Question 1

Is there a difference in total lipid profile results when a test is done fasting versus non-fasting? A week ago, I got my lipid profile checked and all the parameters were within the range. But after taking another blood test post-meal seven days later, the values were outside the desired range. Could you guide me on whether fasting or non-fasting results are more accurate?

Accepted Answer

There won't be much variation, ideally fasting results and considered to be valid, In your scenario, that could be lab error also, visit your doctor for evaluation and appropriate management

Question 2

I'm really worried about my blood pressure, which is at 8065. I feel so weak and am considered underweight, weighing only 39.2 kg at a height of 5'3". I'm currently taking Health OK multivitamins to help with my low blood pressure, but I'm anxious if these numbers will ever get to normal. Do you think I'll be able to achieve a normal heart rate, or is this something I'll have to deal with forever? I'm only 20, so this has me pretty concerned.

Accepted Answer

Low blood pressure can be concerning, especially if it is causing symptoms like weakness. In your case, being underweight may also contribute to low blood pressure. To help increase your blood pressure and improve your symptoms, you can try increasing your salt and fluid intake, wearing compression stockings, and eating frequent small meals. To address your anxiety and support your heart rate, you can consider taking a beta-blocker medication like Metoprolol. The usual starting dose for Metoprolol is 25mg once daily, which can be adjusted as needed under medical supervision. It's important to continue monitoring your blood pressure and heart rate regularly, and make lifestyle changes to support your overall health. If you have persistent concerns or symptoms, it's advisable to consult a healthcare professional for further evaluation and management.

Question 3

I'm experiencing shortness of breath when I run, and my ECG and Echo reports both came back normal. I'm trying to figure out what's going on. Should I consider getting a CT angiography? Oh, and I've noticed my Echo report lists an ejection fraction of 60, but the stroke volume and EDV fields are blankhow was the EF calculated? I've attached the report too.

Accepted Answer

Shortness of breath during exercise despite normal ECG and Echo reports could be due to other factors such as asthma, anemia, or even deconditioning. Since your Echo report shows a normal ejection fraction of 60%, the calculation is typically done using the formula EF = (SVEDV) x 100. However, since the SV and EDV values are missing in your report, it may be challenging to accurately calculate the EF. Considering your symptoms and the inconclusive nature of the Echo report, it may be advisable to consult with a cardiologist to determine the need for further testing such as a CT angiography to rule out any coronary artery disease.

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