Dear, doctor.
A 66-year-old man has been experiencing a dull, nagging chest pain for the past few days. His blood pressure is 145/85 mmHg, and his post-prandial (PP) blood sugar is 190. His ECG report is provided below; please advise if there are any issues. He takes Telmisartan 40 mg.
Thanks
This is my cholesterol report. I am worried if I have plaque.
I am 34. Is it really high?
How can I decrease it?”
• Total Cholesterol: 267 mg/dL
• Triglycerides: 194 mg/dL
• HDL Cholesterol: 49 mg/dL
• LDL Cholesterol: 179 mg/dL
• VLDL Cholesterol: 39 mg/dL
• Cholesterol/HDL Ratio: 5.4
• LDL/HDL Ratio: 3.64
• Non-HDL Cholesterol: 218 mg/dL
I have walk daily 2-3 km, 3 story stairs 5-6 times I'm a day I use, avoid non veg and oil fat. I m energetic.
So I will keep it short- had some ANGINa like symptoms when i was 24- suspicion was lower, but got a CT angio done- perfectly normal ( 2024 November)
A year later started getting JAW discomfort and some more typical symptoms - this time invasive angio done- again normal but with the mild myocardial bridge
Taking bisoprol 5 mg- quality of life became quite better after a normal result since the anxiety removed- but now I am having symptoms, especially pressure and happiness in my neck and choking sensation- worst when I get up and when I lie down
I was wondering if a stress echo is needed right now? Mainly for assurance? These episodes do not create any change in the ECG or trop i levels
I recently fainted in gym after 15 min of excercise my head got warm and my head had tingling sensation my ear popped out .. I could hear people around me but I couldn't get up this happens with me frequently I just pushed myself little bit today... otherwise after 15 min excercise I don't have energy.. my bp that day after fainting when I got consciousness was 47