High Cholesterol and Triglycerides
My fasting blood test shows total cholesterol 256 mg/dL and triglycerides 536 mg/dL. Are these levels dangerous? What additional tests are needed, and do I need medication to reduce them?
Left ventricular failure
Health Q&A
Lower chest discomfort
Dear Doctor, I would like to seek your advice regarding my 80-year-old father. In 2025, he was admitted to the same hospital with heavy breathing and discomfort in his lower chest and upper abdomen. He was diagnosed with acute gastritis, and we were told that his breathing difficulty could be related to the gastric problem. In 2026, he was admitted again with almost identical symptoms, including heavy breathing and chest discomfort, but without pain or cramps in his chest, jaw or arm. This time, he was diagnosed with acute left ventricular failure (LVF). We are confused as to why similar symptoms led to different diagnoses on these two occasions. He continues to experience these episodes, particularly after lunch and his afternoon sleep. Could you please advise whether these recurring symptoms could be related to gastritis or acid reflux, or a cardiac condition ?
Blood pressure
Hi, my bp 10 days ago it was 152/100, then after a week 150/98 and the same day again 140/94. I was prescribed telma 20 but I do not want to take it as it will be for life. Is there any other options. Please let me know. Thank you!!
Lipid profile and hscrp
26-year-old female, gym-goer since 2018 with a weightlifting coach. Breathlessness on brisk walking, and occasional irregular periods. Mother has arthritis and diabetes. No family history of early heart disease. Took one emergency contraceptive pill 2 months ago. Reports (11 Oct 2026): Thyroid: TSH 4.24 (high), T4 4.52 (low), T3 72.8 (low) Lipids: total cholesterol 235, LDL 134.7, non-HDL 193, triglycerides 292, HDL 41.9, ApoB 129, ApoA1 137 hs-CRP 3.69 (high), ESR 10 (normal) Sodium 133.9 (low), B12 919 (high), lymphocytes 46% (high) Normal: HbA1c 5.2% fasting glucose 97, haemoglobin 12.8
Doubt about having RCM
In my echo LA - 40 mm E/A - 1.5 Tr velocity- 2.3 No pah Ef- 64% Lv wall - 1.1 cm All chambers normal My concern is why my LA is that bigg like upper limit...does this is a sign of progressing RCM...because I have read that RCM is the one of the reason of increasing of LA... Please guide
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Doctors
Dr. James Michael Kleman
Internal Medicine (Residency, Medical School, Fellowship in Cardiovascular Diseases, Residency in Internal Medicine, Class of 1987)
39 years experience
OhioHealth Heart & Vascular Physicians
Glen Echo, COLUMBUS
Dr. Albert J. Kolibash
Internal Medicine (Fellowship, Medical School, Internship, Residency, Class of 1967, Internship, Transitional Year, Residency, Internal Medicine, Medical Education)
59 years experience
Delivery OSU hospital
Weinland Park, COLUMBUS
Dr. Allan J Nichols
Internal Medicine (Fellowship, Residency, Medical School, Medical Education, Fellowship in Cardiovascular Diseases, Residency in Internal Medicine, Medical degree, DO)
46 years experience
OhioHealth Heart & Vascular Physicians
Glen Echo, COLUMBUS
Dr. Judson S Millhon
Internal Medicine (Medical School, Residency, Fellowship in Cardiovascular Diseases, Residency in Internal Medicine, Fellowship in Interventional Cardiology)
36 years experience
OhioHealth Heart & Vascular Physicians
Glen Echo, COLUMBUS
Dr. Nicholas James Davakis
Cardiologist (Medical School, Residency - ID, Fellowship in Cardiovascular Diseases, Fellowship 2)
45 years experience
Mount Carmel Grove City
South Central Hilltop, COLUMBUS
