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What Does Elevated Serum Triglyceride With Normal Blood Test Indicate?

Posted on Mon, 12 May 2014

Question: I am 34 year old, my height is 6 ft 4 inch. I weigh 118 kg. I had bought an insurance product for which i was subject to a medical test.The urine and blood report has come normal. The cholestrol levels were also within prescribed limits. However the ECG showed a Bifid p wave. Which is why they have refused to give me critical illness rider on my policy. Request you to tell me the significance of this and what medical or dietary steps should I be taking to address this at personal level.

Answered by Dr. Sukhvinder Singh (18 minutes later)

Brief Answer: Please upload your ECG Detailed Answer: Dear Sir Before I go into details of ECG I would like to see that. I request you to upload it. Please also tell if you have any preexisting medical illness. If you have any complaints/ troubles please also mention them. Waiting for your reply. Sincerely Sukhvinder

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sukhvinder Singh (1 hour later)

I do not have any pre existing illness diagnosed except for typhoid detected a year ago. Further I do not have any complaints except for fatigue at times in evening after office hours. If I sit down on the floor i differ getting up. These are the only things I could think of. I have attached a copy of my ECG. Do let me know your views on this. I do not smoke. I do consume alchol socialy once a week about one or two pegs whisky. I am appending further my report figures for your perusal. Lipid Profile: SR Cholestrol 194 SR. Triglycerides 193 HDL Cholestrol 52 VLDL 38.60 LDL 103.40 Cholestrol / HDL 3.73 LDL/HDL 1.99 Fasting Blood sugar 85.50 Haemoglobin 14.1 WBC 5900 Platelet count 3.21 My Blood Pressure checked today evening showed 140 / 90 Regards, XXXXX

Answered by Dr. Sukhvinder Singh (2 hours later)

Detailed Answer: Dear Sir The T wave inversion in lead AvL is ~1mm. Any T wave inversion less than 2 mm is not considered relevant unless there is a strong clinical correlation which is not there in your case. The bifid P waves are visible in lead II, III and V2-4. However they do not meet the criteria of significance for "left atrial abnormality' which states that either the P wave duration should be more than 110 ms or distance between two humps of bifid P should be more than 40 ms; both of them are not there in this ECG. Still lead V1 shows negative P waves which meet the criteria of significance for Left atrial abnormality (product of duration and height/ voltage appear more than 0.03 mm sec). All this may be a normal variant, but I would recommend you to consult your cardiologist and get examined. If he agrees, next step is a simple ECHO which we will clarify everything. Your blood reports are all within normal limits except for serum triglyceride which is marginally high but it does not require any drug therapy. Try to do exercise daily. Avoid excess of saturated fats and sugars. Maintain ideal body weight. These things will help to bring it to normal. Hope this helps. Feel free to discuss further. Sincerely Sukhvinder

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Above answer was peer-reviewed by : Dr. Vinay Bhardwaj