Question 1

I recently did my routine test, and I'm quite worried about my lipid profile, especially the triglycerides, which don't look great. Should I consider getting more tests done, or is it time to start medication? My total cholesterol level is at 177 mg, triglycerides are 327 mg, HDL cholesterol is 37 mg, non-HDL cholesterol reads 140 mg, and LDL cholesterol is 108 mg with an atherosclerosis index of 5. I'd really appreciate some detailed advice on what steps I should take next.

Accepted Answer

Based on your lipid profile results, your triglyceride levels are high at 327mgdL. To help lower your triglyceride levels, you can start taking Omega-3 fatty acids supplements such as Lovaza 1-4 grams per day. Additionally, you can consider starting a statin medication like Lipitor (Atorvastatin) at a dose of 10-80 mg per day to help lower your LDL cholesterol levels and reduce the risk of atherosclerosis. It is important to also focus on lifestyle modifications such as a healthy diet low in saturated fats and sugars, regular exercise, and weight management. Regular monitoring of your lipid profile will be necessary to track your progress.

Question 2

I'm really worried right now because my mom's been having chest pains. We took her to the doctor, and after doing the echo and ECG tests, they found out her ejection fraction is low, with an LVEF of 40-45. The doctor said we should wait 5 days for an angiography test, but I'm anxious. Do you think it's safe to wait that long or should we do it sooner?

Accepted Answer

Yes, it is important to follow your doctor's recommendation to undergo the angiography test. This test will provide more information about the blood flow to the heart and help determine the best course of treatment for your mother's condition. Waiting for 5 days should not cause any harm, but it is important to monitor her symptoms closely and seek medical attention if there are any sudden changes or worsening of chest pain.

Question 3

I'm feeling a strong pulse in my chest and throat when I'm sleeping. If I stay in the same position for about half an hour, I really start to notice it, but it seems to stop when I change positions. During the day, I'm super energetic and don't have any issues, but this pulse thing keeps happening at night when I'm trying to sleep. Should I be worried about this? What could be causing it?

Accepted Answer

This sensation of feeling your pulse in your chest and throat while sleeping is known as pulsatile tinnitus. It can be caused by various factors such as high blood pressure, anemia, thyroid disorders, or even stress and anxiety. To address this issue, you can try managing stress levels, maintaining a healthy lifestyle, and ensuring proper sleep hygiene. If the symptoms persist or worsen, it is recommended to consult a healthcare professional for further evaluation and management. In the meantime, you can try taking a low dose of propranolol (Inderal) under the guidance of a doctor to help alleviate the sensation of pulsatile tinnitus while sleeping.

Is heart disease more common in people with diabetes?

Yes with time, raised blood sugar levels can damage the blood vessels and nerves that control the heart. Additionally, people with diabetes are also more likely to have other conditions that raise the risk for heart disease such as high blood pressure and deranged cholesterol or triglyceride levels.

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