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 feeling anxious about my ECG results that came in today. It's showing a low PR interval of 119ms, and I'm not sure if that's something to worry about. The report mentioned Sinus Rhythm and short PR interval. My heart rate is at 90 bpm, P duration 88ms, QRS duration 114ms, QTQTc interval 320393ms. Should I be concerned and start taking medications, or is this in the normal range? Could you explain what these numbers mean? I've attached the ECG photos too.

short PR interval is abnormal.The causes include wolf parkinson white syndrome, acute stress,junctional rhythm,anchanced AV node conduction etc,Patient need not worry , no treatment is required,, It is common in pregnancy and children.

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Doctor 1Doctor 2

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Im 17 and dont have high blood pressure issues, and no one in my family does either. I just checked my bp, and first, it showed 13095, which freaked me out a bit, so I retook it, and it went to 13598. Then, I took it yet again, and it showed 13998. Is a bp of 13898 normal? I get really anxious every time I check it, and my breathing changes and I get a bit tense. Can you help?

It is understandable that you are feeling anxious about your blood pressure readings. A blood pressure of 13898 is slightly elevated and may indicate prehypertension. However, given your young age and the possibility of anxiety affecting your readings, it is important to take multiple readings at different times to get a more accurate assessment. To help manage your anxiety during blood pressure checks, you can try relaxation techniques such as deep breathing exercises or meditation. It may also be helpful to monitor your blood pressure regularly and keep a record to share with your healthcare provider. If you continue to experience anxiety or have concerns about your blood pressure, you may consider speaking with a healthcare professional for further evaluation and guidance.

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