Ecg shows concentric left ventricular hypertrophy. She should be having hypertension causing a stress over heart leading to hypertrophy . Also her fasting is high indicating she is a diabetic with not a proper control . She should be tested for fasting
lipid profile ,
thyroid function test, urine complete , urea ,
creatinine, serum potassium ,echo and to consult with reports for further management. She needs life style modification , antihypertensives , oral antidiabetic agents , lipid lowering drugs . Hope this helped .