and limit alcohol. Its also important to discuss these results with your doctor, who may recommend further testing or medications, especially considering your history of heart attack. Regular follow-ups will be important to manage and track your progress.

Question 2

I'm 24 and recently found out I have sinus tachycardia and Grade 1 MVP. My Holter monitor showed a few ectopics, and I've been having anxiety that pushes my heart rate to around 130 bpm when I go out. My doctor suggested taking INDERAL 10 twice a day, but I'm worried. I've heard that once you start on beta blockers, you can't stop them. Is that true? Should I really begin this medication?

Accepted Answer

Inderal (propranolol) can be an effective treatment for managing your heart rate and anxiety symptoms. However, it is essential to work closely with your doctor to ensure the medication is appropriately adjusted for your need

Question 3

I'm a bit confused about my recent heart tests and need some advice. I had a TMT test that was positive a few months ago, and even after showing it to a cardiologist and doing an echo test, which was normal, they still suggested an angiogram because the TMT stayed positive. When comparing the latest TMT results to the previous one, it seemed slightly better but still came back positive. So, I went for a coronary angiogram and found out I have double vessel disease. The plan mentioned possibly needing a PTCA with a stent in the mid LCX RCA. I'm wondering if managing it with medication, diet, meditation, and exercise might be an option, or if the stent is really necessary. I don't have any symptoms like chest pain, hand pain, or dizziness, and my blood pressure and sugar levels have been under control for years. What do you suggest?

Accepted Answer

Based on your medical history and the findings from your tests, it is important to follow the treatment plan given by your healthcare provider. In addition to the PTCA with stent procedure, it is crucial to adhere to a healthy lifestyle which includes medication, diet, meditation, and exercise to help control your condition. The prescribed medications such as Aspirin, Clopidogrel, Atorvastatin, and Metoprolol will help in managing your condition. It is also essential to follow a heart-healthy diet low in saturated fats and cholesterol, engage in regular physical activity as advised by your healthcare provider, practice stress-reducing techniques like meditation, and maintain a healthy weight. Regular follow-up appointments with your cardiologist are necessary to monitor your condition and make any necessary adjustments to your treatment plan.

I'm experiencing this strange chest pain or maybe a strain when I turn my neck or just walk around. I'm not really sure if it's something to do with nerves or maybe just gas. Could you help me figure out what's going on?

Ecg,x-ray chest pa view,sputum for AFB and microscopy is advised to the patient.

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