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

Hey, I've been dealing with this pricking sensation on just the left side of my chest for the past year. It's more like a dull, mild sensation rather than outright pain, and it disappears within seconds. I've already done an ECG, echo, TMT, chest X-ray, and blood tests, and everything came back normal.

Do you think I need any more tests to check my heart? Should I be worried about any heart issues even if my tests didn't show anything concerning? Also, what could be causing this pricking feeling in my left chest? Would appreciate your advice.

Accepted Answer

1) Since your ECG, echo, tmt, chest x-ray, and blood tests have all come back normal, further heart investigations may not be necessary at this point. However, if your symptoms persist or worsen, a coronary angiography may be considered by your doctor. 2) If all your tests have come back normal, it is reassuring and indicates that there may not be a serious issue with your heart. However, it is important to continue monitoring your symptoms and follow up with your healthcare provider regularly. 3) The pricking pain in your left chest could be due to various reasons such as musculoskeletal issues, nerve irritation, anxiety, or gastrointestinal problems. It is important to discuss your symptoms in detail with your doctor to determine the exact cause and appropriate treatment.

Question 3

I've been noticing that when I exercise at the gym, my heart starts beating really fast, almost like it's racing. It seems to take a bit longer than I'd like for everything to calm down afterward. I had some blood work done, and everything came back normal, including my cholesterol levels. My cardiologist has mentioned that everything seems okay, but I'm still experiencing these palpitations. What should I do about this?

Accepted Answer

Palpitations during exercise can be concerning, even if your cardiologist has given you the all-clear. One possible cause could be anxiety or stress. I recommend trying a beta-blocker medication such as Metoprolol (25-50mg) before exercising to help control your heart rate and reduce palpitations. Additionally, make sure to stay hydrated and avoid caffeine before working out. If the palpitations persist, it would be best to follow up with your cardiologist for further evaluation.

I'm monitoring my blood pressure with an Omron machine, and it reads 100140, but my pulse is normal. I heard that blood pressure can stay high in winter. Should I think about consulting a doctor for this?

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