apollo
  • Female
  • 45 Years
  • 22/01/2025

I'm really worried about some recent health reports I've got. My TSH levels were high at 10.3, so my doctor increased my thyroid medication from 100mg to 125mg. Then after about 25 days, my TSH dropped to 0.70, and I was advised to cut down the medication to 75mg. I'm also confused because my TMT test came back positive for inducible myocardial ischemia, but my ECG and echocardiography were normal. The doctor is now suggesting I go for an angiogram. I'm really anxious about whether these thyroid level changes could be affecting my TMT results. Should I be rushing into getting the angiogram, and is there a real chance of having heart issues even though the ECG and echo were normal? Any advice would be really appreciated.

Doctor 1

Answered by 1 Apollo Doctors

Yes its is due to fluctating tsh levels. U may repeat angio after 6 months.

Dr. Ranjith Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I've been trying to understand my recent lipid profile test results and I'm a bit confused. My triglycerides are at 192, which seems high to me. I'm vegetarian and steer clear of fast and fried foods, so I'm not sure why my triglycerides would be elevated. I exercise every day and my weight is around 70 kg with a height of 5'6". I've been taking whey protein for the past two monthscould that be causing the increase in my triglycerides? I've stopped using whey last week and am currently on Ecosprin Av 7520 for the past two days. How can I best lower my triglycerides and boost my HDL levels? Would adding omega-3 to my diet be a good idea? I'd appreciate any suggestions.

Triglyceride level of 192 mgdL is slightly above the normal range (normal range is less than 150 mgdL), but it is controllable. It's good that you are already taking steps to address this issue. Whey protein can sometimes lead to increased triglyceride levels in some individuals, so stopping its intake was a good decision. To lower triglycerides and increase HDL, you can consider adding Omega-3 fatty acids to your diet. Omega-3 fatty acids, found in fish oil supplements or fatty fish like salmon, have been shown to help lower triglyceride levels and improve HDL cholesterol. You can try brands like Lovaza or Vascepa, with a dosage of around 1-4 grams per day, as recommended by your healthcare provider. In addition to Omega-3 supplements, maintaining a healthy diet rich in fruits, vegetables, whole grains, and lean proteins, along with regular exercise, can also help improve your lipid profile. It's important to continue monitoring your levels and follow up with your healthcare provider for further guidance and adjustments to your treatment plan.

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I'm dealing with Rheumatoid Arthritis and I'm on methotrexate. Recently, I've been experiencing heart palpitations, like up to 12 times a minute, mostly in the evening, but now it's happening more often. My heart rate's been an average of 107, but right now it's at 91 bpm. I've got an appointment on Wednesday at the heart hospital to get things checked out. But I'm really curious about when this stuff would be considered an emergency. It's making me feel pretty uncomfortable. Any advice?

It is important to monitor your symptoms closely. If you experience severe chest pain, shortness of breath, fainting, or dizziness along with the heart palpitations, it could be a sign of a more serious issue and would be considered an emergency. Since you are already scheduled for an appointment at the heart hospital on Wednesday, it is best to discuss your symptoms with the healthcare provider there. They will be able to evaluate your condition and provide appropriate guidance.

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Got an ECG test done today and the report says "probably abnormal ECG." Really anxious about what this might mean. Can I get your opinion on this?

Please share the ECG report details, and I'll help interpret. and need your detailed history

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.