- Male
- 34 Years
- 29/01/2025
I've been a smoker and drank alcohol almost every day for the past decade, dealing with high cholesterol and triglycerides all this time. I just started medication for these issues. Recently, I had a 2D echo and TMT that both came back normal. Can I assume everything's okay with my coronary arteries if both tests look good, especially now that I've quit smoking and drinking?
Answered by 1 Apollo Doctors
Based on your recent normal 2D echo and TMT results, it is a positive indication that there may not be significant coronary artery disease present. However, it is important to continue monitoring your cholesterol and triglyceride levels, as well as maintaining a healthy lifestyle without smoking and alcohol consumption. Additionally, regular follow-ups with your healthcare provider are essential to ensure your cardiovascular health remains optimal.
Dr. Shubham Suggests...
Consult a Cardiologist
Answered 04/07/2025
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More Cardiology Health Queries
View allI've been really worried about some recent health issues and could use some advice. I had an angioplasty back in 2013 and also dealt with Covid in August '20. Recently, I had some pain in my left arm, so I went to the cardiologist. The ECG came back normal, but some of my test results are concerning. My homocysteine level is at 44, triglycerides are sitting at 275, but my creatinine and cholesterol are normal. My SGPT is at 46 and B12 is at 218. I'm really anxious because I know the high homocysteine could mean a higher chance of another heart issue. Should I be considering more tests, like angiography, or is there a treatment plan you would suggest? Just hoping to get some peace of mind here.
Based on your history of angioplasty in 2013, recent Covid infection, left arm pain, and abnormal test results (homocysteine at 44, triglycerides at 275, B12 at 218), it is important to further evaluate your cardiac health to determine the best course of treatment. Given your elevated homocysteine levels and previous history of angioplasty, it is advisable to undergo further cardiac evaluation. I recommend that you undergo a coronary angiography to assess the status of your coronary arteries and determine if there is any significant blockage that may require intervention. In addition to the angiography, it would also be beneficial to optimize your lipid profile and homocysteine levels through lifestyle modifications and medications. Your cardiologist may prescribe medications such as Atorvastatin for cholesterol control, Folic Acid supplements for homocysteine reduction, and lifestyle changes such as a healthy diet and regular exercise. Regular follow-up with your cardiologist is crucial to monitor your progress, adjust medications as needed, and reduce the risk of a second cardiac event. It is important to prioritize your cardiac health and work closely with your healthcare team to manage your risk factors effectively.
Answered by 1 Apollo Doctors
I'm a 46-year-old guy who's a bit on the heavier side. I've always been healthy, but lately, they've told me I've got hypertension. I'm not a fan of allopathic medicine because I'm worried about the long-term side effects. Do you have any natural treatment options for dealing with hypertension?
reduce weight and saly intake and consult your doctor
Answered by 1 Apollo Doctors
I'm a bit worried about my health right now. I've had hypertension for about 9 years and just found out there's an issue with my heart, something about left atrial enlargement. I'm experiencing symptoms like peripheral edema, dizziness, and even feeling faint sometimes. Is this something that can be reversed or might it turn out to be really serious?
Left atrial enlargement is a common complication of long-standing hypertension. While it may not be completely reversible, managing your blood pressure effectively can help prevent further enlargement and reduce the risk of complications. To help manage your symptoms and condition, you can take medications like Losartan 50mg once daily to control your blood pressure and reduce the strain on your heart. Additionally, your doctor may recommend a diuretic like Furosemide 40mg once daily to help with the peripheral edema. It's important to follow your doctor's advice closely and make lifestyle changes such as maintaining a healthy diet, regular exercise, and reducing stress to improve your overall health and prognosis.
Answered by 1 Apollo Doctors
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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.