Doctor insights on:
Cardio Risk Panel
34 yr old female..Healthy weight...Recent echo showed ejection fraction of 50 percent...Recent blood work cardio CRP 9.8, sed rate 38, CRP 15.1, next?
What are your : Symptoms? Ef is low normal but inflammatory markers are elevated ...Recommend you discuss with ordering physician. ...Read more
Should i consider getting lpa tested if lipid panel is normal (total 94, LDL 34, HDL 47) even with strong family history of heart disease and stroke?
Lp(a) lipoprotein: Is a marker for increase cardiovascular risk and can be lowered with agents such niacin. However, no outcome studies have showed efficacy in lowering cardiovascular events by lowering lp(a). Attempt lowering risk you can managed like smoking, diabetes, hypertension, obesity, physical inactivity, diet, alcohol consumption, psychosocial stressors. Good luck. Also i will recommend a stress test. ...Read moreSee 1 more doctor answer
Yes and no: The following dietary rules reduce risk: eat fruits and vegetables 3-5 servings per day. Fiber 14 g/day. Avoid trans ( as low as possible) and saturated ( no more than 10% total calories) fats. One to two servings of oily fish/wk - or equivalent in fish oil or omega 3. 1-2 drinks alcohol per day. If you have high BP dietary restrictions on sodium are important. ...Read more
How exactly does exercise relieve stress and tension? Any particular form (cardio, yoga, etc.) best or is it a matter of personal preference?
Endorphin release: Exercise is good for the mind and the body. It helps condition the heart, the muscles, improves blood flow, improves oxygenation, etc. For the mind, it helps due to the natural release of endorphins that make you feel good, increase energy. What type depends on what you like to do and the consistency of doing it. Combination of things usually work for most b/c it prevents boredom. ...Read more
How much do genes play part in lipid panel?My total cholesterol 170, LDL 84, HDL 80, Triglycerides 63.I eat healthy & exercise daily & also have lupus
Genetics of lipids: Genetics are a powerful determinant of cholesterol metabolism. Some people eat super healthy and still have very high cholesterol requiring medicine to control. Others eat poorly and still have low cholesterol. By the way, treatment of lupus w/ steroid drugs can also contribute to development of heart disease. For personalized advice on this, talk to your doctor or a consultant here on HealthTap. ...Read more
Stress test&echo result norm.HR hit 198BPM.NoFam hist,Non-Smoker.Only risk fac is chol 220(LDL 165).Any need for further tests like nuclear ST?Age 28M
BestAvoidStressTests: they totally miss arterial disease. Why? Though disease typically begins in childhood, disease is in walls, artery lumens do not narrow & stress tests only detect complications of very advanced disease. Study image & http://goo.gl/aRhOU2. Best optimize Ds drivers: NMR lipoprofile (not cholesterol), HbA1c <5.0%, usual SBP < 120 mmHg. Have answered many related questions on HeathTap. Rec: Study them ...Read more
Fasting blood cholestrol test after 10k am. Run. Levels (mmol/l): total-7.2, triglyc-1.21, hdl-1.82, ldl-4.4. Could a 10k run cause increase in ldl?
Is an nmr lipid panel a valuable tool to better assess heart disease risk compared to a basic lipid panel?
Yes - Based on Data: LDL cholesterol (LDL-C) is the traditional measure of LDL quantity. NMR measures LDL particle number (LDL-P). When LDL-C and LDL-P differ CHD risk tracks with LDL-P not LDL-C. Expert groups advocate use of LDL-P to judge response to therapy and guide adjustment of therapy. New data shows adjusting therapy to achieve low LDL-P results in fewer CVD events versus statin treatment to low LDL-C levels. ...Read moreSee 2 more doctor answers
Lipid profile: total cholesterol=223, hdl=60, ldl=142. Take med for htn & have family history of cad...Do i need to be on a statin?
Probably: What was your cardiac c reactive protein level? Many authorities, believe that this is more of an indicator and predictor of heart disease than cholesterol. It's indication of inflammation around the heart., in this case statins are indicated as well and omega-3 fish oil is always very beneficial. Btw i take crestor (rosuvastatin). Unless your doctor told you not to, don't forget to take an Aspirin every day! ...Read moreSee 1 more doctor answer
Depends: Certainly possible.Easy to determine.See your doctor for proper evaluation and diagnosis.Particularly if you have excessive fatigue, shortness of breath, chest pain or exercise intolerance.Also family history of cv problems is a predicting factor.In addition to current fitness, weight, and other medical problems you may have. ...Read more
34 M, no fam hist, non smoker. Total chol 183, HDL 41, LDL 108, trigly 130. Echo stress EKG reached 99% target HR. SOB anxiety out of shape or cardio?
Anxiety: I commend you for being concerned about your health. Feel good about having good Total Cholesterol, HDL, LDL and Triglycerides. Shortness of breath is not due to cardiac problems as Echo Stress EKG is within normal limits. It is likely due to Anxiety because of unresolved feelings and conflicts with parents, siblings, and present relationships, parenting, work and finances. See a Psychiatrist. ...Read more
Is effectively controlled htn, lipids, and glucose considered a risk factor for cad, absent of other risk factors (i.E. Genetic)?
Much: In the 1970's, using the chemical ("metabolic") profiler for screening was "controversial." today it's cheap and is the usual way in which we pick up several common treatable diseases before symptoms occur -- the hepatitis family, alcoholic / lifestyle / medication-induced liver injury, wilson's, hemochromatosis, parathyroid disease, blood lipid problems. The key is interpreting it! ...Read moreSee 1 more doctor answer
34 year old male Heart desease in family. lipid panel, total cholesterol 153, Tri. 67, Hdl 38, Ldl 102, Vldl 13, Hem. A1c 5.1 Should I be concerned?
Heart disease risk: Although I don't know your race or blood pressure I think your risk shouldn't be very high if you keep your LDL low and try to keep your HDL higher than 45 with exercise. Tell me what your race is and also your blood pressure and if you take medication for blood pressure and I can calculate your 10-year and life time risk. ...Read more
Likely yes.: This likely lowers a person's risk for cancer since it helps the cardiovascular system and keeps a person active. This likely helps the body to be purged of residual waste and toxins that might indirectly lead to cancer, and keeps one from leadxing a sedentary lifestyle. Such a life could lead to over-indulgance of food, alcohol, cigerrettes, which could clearly predispose to many a cancer. ...Read moreSee 1 more doctor answer
Noticing extreme increase in visual body fat. Hardly eating, 45 min cardio, work all day, healthy when I do eat. Not basing this off of a scale. Help!
Decrease carbs: Most people are surprised at how few calories are actually needed to maintain a healthy weight, even with exercise. There are a number of free apps for your phone that can help you understand how little you actually need to eat. Also a lot of people eat things they think are healthy, but are actually full of sugar, like granola bars, fruit juice and flavored yogurts. Become a label reader. ...Read more
Would menstruation affect these lab results: CBC, metabolic panel, lipid profile, TSH, and Vitamin D?
Menstruation: Unlikely, but please see your doctor to get all your lab results up to date. ...Read more
If propranolol works for my SVT, would Sectral (acebutolol) also be a good choice if doctor wants me to switch to Cardio-Selective?
Yes: Yes, both are beta-blockers and work well for that. ...Read more