Question 1

I'm really worried about my dad  he's just 43 and had a heart attack about a month and a half ago. They did an angioplasty and put in a stent, but now the doctor says one of his heart valves isn't working right and needs replacing. His heart is only working at 30% right now. Is it safe for him to go through a bypass surgery at this point, and if he does, how long can we expect him to live after that?

Accepted Answer

Atleast for a year any surgeries contraindicated.

Question 2

I'm really concerned because my HDL is pretty low at only 29. My cholesterol is 100, triglycerides are 101, LDL is 55, and VLDL is 29. I'm wondering if there's any medication I can take to boost my HDL levels, or if it's okay to be at this level. I've attached my lipid profile reports and I'm hoping to get your opinion on whether everything looks alright or if there's anything I should be worried about. How can I improve my lipid levels further? Just for context, I'm 34 years old, weigh 83 kg, and am 5'7". There's no history of heart disease in my family, although my father does have diabetes. Could you please give me detailed advice on this?

Accepted Answer

Based on your lipid profile results, your HDL level is indeed low at 29. To improve your HDL level, you can consider taking Niacin (Vitamin B3) at a dosage of 500-2000 mg per day. Additionally, incorporating regular exercise, maintaining a healthy weight, and consuming a diet rich in fruits, vegetables, whole grains, and healthy fats can also help improve your HDL level. Your total cholesterol level of 100 is within the normal range, which is good. However, your triglyceride level of 101 is slightly elevated. To lower your triglyceride level, you can take Omega-3 fatty acids at a dosage of 1-4 grams per day. It is also important to limit your intake of sugar, refined carbohydrates, and alcohol to help lower triglycerides. Your LDL level of 55 is optimal, and your VLDL level of 29 is within the normal range. Overall, your lipid profile is generally good, but there is room for improvement in your HDL and triglyceride levels. In addition to medication and supplements, lifestyle modifications such as regular exercise, maintaining a healthy weight, and following a heart-healthy diet can further improve your lipid profile. It is also important to avoid smoking and limit alcohol consumption for overall heart health. If you have any further concerns or questions, feel free to ask.

Question 3

I've been experiencing headaches lately, so I went to see a doctor. My blood pressure came in at 130100, which is quite different from two years ago when it was usually around 11070. The doctor told me to keep an eye on my BP for the next five days. My blood work was mostly okay, but they did find my CRP levels were at 6 and my sodium was a little low, around 133. I've been feeling tired all day too. What could be going on with me?

Accepted Answer

BP is observed for atleast 5 days for the diagnosis of hypertension.

sometimes blood pressure increases because of pain also. repeat your blood pressure,and monitor it

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