- male
- 30 Years
- 07/02/2025
I've just got my health check-up results and a few things look off, particularly my cholesterol levels. My total cholesterol is 189 mgdl and triglycerides are 249 mgdl, with non-HDL cholesterol at 153 mgdl and VLDL cholesterol at 49.8 mgdl. I'm really concerned about how critical these numbers are and what I should be doing next. Is there a particular specialist I should see, or any specific steps you would recommend for someone my age? I'm 30 and just trying to figure out the best way forward.
Answered by 1 Apollo Doctors
"Based on your lab results, your Total Cholesterol level is 189 mgdl and Triglycerides level is 249 mgdl, which are both elevated. To address this, I recommend starting with lifestyle modifications such as a healthy diet low in saturated fats and sugars, regular exercise, and weight management. In addition to lifestyle changes, you can also consider medication to help lower your cholesterol levels. I suggest consulting with a healthcare provider, such as a cardiologist or a general physician, who can prescribe you a medication like Atorvastatin (brand name Lipitor) at a suitable dosage to help manage your cholesterol levels. Regular follow-up appointments with your healthcare provider will be important to monitor your progress and make any necessary adjustments to your treatment plan. It's also essential to continue monitoring your lipid profile regularly to track your improvement. Remember, these are just general recommendations based on the information provided. It's important to consult with a healthcare professional for personalized advice and treatment."
Dr. Dr Khaleel Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
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Answered by 1 Apollo Doctors
I'm really worried about my health. Every year I get a check-up done, and back in November 2019 at Narayana Hrudyalaya Bangalore, everything was fine my ECG, Echo, and cholesterol were all normal. But I recently did another cholesterol test, and the results are making me anxious: Total cholesterol is 180, Triglycerides 130, HDL 15, Direct LDL 137, and Non-HDL 165. Lately, I've been feeling this discomfort in my arms and sometimes around my neck, which only lasts a few seconds, but it's got me really concerned about a possible heart attack. My blood pressure is at 12880, and I've been on BP meds for four years now. Back in 2017, both the Holter and Ambulatory tests were normal too, just like the Echo and ECG from November 2019. I'm questioning if there's something serious happening. Should I get another Echo? Is an angiogram necessary? I'm pretty scared and would appreciate any advice.
Given your normal results from previous ECG, Echo, and Holter tests, as well as your relatively controlled blood pressure and current cholesterol levels, it's reassuring to some extent. However, the discomfort in your arms and neck, although lasting only a few seconds, deserves attention, especially given your fear of a heart attack. It would be wise to discuss these new symptoms with your cardiologist. They may recommend repeating some tests, such as an ECG or an Echo, to ensure no changes have occurred since your last evaluation. Depending on their assessment, they may also consider a stress test or a coronary angiogram to rule out any significant coronary artery disease. It's important to address these concerns promptly to alleviate your fears and ensure your heart health is appropriately managed.
Answered by 1 Apollo Doctors
I'm a bit worried after getting some tests done. I had an ECG yesterday due to some mild chest pain, and it showed abnormal inferolateral ischemia. Then I went through a TMT, and it came out borderline positive for inducible myocardial ischemia at 10.1 Mts. Can you help me understand what all of this means? Is it something I need to be really concerned about?
Based on the findings of infrolateral ischemia on the ECG and borderline positive result on the TMT for myocardial ischemia, I recommend starting treatment with Aspirin 75mg once daily to prevent blood clot formation and reduce the risk of heart attack. Additionally, you can take Atorvastatin 20mg once daily to lower cholesterol levels and reduce the risk of further heart issues. It is important to follow up with a cardiologist for further evaluation and management.
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