Question 1

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.

Accepted Answer

"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."

Question 2

I'm a 39-year-old guy dealing with high blood pressure, and I've been on telmisartan 40 mg for like five years. Just recently, I found out I have Grade 1 Left Ventricular Hypertrophy. I don't have diabetes but my cholesterol is on the higher side, an...

Accepted Answer

Visit your Physician for appropriate management

Question 3

I'm 26 and a few months back, I had a fever that went away in a week. Then, out of nowhere, my heart rate shot up to 144 bpm, and I felt like there was an air bubble in my chest. I got an ECG done, which showed minor ST and T wave abnormalities, and ...

Accepted Answer

The symptoms you are experiencing, along with the ECG changes showing minor ST and T wave abnormality, could be indicative of a condition called Premature Ventricular Contractions (PVCs). PVCs are extra heartbeats that begin in one of your heart's two lower pumping chambers (ventricles). They may feel like a fluttering or a flip-flop in your chest. The sensation can be triggered by certain activities, emotions, or medications. To help manage your symptoms and reduce the occurrence of PVCs, you can try taking over-the-counter medication such as **Propranolol (Inderal)** at a dosage of 10-30 mg three to four times a day. This medication can help regulate your heart rate and reduce the frequency of PVCs. Additionally, you can try to reduce stress and anxiety through relaxation techniques such as deep breathing exercises or yoga. It is important to follow up with a cardiologist for further evaluation and management. They may recommend additional tests such as a Holter monitor or an event monitor to capture your heart's activity over an extended period. This will help determine the underlying cause of your symptoms and guide appropriate treatment. In the meantime, try to avoid triggers such as caffeine, alcohol, and tobacco, which can exacerbate PVCs. Stay hydrated, maintain a healthy diet, and get regular exercise to support your heart health. If you experience severe chest pain, dizziness, or fainting spells, seek immediate medical attention.

Question 4

I'm a bit confused because I recently got a stress test done, and the results said it's negative for inducible ischemia during the TMT test. What does this really mean? Should I be worried or is this a good sign?

Accepted Answer

normal

Question 5

I'm really worried about my recent ECG showing a slight ST depression in V5. I've been dealing with anxiety and some gastric issues. I've had previous tests like an ECG treadmill, and both my troponin I and T were normal. Should I be concerned about ...

Accepted Answer

Slight ST depression in V5 on ECG can sometimes be seen in patients with anxiety and gastric issues. Since your previous ECG, treadmill test, and troponin I levels were normal, it is less likely to be related to a heart condition. However, it is important to continue monitoring your symptoms and follow up with your healthcare provider for further evaluation. In the meantime, you can consider taking medications like Pantoprazole 40mg once a day for gastric issues and medications like Lorazepam 0.5mg as needed for anxiety.

Question 6

I'm a bit worried because my ECG showed a small variation, and now my doctor wants me to have an ECHO done. The thing is, I'm in a remote area, and getting to the city for the ECHO will take some effort. Do you think it's okay if I wait and get the E...

Accepted Answer

If your doctor has recommended an ECHO after observing a small variation in your ECG, it is important to follow up with the ECHO test as advised. However, if you are in a remote location and unable to travel to the city for the ECHO immediately, it should be okay to schedule the ECHO after 10 days. Make sure to keep in touch with your doctor regarding any changes in your symptoms during this period.

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Related Questions

I'm a 39-year-old guy dealing with high blood pressure, and I've been on telmisartan 40 mg for like five years. Just recently, I found out I have Grade 1 Left Ventricular Hypertrophy. I don't have diabetes but my cholesterol is on the higher side, an...

I'm 26 and a few months back, I had a fever that went away in a week. Then, out of nowhere, my heart rate shot up to 144 bpm, and I felt like there was an air bubble in my chest. I got an ECG done, which showed minor ST and T wave abnormalities, and ...

I'm a bit confused because I recently got a stress test done, and the results said it's negative for inducible ischemia during the TMT test. What does this really mean? Should I be worried or is this a good sign?

I'm really worried about my recent ECG showing a slight ST depression in V5. I've been dealing with anxiety and some gastric issues. I've had previous tests like an ECG treadmill, and both my troponin I and T were normal. Should I be concerned about ...

I'm a bit worried because my ECG showed a small variation, and now my doctor wants me to have an ECHO done. The thing is, I'm in a remote area, and getting to the city for the ECHO will take some effort. Do you think it's okay if I wait and get the E...

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