apollo
  • male
  • 50 Years
  • 20/02/2025

Can you still have angina even if all your heart tests like ECG, echo, X-ray, and TMT are normal but your cholesterol levels are high? I'm really worried because my cholesterol is high, and I'm not sure if that could mean something about my heart health.

Doctor 1

Answered by 1 Apollo Doctors

visit dermatologist for evaluation and appropriate management

Dr. Ibrahim Suggests...

Consult a Cardiologist

Answered 04/07/2025

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  1. Understanding Angina Despite Normal Tests

    • Angina can occur even if standard tests are normal, as they may not detect all heart issues.
  2. Role of High Cholesterol in Heart Health

    • High cholesterol can lead to plaque buildup, increasing heart disease risk despite normal test results.
  3. Limitations of Common Heart Tests

    • Tests like ECG, echo, and TMT might not detect early or microvascular heart disease.
  4. Possible Need for Further Evaluation

    • Consider consulting a cardiologist for additional tests to assess heart health more thoroughly.
  5. Lifestyle and Medical Management

    • Manage cholesterol with diet, exercise, and possibly medications like statins to lower heart disease risk.
  6. When to Seek Immediate Medical Attention

    • Seek urgent care for symptoms like chest pain, shortness of breath, or dizziness.
  7. Reassurance and Next Steps

    • Maintain regular follow-ups and report any new symptoms to your healthcare provider.

Recommended next steps

Consult a Cardiologist

Answered 20/08/2025

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I'm really concerned because I had COVID about three months ago, and although Im better now, my chest still feels pretty heavy sometimes. At the beginning, my left hand felt numb, and I had palpitations, so I took Corbis 2.5 for about 10 days. The palpitations seem to be okay now, but the heaviness in my chest is still there, especially if I try to work out or lift heavy things. The intensity has decreased a bit, but it's still noticeable. I've had a bunch of tests like ECG, ECHO, D-dimer, CKMB, TNI, BNP, MYO, a chest X-ray, and PFT, all of which came back normal. Lately, Ive noticed that if I press on my chest, I hear a crackling sound like when you crack your knuckles. What could be causing this and what should I do about it?

That could be due to costochondritis,no need to worry take adequate rest and do breating excercises and also do use flexon tablet when you have severe pain

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I'm a bit worried about my cholesterol and triglyceride levels. They've been at 219 and 342 respectively, for the last 6 months. I don't have any other medical issues. Do you think I need to start taking medication for this? I'm really unsure and would appreciate your advice.

Your cholesterol level of 219 and triglyceride level of 342 are elevated, indicating a risk for cardiovascular disease. In this case, medication may be necessary to help lower your cholesterol and triglyceride levels to reduce the risk of heart disease. I recommend starting on a statin medication such as Atorvastatin (brand name Lipitor) at a dosage of 20mg daily to help lower your cholesterol levels. Additionally, you can consider adding Fenofibrate (brand name Tricor) at a dosage of 145mg daily to specifically target your triglyceride levels. It is important to follow up with your doctor regularly to monitor your progress and adjust your treatment plan as needed.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I just found out there are blockages in both arteries on the left and right sides of my heart. The doctor said they're about 6 to 8 months old. Should I be worried about how old these blockages are and what kind of treatment is usually recommended for this? I'm feeling a bit anxious about what this means for my health going forward.

As there are 2 vessels blocked you can be on conservative management and closely monitored if needed stenting might be done,follow your doctors advice

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

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.