- Male
- 33 Years
- 29/01/2025
My creatinine level is at 1.3, which I understand is borderline. I'm considering going for coronary angiography but I'm a bit worried. Is it safe to proceed, and if so, what precautions should I be aware of?
Answered by 1 Apollo Doctors
If creatinine is at the borderline level of 1.3, it is important to assess the overall kidney function before proceeding with coronary angiography. Precautions that should be taken include ensuring adequate hydration before and after the procedure, monitoring kidney function closely, and considering the use of contrast media with lower nephrotoxicity. Additionally, medications such as N-acetylcysteine and sodium bicarbonate may be considered to help protect the kidneys during the procedure.
Dr. Chandra Suggests...
Consult a Cardiologist
Answered 04/07/2025
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View allI've got some concerns about my cholesterol and liver enzyme levels. My total cholesterol is at 254 and LDL is 166. On top of that, my SGPT is 108 and SGOT is 120. My doctor is recommending statins, but I'm wondering if that's really necessary? Could I just stick to a healthy diet instead? Would love another perspective on this.
Yes you have to take statins and also follow healthy diet for better results,follow your doctors advice
Answered by 1 Apollo Doctors
I had a heart attack a couple of months ago and I'm 47. They put in a stent and I've been doing okay. I walk about 5km every morning without any issues. Is it safe for me to start using a treadmill or go for some cycling now? Also, what should my pulse rate be on the treadmill panel? My resting heart rate is usually around 53. Would really appreciate your advice.
It's great that you are staying active after your heart attack. With a stent in place and your regular walking routine, you can gradually incorporate treadmill and cycling into your exercise regimen. When using the treadmill, aim to keep your heart rate within a safe range. For your age, a target heart rate during exercise is typically around 50-85% of your maximum heart rate. To calculate this, subtract your age from 220. So, for you, (220-47) = 173 beats per minute (bpm) is your estimated maximum heart rate. During treadmill exercise, aim to keep your heart rate between 85-147 bpm to ensure you are exercising safely. As for cycling, it is also a great cardiovascular exercise. Start slowly and gradually increase the intensity as tolerated. Pay attention to how your body responds and adjust accordingly. Remember to listen to your body, and if you experience any chest pain, dizziness, or unusual symptoms, stop exercising and seek medical attention.
Answered by 1 Apollo Doctors
I'm really concerned because my HDL is pretty low at only 29. My cholesterol is 100, triglycerides are 101, LDL is 55, and VLDL is 29. I'm wondering if there's any medication I can take to boost my HDL levels, or if it's okay to be at this level. I've attached my lipid profile reports and I'm hoping to get your opinion on whether everything looks alright or if there's anything I should be worried about. How can I improve my lipid levels further? Just for context, I'm 34 years old, weigh 83 kg, and am 5'7". There's no history of heart disease in my family, although my father does have diabetes. Could you please give me detailed advice on this?
Based on your lipid profile results, your HDL level is indeed low at 29. To improve your HDL level, you can consider taking Niacin (Vitamin B3) at a dosage of 500-2000 mg per day. Additionally, incorporating regular exercise, maintaining a healthy weight, and consuming a diet rich in fruits, vegetables, whole grains, and healthy fats can also help improve your HDL level. Your total cholesterol level of 100 is within the normal range, which is good. However, your triglyceride level of 101 is slightly elevated. To lower your triglyceride level, you can take Omega-3 fatty acids at a dosage of 1-4 grams per day. It is also important to limit your intake of sugar, refined carbohydrates, and alcohol to help lower triglycerides. Your LDL level of 55 is optimal, and your VLDL level of 29 is within the normal range. Overall, your lipid profile is generally good, but there is room for improvement in your HDL and triglyceride levels. In addition to medication and supplements, lifestyle modifications such as regular exercise, maintaining a healthy weight, and following a heart-healthy diet can further improve your lipid profile. It is also important to avoid smoking and limit alcohol consumption for overall heart health. If you have any further concerns or questions, feel free to ask.
Answered by 1 Apollo Doctors
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.