ASD / VSD Device Closure

Health Q&A
High cholesterol and triglycerides

My cholesterol and triglycerides 225 and 256 The latest report , whenever I took medicine related to these, Atorlip f ,Atorva Ez ,Rozuvastin f , I feel severe joints pain , what should I do to reduce the cholesterol and triglycerides

Bp fluctuating

I am on bp medicine from 2017. My father is cardio- diabetic patient.. Currently I am taking LN beta 5mg. I am 5.6 inch tall, with 91 kg weight. From last few days my bp is fluctuating.. One week ago my bp was suddenly 90/70 ,I checked when I felt mild dizziness and hazy vision.. Than again I checked continuously two/3 days,it came as 130/90,130/80.. But frequently I feel that my body is shaking and having feelings of oxygen not getting enough in brain.. Today again I check bp- left arm -120/70,right arm -120/90. I am totally confused!!! Plz guide me.. Moreover in the month of June I tested Lipid which was normal, LFT, KFT ,CBC ,all report was normal.. Please guide me what to do now?

Do i need to do coronary angiogram once?

My Ecg is normal, echo normal(ef65%), but tmt was positve  but my invasive coronary angiogram report is  normal arteries with slow dye clearance, microvascular angina just one year ago(2024 december,dated 21/12/24).calcium score was 0 in 2023 ct cag test report ( november, 2023)too, hs crp value is 0.48,, HDL 64, ldl 54, tg 42, cpk mb 19( ref was <25), creatinine 0.72, bp remains low most of the time between 100-107 /65-75, pulse rate normally 54- 62 bpm. I feel discomfort and tightness  like feeling just a of the left chest  while walking sometime, even at rest.. feel palpitation type of sensations. I walk 30 minutes every day. Non smoker, non alchoholic, non diabetic. Is it a heart related problem? Do i need to go for another angiogram? Please help doctor, i am very upset. How to get rid of this? Plz suggest doctor. Thank you

Pulse rate always higher

Hi I do have high BP and take medicines. It's under control with medicines. I do measure the BP once in a few weeks at home just to check.  Whenever I check my BP, it also shows my pulse rate and it's always higher. Around 100-120. Then I will sit down for a while and keep checking it for a few minutes. It will show up 100-110.  Never goes down below 100. I asked my doctor about this during my visits and he said it's ok. During my visits, they do check vitals and pulse rate will be around 90-100.  They were never concerned about it at all. I am 40 years old and obese.  Does this pulse rate normal or need to be checked out? Do I need to sit down for sometime before checking the pulse rate? I just simply stand and check it sometimes with pulse meter.

Poor R wave progression anterior lead

Hi doc i am 37 male , My recent ECG report shows poor R-wave progression in the anterior leads. I wasn’t experiencing chest pain, but I have been having episodes of dizziness, a tingling sensation, and sweating. About 20 days ago, my ECG was normal. I also have a history of high blood pressure and anxiety. Should I be concerned about this finding, and what further evaluation would you recommend? My dr says its normal don't need to worry and give me anxiety pills after that i feel absolutely normal. But i am anxious its not going out of my mind. I have history of anxiety and panic attacks. Don't want to go into that loop again. Everyone saying its normal. Please help

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Doctors
Dr. James Karas - Cardiologist
Dr. James Karas Cardiologist (Medical School, Fellowship in Cardiovascular Diseases, Residency in Internal Medicine, Doctor of Medicine, Residency - ID, Fellowship 2, Medical degree, DO, Fellowship in Cardiovascular Medicine) 35 years experience Cleveland Clinic
Columbus 43212, COLUMBUS
Dr. John P Kovalchin - Pediatrician
Dr. John P Kovalchin Pediatrician (Medical School, Fellowship in Pediatric Cardiology, Residency in Pediatrics, Residency - ID, Fellowship 2) 36 years experience The Richard M Ross Heart Hospital
Columbus 43210, COLUMBUS
Dr. John Jay Warner - Internal Medicine
Dr. John Jay Warner Internal Medicine (Medical School, Residency) 33 years experience The Ohio State University Wexner Medical Center General Surgery
Weinland Park, COLUMBUS
Dr. Fareed Raza Shaikh - Cardiologist
Dr. Fareed Raza Shaikh Cardiologist (Medical School, Class of 1999, Residency - ID, Fellowship 2) 28 years experience Mount Carmel Medical Group
Columbus 43213, COLUMBUS
Dr. Lee R Davis - Internal Medicine
Dr. Lee R Davis Internal Medicine (Fellowship, Medical School, Residency, Internship, Residency - ID, Fellowship 2, Class of 1973) 52 years experience Knightsbridge Int Med & Car
Columbus 43214, COLUMBUS