Question 1

I'm really concerned about my blood work. Am I at risk for a cardiac arrest at any moment? My lipoprotein A is 53 mgdl, HS CRP is 4.3 mgL, total cholesterol is 222 mgdl, triglycerides are 212 mgdl, VLDL cholesterol is 42.48 mgdl, and non-HDL cholesterol is 172.2 mgdl. My TSH is 6.93, and I also have hypertension. Are these numbers something to be really worried about?

Accepted Answer

Your Lipoprotein A level is 53mgdl, HS-CRP is 4.3mgL, Total Cholesterol is 222 mgdl, Triglycerides are 212 mgdl, VLDL Cholesterol is 42.48 mgdl, NON HDL Cholesterol is 172.2 mgdl, and TSH is 6.93. These values indicate a higher risk for cardiovascular issues. To manage your cholesterol levels and reduce the risk of cardiac events, I recommend starting a statin medication such as Atorvastatin 20mg once daily. Additionally, for hypertension, you can take Amlodipine 5mg once daily. It is important to follow up with regular check-ups and lifestyle modifications to improve your overall cardiovascular health."

Question 2

I'm feeling really worried because I've been having these sharp chest pains, especially on the left side when I breathe heavily. Sometimes it comes with a really bad headache and neck pain, plus I'm getting breathless a lot. My throat feels sore too, and I just can't seem to relax or focus at work anymore. I get tired really fast and all my energy just drains away. I spoke to my family doctor, but he just said it's work stress and my eating habits causing gastric issues. I'm not sure that's all it is. Do you think there's something more going on that I should be looking into?

Accepted Answer

gastritis one cause and do ECG to rule out heart problem

Question 3

I'm having some issues with chest pain on my left side, and it's been going on for the last couple of months. The pain comes and goes and often extends from my upper chest to my left arm. I've also experienced some pulling in my left leg and occasional abdominal pain. I've had 5 ECG tests which were normal, and my echo showed an LVEF of 55. Today, we did a TMT. Could you help explain what all this means? Do you think I need any other tests?

Accepted Answer

It sounds like you may be experiencing symptoms of angina, which is chest pain or discomfort caused by reduced blood flow to your heart muscle. The pain in your upper chest that extends from your shoulder to your left arm, along with left hand pain and abdominal pain, could be related to this. The normal ECG results and an LVEF of 55% from the echo are positive findings. Since you have already undergone a TMT (Treadmill Test), it is good for assessing how your heart responds to exertion. If the TMT results are inconclusive or if your symptoms persist, you may consider getting a coronary angiography to visualize any blockages in the coronary arteries. This test can help determine if there is any significant blockage that may be causing your symptoms. In the meantime, it is important to manage your symptoms. You can take medications like Aspirin to help reduce the risk of blood clots, and medications like Atorvastatin to lower cholesterol levels. Additionally, Nitroglycerin can help relieve chest pain during episodes of angina. It is important to follow up with your healthcare provider for further evaluation and management.

I'm a bit confused because I recently got a stress test done, and the results said it's negative for inducible ischemia during the TMT test. What does this really mean? Should I be worried or is this a good sign?

normal

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