I'm a 27-year-old male with a family background of heart issues, and I've been struggling with some concerns about my health. I smoke and drink daily and recently got my tests done where my lipid profile showed high LDL, TG, Hscrp, and Lpa levels. I saw a cardiologist four months ago, and after undergoing an ECG and Stress Echo, everything was normal. However, I often have bronchitis, and a few days ago, I caught a cold and have had allergies. Lately, I've been feeling this pressure in the middle of my chest and having trouble breathing, along with dizziness while walking, which has been going on for around 34 days. There's also this dragging sensation on my left front shoulder. I went for another ECG, and it was normal, but there's still pressure in my throat and chest, with palpitations and anxiety. Could this be heart-related, or is something else going on?
It sounds like you may be experiencing symptoms related to your heart health, especially considering your family history of heart problems and your high lipid profile. Given your symptoms of pressure in the middle of the chest, breathing difficulties, dizziness, and dragging sensation on the left front shoulder, it is important to take these symptoms seriously. Considering your risk factors and symptoms, it would be advisable to start taking a medication to manage your high LDL, TG, Hscrp, and Lp(a) levels. I recommend starting with a statin medication like Atorvastatin 20mg once daily to help lower your cholesterol levels and reduce the risk of heart-related issues. Additionally, to help with your symptoms of chest pressure, palpitations, and anxiety, you can take a medication like Metoprolol 25mg twice daily to help manage these symptoms and reduce the workload on your heart. It is important to follow up with your cardiologist for further evaluation and management, as they may consider additional tests or adjustments to your treatment plan based on your current symptoms and risk factors.