Im having elevated ldl cholesterol above 190mg/dl from past 3 yrs , with lifestyle modification and diet changes i have reduced my weight by 7kg and ldl cholesterol to 158mg/dl. Despite of the changes im having borderline high ldl cholesterol. I have also done lipoprotein a test which is also on the higher side . Do I require to take statins for indefinite period or I can decrease cholesterol levels further by diet and exercise alone.
EECP vs Better Non-Surgical Options: 61F Post-Pulmonary Edema (TVD, 42% EF)
61F. Frail/thin. Hospitalized last week for 1st time with acute pulmonary edema (now resolved). Currently stable: lungs clear, SpO2 98%, Pulse 82-85, FBS 155, PPBS 198. Has intense thirst and fragmented sleep.
Angiogram: Severe TVD. LMCA 30-40% stenosis; LAD total occlusion (filling via active collaterals); Distal LCX 90-95% stenosis; RCA total occlusion (retrograde filling). Surgeons advised against CABG/PCI due to frailty; recommended medical management as collaterals are compensating.
2D Echo: EF 42%, mild PAH, multiple hypokinetic LV segments. Chambers/IVC normal.
Meds: Axcer 90mg BID, Aspirin AV 75/40, Bisoprolol 1.25mg, Angispan 2.6mg, Oxra 10mg, Tab Leni 40mg (1.5 tabs/day). NovoRapid (10-10-8) + Lantus (10u at 10 PM). Strict 1L fluid limit, zero-salt diet.
Questions:
Can EECP safely mature her collaterals, or does increased venous return risk re-inducing pulmonary edema so soon?
On my left centre chest side, sharp, pinching pain is occuring while i breathe deeply, yawn, burp and during bending.
It started from 1-1:30 hour before..
Greetings sir my name is srihari last few days cheat pain and pressure Shortness of breath today pain is increase ECG DONE please cheak sir anything problem 🙏🏻
He has been taking 5ng rosuvasatin for last 6 months every alternate day for ldl of 130 and tg of 370. He has been playing tennjs for 2 years without any problem..but for some months..jhe has looked tired...now 1 month back he played for 2 hours...and after that he has been very fatigued...he rested for 3 weeks and again played for 1 hour...now its been 4 days...he still looks fatigued alot....is this caused by overexertion plus rosuvastatin?