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

---