Question 1

I'm reviewing my lipid profile report, and I'm a bit concerned. My triglycerides are at 203, total cholesterol is 238, LDL cholesterol is 158, HDL cholesterol is 39, and VLDL is 41. I'm not sure if these numbers are within normal range. I'm trying to manage my weight, which is currently 73kg, because I had some palpitations about four months ago. I'm on a diet now, but I'm worried about these levels. Could you guide me on whether these are normal and how I might improve them?

Accepted Answer

To improve your lipid profile, you can consider making lifestyle changes such as following a healthy diet, exercising regularly, and maintaining a healthy weight. To help improve your lipid profile, you can start taking a statin medication like Atorvastatin 20mg. It is important to continue with your diet and exercise regimen to see improvements in your lipid profile over time.

Question 2

I've been consistently walking over 10,000 steps a day, or about 10 kilometers daily, for the last 4 to 5 months without missing a day. Recently, I noticed that my resting heart rate is around 55 to 60. Is that something I should be worried about? I ...

Accepted Answer

You mentioned having an ECG done before your gallbladder operation 3 months ago. A resting heart rate of 55 to 60 beats per minute is generally considered normal, especially if you are physically active and have a history of regular exercise. It can be a sign of good cardiovascular fitness. However, it's important to consider your individual health history and any symptoms you may be experiencing. Since you have had an ECG done recently, it would be best to consult with your healthcare provider to review the results and ensure that there are no concerning findings related to your heart rate. If you are not experiencing any symptoms such as dizziness, chest pain, or shortness of breath, a resting heart rate in this range is usually not a cause for concern.

Question 3

I'm really anxious about my severe mitral valve stenosis. I had a balloon mitral valvotomy in February 2019, and the valve size is now 1.8. Could you tell me when I might need a valve replacement and what my life expectancy might be with this condition?

Accepted Answer

Based on the information you provided, since you have severe mitral valve stenosis and have already undergone Balloon Mitral Valvuloplasty (BMV) in February 2019, with a resulting valve size of 1.8, it is important to monitor your symptoms closely. In cases of severe mitral valve stenosis, valve replacement may be necessary if symptoms persist or worsen despite previous interventions. For management of symptoms and to improve your quality of life, you can consider medications such as diuretics like Furosemide (Lasix) to help with fluid retention and Beta-blockers like Metoprolol to control heart rate. Additionally, anticoagulants like Warfarin may be prescribed to prevent blood clots. As for life expectancy with mitral valve stenosis, it can vary depending on the severity of the condition, response to treatment, and overall health of the individual. Regular follow-up with your cardiologist is crucial to monitor your condition and determine the best course of action.

Question 4

I'm trying to understand the difference between the results of my echo and my CT scan regarding my heart condition. My echo shows mild concentric LVH with lvpwdd 12.2 and ivs d 12, and my LVEF is at 73. But my CT scan, which was a 128-slice MDCT of t...

Accepted Answer

Both CT angiography and echocardiogram are valuable tools for assessing left ventricular hypertrophy (LVH), but they provide different types of information. In your case, since the CT angiography showed normal left ventricular cavity with normal thickness and normal coronary arteries, and zero calcium score, it indicates a healthy heart without any structural abnormalities or blockages. On the other hand, the echocardiogram reported mild concentric LVH with specific measurements of left ventricular posterior wall thickness (LVPWd) and interventricular septum thickness (IVSd). Given the discrepancy between the two imaging modalities, it is important to consider the clinical context and overall picture. In this scenario, the findings from the CT angiography showing a normal heart structure and function, along with a negative TMT (treadmill test), are more indicative of a healthy heart. Therefore, the CT angiography results are more reliable in this case. To address the chest pain related problem, you can consider taking medications like Amlodipine (5mg) for blood pressure control and Metoprolol (25mg) for heart rate control. Additionally, Nitroglycerin sublingual tablets can be used for chest pain relief as needed. It is also important to follow up with your healthcare provider for further evaluation and management.

Question 5

What should we do if a heart attack or stroke happens? My dad recently had one, and I'm worried about what steps we need to take to care for him properly. Could you give some advice or tips on what precautions are important in these situations?

Accepted Answer

refer to cardiologist

Question 6

Why are young people who are fit suddenly having heart attacks? It's really worrying because even those who keep up with their fitness are facing these heart problems at such a young age. Can you explain why this is happening and suggest some prevent...

Accepted Answer

There are several factors that can contribute to this, including genetics, lifestyle choices, and underlying health conditions. Preventive measures include maintaining a healthy diet, regular exercise, avoiding smoking, managing stress, and getting regular check-ups with your healthcare provider. In terms of medication, aspirin can be used as a preventive measure for heart attacks. Low-dose aspirin (75-100mg) taken daily can help reduce the risk of heart attacks in high-risk individuals. However, it is important to consult with a healthcare provider before starting any new medication regimen.

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Related Questions

I've been consistently walking over 10,000 steps a day, or about 10 kilometers daily, for the last 4 to 5 months without missing a day. Recently, I noticed that my resting heart rate is around 55 to 60. Is that something I should be worried about? I ...

I'm really anxious about my severe mitral valve stenosis. I had a balloon mitral valvotomy in February 2019, and the valve size is now 1.8. Could you tell me when I might need a valve replacement and what my life expectancy might be with this condition?

I'm trying to understand the difference between the results of my echo and my CT scan regarding my heart condition. My echo shows mild concentric LVH with lvpwdd 12.2 and ivs d 12, and my LVEF is at 73. But my CT scan, which was a 128-slice MDCT of t...

What should we do if a heart attack or stroke happens? My dad recently had one, and I'm worried about what steps we need to take to care for him properly. Could you give some advice or tips on what precautions are important in these situations?

Why are young people who are fit suddenly having heart attacks? It's really worrying because even those who keep up with their fitness are facing these heart problems at such a young age. Can you explain why this is happening and suggest some prevent...

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