Brief Answer:
Need more information

Detailed Answer:
Hi friend
Welcome to Health Care Magic

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A normal angiogram is very much reassuring / it is the gold standard, against which others are compared.

He needs good control of pressure AND cholesterol
– what is the Lipid Profile report?
- What are his present medications?

Good luck
God bless you

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Brief Answer:
Triglyceride needs attention

Detailed Answer:
Hi

Triglyceride is very high / level greater than 500 is called very high
A full 14-hour fasting is necessary for proper interpretation – did he fast properly?
Obesity / Diabetes / Thyroid insufficiency / Alcohol / over eating / some drugs like Beta-blockers, Diuretics are some causes.
It is generally genetic [inherited /running in family]

Eat fewer calories / Limit natural sugars:
Eat small, frequent meals and do not skip meals
Avoid late-night snacking
Add omega-3 fats in your diet
– fatty fish (like mackerel, salmon, sardines, tuna) twice or more in a week
– soy foods, canola oil, flax seeds and walnuts / limit potatoes, yams, beans, corn and peas
A good dietician can guide further... need to discuss a few times to grasp the subject well and follow it up

Lose weight if he is overweight

Do regular physical activity – at least half an hour a day / 5 days in a week

Because of such high level, drug should also be started simultaneously – usually in such situations a FIBRATE (Like fenofibrate or gemfibrosil) is started .
Cardiologist / Physician treating him will give appropriate prescription

Repeat the tests in 2 months

LDL is very good
HDL is a little low – not an issue now

Minor changes in ECHO are from pressure / heart function is good / Nothing to worry

Angiogram is normal / no clots / no narrowing / good

Regards

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Brief Answer:
Add a fibrtae

Detailed Answer:
Hi

Zivast is Atorvastatin / statins are good, but have more effects on cholesterol than Triglyceride(TG). Fibrates have better effects on TG. I will add a fibrate; for example change to something like Zivast-F that has both Atorvastatin and Fenofibrate

Repeat the test with 14-hour fast

Monitor the pressure; if the pressure isnot controlled in a week or more, the dose can be increased or a drug of the class ACEI (Angiotensin Enzyme Inhibitor) ARB (Angiotensin Receptor Blocker – like sartans) can be supplemented.

Regards

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