Rheumatic disease endocardium valve

Health Q&A
Chest pain

My Ecg is normal sinus rhythm,echo was normal done 1 month ago(ef=61%), .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, apoa1 is 141, apoB is 50.3 HDL 54, ldl 64, tg 55, cpk mb 19( ref was <25), hb1c 5.2 done all tests in January '26 Seldom I feel discomfort and tightness, heaviness like feeling & pain in the left chest. sometime even at rest.moreover feel  pain & discomfort type of sensations in mental stress .high bass sound makes me feel very uncomfortable feeling in chest. Taking clopidogrel 75 od & rosuvastatin 10 od. Non smoker, non alcoholic, non diabetic.                                  Is it a heart related problem? Do i need to go for another angiogram? How to get rid of this? Plz suggest doctor. Reports are attached. Thank you

Chest pain & discomfort

My Ecg is normal sinus rhythm,echo was normal done 1 month ago(ef=61%), .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, apoa1 is 141, apoB is 50.3 HDL 54, ldl 64, tg 55, cpk mb 19( ref was <25), hb1c 5.2 done all tests in January '26 Seldom I feel discomfort and tightness, heaviness like feeling & pain in the left chest. sometime even at rest.moreover feel  pain & discomfort type of sensations sometime in stress .high bass sound makes me feel very uncomfortable feeling in chest. Taking clopidogrel 75 od & rosuvastatin 10 od. Non smoker, non alcoholic, non diabetic.                                  Is it a heart related problem? If yes then is it life threatning? Do i need to go for another angiogram? How to get rid of this? Plz suggest doctor. Thank you

Lipid and echo

Hello doctor, for the past few days I have been eating too much meat due to Bakrid, now I have done lipid test and the report has come, Total cholesterol -228 Trigylseride-186 LDL-142 HDL-46 should I take statin or how can I reduce it, I am 39 years old. AND DONE MY ECHO PLZ CHECK

Lipid and ldl

Hello doctor, for the past few days I have been eating too much meat due to Bakrid, now I have done kyoid test and the report has come, should I take statin or how can I reduce it, I am 39 years old.height 5ft 11 inch weight 86

Crp 10. 7 pain in middle of chest

My son age 3 yes weight 14 kgwas having pain in upper abdomen. His crp quantative level were 8.7mg/l on 4th may and 10.7mg/l on 28may. His lft ast and alp was mild elevated on 4th then, came normal on 29 may. His cbc lft kft stool and urine routine and culture, h. Pylori antigen, echo, ecg , blood culture, usg abdomen ,ferritin,all normal. What can be possible reason of elevated crp which is increasing? No teething issue got checked by dentist. Troponin i 53ng/ml and nt bnp pro 135ng/ml  and ferritin213 ng/ml alp 180.usg abdomen normal pain in chest sometimes when running

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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) 36 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) 37 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) 34 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) 29 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) 53 years experience Knightsbridge Int Med & Car
Columbus 43214, COLUMBUS