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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