Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Do These Lipid Profile Reports Indicate?
Question: 81 years old, Caucasian, not over weight, use KETO diet, low blood pressure, CEO of boat building company work 7 days a week, live in China.
Problem, Tightness and pain in the upper chest, both sides, after walking about 1/2 a block. Feels like chest is squeezing together.
Not diabetic, Low BP. Weight 92 kilo, Height 6' 2". Recent lipid results below. Other tests available,
Collected:
03/24/2017 11:59 AM
CHOLESTEROL 189 mg/dL <=199 mg/dL
TRIGLYCERIDE 117 mg/dL <=149 mg/dL
HDL 45 mg/dL >=40 mg/dL
LDL CALCULATED 121 mg/dL <=99 mg/dL
CHOLESTEROL/HIGH DENSITY LIPOPROTEIN 4.2 <=4.9
CHOLESTEROL, NON-HDL 144 mg/dL mg/dL
Heart problem? Recent thorough physical including stress test and EKG, attached. No issues evident.
Past problems:
MDS possibly related to Oregano Phosphate poisoning when young. Seems to not be a big problem. HGB continues to slowly decline.
Collected:
03/24/2017 11:59 AM
WBC'S AUTO 7.0 x1000/mcL 4.0 - 11.0 x1000/mcL
RBC, AUTO 3.09 Mill/mcL 4.70 - 6.10 Mill/mcL
HGB 11.7 g/dL 14.0 - 18.0 g/dL
HCT, AUTO 34.1 % 42.0 - 52.0 %
MCV 110.4 fL 80.0 - 94.0 fL
MCH 37.9 pg/cell 27.0 - 35.0 pg/cell
MCHC 34.3 g/dL 32.0 - 37.0 g/dL
RDW, BLOOD 14.7 % 11.5 - 14.5 %
PLATELETS, AUTOMATED COUNT 169 x1000/mcL 130 - 400 x1000/mcL
Ocipical Neuralgia, seems to gone away, I think.
Other tests available.
XXXXXXX and XXXXXXX XXXX
XXXX
Cell 0000
Factory 0000
XXXX
XXXX
Problem, Tightness and pain in the upper chest, both sides, after walking about 1/2 a block. Feels like chest is squeezing together.
Not diabetic, Low BP. Weight 92 kilo, Height 6' 2". Recent lipid results below. Other tests available,
Collected:
03/24/2017 11:59 AM
CHOLESTEROL 189 mg/dL <=199 mg/dL
TRIGLYCERIDE 117 mg/dL <=149 mg/dL
HDL 45 mg/dL >=40 mg/dL
LDL CALCULATED 121 mg/dL <=99 mg/dL
CHOLESTEROL/HIGH DENSITY LIPOPROTEIN 4.2 <=4.9
CHOLESTEROL, NON-HDL 144 mg/dL mg/dL
Heart problem? Recent thorough physical including stress test and EKG, attached. No issues evident.
Past problems:
MDS possibly related to Oregano Phosphate poisoning when young. Seems to not be a big problem. HGB continues to slowly decline.
Collected:
03/24/2017 11:59 AM
WBC'S AUTO 7.0 x1000/mcL 4.0 - 11.0 x1000/mcL
RBC, AUTO 3.09 Mill/mcL 4.70 - 6.10 Mill/mcL
HGB 11.7 g/dL 14.0 - 18.0 g/dL
HCT, AUTO 34.1 % 42.0 - 52.0 %
MCV 110.4 fL 80.0 - 94.0 fL
MCH 37.9 pg/cell 27.0 - 35.0 pg/cell
MCHC 34.3 g/dL 32.0 - 37.0 g/dL
RDW, BLOOD 14.7 % 11.5 - 14.5 %
PLATELETS, AUTOMATED COUNT 169 x1000/mcL 130 - 400 x1000/mcL
Ocipical Neuralgia, seems to gone away, I think.
Other tests available.
XXXXXXX and XXXXXXX XXXX
XXXX
Cell 0000
Factory 0000
XXXX
XXXX
Brief Answer:
I would recommend performing further tests:
Detailed Answer:
Hello XXXXXXX and XXXX
Thank you for asking on HCM!
I carefully reviewed all your uploaded tests and would explain as follows:
- Your blood lab tests are within the normal ranges, besides a high MCV levels and a little low Hb levels, which could be related to vitamin B12 deficiency. For this reason, I recommend performing vitamin B12 and folic acid plasma levels to exclude this possibility.
- Your blood lipid profile is within the normal ranges, considering LDL/HDL ratio. So, no treatment in needed.
- Your tread mill test has not revealed any presence of coronary artery disease. But, considering submaximal stress level, I would recommend performing further tests to totally exclude coronary artery disease. So, performing one of the tests below would be needed in this regard:
- a cardiac stress echo
- a nuclear perfusional cardiac stress test.
You should discuss with your doctor on the above tests.
Hope you will find this answer helpful!
Kind regards,
Dr. Iliri
I would recommend performing further tests:
Detailed Answer:
Hello XXXXXXX and XXXX
Thank you for asking on HCM!
I carefully reviewed all your uploaded tests and would explain as follows:
- Your blood lab tests are within the normal ranges, besides a high MCV levels and a little low Hb levels, which could be related to vitamin B12 deficiency. For this reason, I recommend performing vitamin B12 and folic acid plasma levels to exclude this possibility.
- Your blood lipid profile is within the normal ranges, considering LDL/HDL ratio. So, no treatment in needed.
- Your tread mill test has not revealed any presence of coronary artery disease. But, considering submaximal stress level, I would recommend performing further tests to totally exclude coronary artery disease. So, performing one of the tests below would be needed in this regard:
- a cardiac stress echo
- a nuclear perfusional cardiac stress test.
You should discuss with your doctor on the above tests.
Hope you will find this answer helpful!
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Taking 15 mcg vitamin 12 daily, enough?
If general health OK, and no indicators of heart problems, could the chest squeezing be neurological?
If general health OK, and no indicators of heart problems, could the chest squeezing be neurological?
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello again!
This is a very low dose of vitamin B12, and if vitamin B12 deficiency is proved, you may needed higher doses (injections)to treat the condition properly.
For this reason, I would recommend performing Vitamin B12 plasma levels and discussing with your doctor on the above issues.
Regarding the chest squeezing, it is not typical of any neurological disorders. A possible cervical disc bulging would cause pain in the arms too. But, anxiety can mimic this clinical scenario.
A lung disorder can not be excluded either. For this reason, performing a chest X ray study coupled with pulmonary function tests would help exclude a possible lung disorder.
Another possible cause to consider would be gastro-esophageal reflux. But, in such case, your symptoms would be related to eating.
You should discuss with your doctor on the above issues.
Hope to have clarified some of your uncertainties!
Wishing good health,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello again!
This is a very low dose of vitamin B12, and if vitamin B12 deficiency is proved, you may needed higher doses (injections)to treat the condition properly.
For this reason, I would recommend performing Vitamin B12 plasma levels and discussing with your doctor on the above issues.
Regarding the chest squeezing, it is not typical of any neurological disorders. A possible cervical disc bulging would cause pain in the arms too. But, anxiety can mimic this clinical scenario.
A lung disorder can not be excluded either. For this reason, performing a chest X ray study coupled with pulmonary function tests would help exclude a possible lung disorder.
Another possible cause to consider would be gastro-esophageal reflux. But, in such case, your symptoms would be related to eating.
You should discuss with your doctor on the above issues.
Hope to have clarified some of your uncertainties!
Wishing good health,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
