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What Do My Lab Test Reports Indicate?

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Posted on Wed, 17 Aug 2016
Question: Hi Doctor,
My father is 52 yrs old, he underwent for a general whole body checkup. Please have a thorough look of the uploaded reports.
Please let me know if there are any abnormalities and precautions or care to be taken
doctor
Answered by Dr. Anantharamakrishnan (4 hours later)
Brief Answer:
Needs further assessment & assistance

Detailed Answer:
Hi friend
Welcome to Health Care Magic
__________________________________________________________________
ECG
Your father needs to be investigated for Coronary Artery Disease.
     TMT (Treadmill Exercise ECG) suggests ischemia, it is an indication for further work up – to evaluate ischemic heart disease / at times, there may be false positive or false negatives. The next step is TMT with thallium isotope. It is the ideal non-invasive way to evaluate ischemia / to assess the PHYSIOLOGY (function) – to see whether the blood arriving at the heart muscle.
     Subsequent step is to see the ANATOMY (structure) – undergo catheterisation and coronary angiography with a view for possible intervention. It is the only way to directly ‘see’ the block, if any – and its location, extent, severity and so on. Coronary arteriography is invasive but it is the gold standard for this. / CT angio is non-invasive study for the anatomy. If positive, she will need catheterisation, anyway.

The aim of any investigation is to modify the treatment, based on the result.
Intervention – dilatation with balloon and placing a stent (Angioplasty) - or CABG (Coronary Artery Bypass Graft) may be advised based on the results.
__________________________________________________________________

CHOLESTEROL
There are subdivisions of cholesterol – LDL, HDL and so on.
HDL is good cholesterol – higher, the better.
LDL is bad cholesterol – lower, the better.
In the absence of any other risk factor 100 is ideal for LDL-C. In the presence of other diseases (especially Diabetes and/or established heart disease), 70 should be the aim.

     Keep weight to normal / even a little less
     Quit smoking, if he is a smoker
     Do regular EXERCISE – say walking or jogging - 30 minutes a day / at least 5 days in a week. Isometric exercise (like bull worker) is bad.
     Healthy FOOD is a must. Avoid saturated fats – coconut oil, palm oil, butter, ghee, full cream milk...Avoid junk foods in particular – French fries have palm oil / Pizza has cheese / XXXXXXX sweets are made in ghee.../ Change to Poly-un-saturated oil – like sun flower oil. / Include Mono-un-saturated oil – Olive oil.
     Repeat the test in 2 to 3 months.
     Cholesterol can still be high, in spite of diet and exercise – you need drugs; because it is also manufactured in the liver – and that is determined by heredity. Statin is the first choice. Some start it straight away – even with normal levels, even without problems (Primary Prophylaxis) – especially in ischemia, as suspected here. Your doctor will give appropriate prescription

TRIGLYCERIDES
Desirable Level: < 150 mg/dL \ Borderline : 150 - 199 mg/dL \ High : 200 - 499
mg/dL \ Very High : > 500 mg/dL
Your father’s level is border line and and the measures mentioned for cholesterol can control this too
_________________________________________________________________
Keep following up with your doctor

Good luck
God bless you
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Priyanka G Raj
doctor
Answered by
Dr.
Dr. Anantharamakrishnan

Cardiologist

Practicing since :1966

Answered : 4505 Questions

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What Do My Lab Test Reports Indicate?

Brief Answer: Needs further assessment & assistance Detailed Answer: Hi friend Welcome to Health Care Magic __________________________________________________________________ ECG Your father needs to be investigated for Coronary Artery Disease. TMT (Treadmill Exercise ECG) suggests ischemia, it is an indication for further work up – to evaluate ischemic heart disease / at times, there may be false positive or false negatives. The next step is TMT with thallium isotope. It is the ideal non-invasive way to evaluate ischemia / to assess the PHYSIOLOGY (function) – to see whether the blood arriving at the heart muscle. Subsequent step is to see the ANATOMY (structure) – undergo catheterisation and coronary angiography with a view for possible intervention. It is the only way to directly ‘see’ the block, if any – and its location, extent, severity and so on. Coronary arteriography is invasive but it is the gold standard for this. / CT angio is non-invasive study for the anatomy. If positive, she will need catheterisation, anyway. The aim of any investigation is to modify the treatment, based on the result. Intervention – dilatation with balloon and placing a stent (Angioplasty) - or CABG (Coronary Artery Bypass Graft) may be advised based on the results. __________________________________________________________________ CHOLESTEROL There are subdivisions of cholesterol – LDL, HDL and so on. HDL is good cholesterol – higher, the better. LDL is bad cholesterol – lower, the better. In the absence of any other risk factor 100 is ideal for LDL-C. In the presence of other diseases (especially Diabetes and/or established heart disease), 70 should be the aim. Keep weight to normal / even a little less Quit smoking, if he is a smoker Do regular EXERCISE – say walking or jogging - 30 minutes a day / at least 5 days in a week. Isometric exercise (like bull worker) is bad. Healthy FOOD is a must. Avoid saturated fats – coconut oil, palm oil, butter, ghee, full cream milk...Avoid junk foods in particular – French fries have palm oil / Pizza has cheese / XXXXXXX sweets are made in ghee.../ Change to Poly-un-saturated oil – like sun flower oil. / Include Mono-un-saturated oil – Olive oil. Repeat the test in 2 to 3 months. Cholesterol can still be high, in spite of diet and exercise – you need drugs; because it is also manufactured in the liver – and that is determined by heredity. Statin is the first choice. Some start it straight away – even with normal levels, even without problems (Primary Prophylaxis) – especially in ischemia, as suspected here. Your doctor will give appropriate prescription TRIGLYCERIDES Desirable Level: < 150 mg/dL \ Borderline : 150 - 199 mg/dL \ High : 200 - 499 mg/dL \ Very High : > 500 mg/dL Your father’s level is border line and and the measures mentioned for cholesterol can control this too _________________________________________________________________ Keep following up with your doctor Good luck God bless you