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What Does My Blood Test Report Indicate?
Question: I have had a health checkup done and I saw a few abnormal parameters in my reports
1. Blood Report
• TOTAL CHOLESTEROL PHOTOMETRY 122 mg/dl
• HDL CHOLESTEROL - DIRECT PHOTOMETRY 42 mg/dl
• LDL CHOLESTEROL - DIRECT PHOTOMETRY 64 mg/dl
• TRIGLYCERIDES PHOTOMETRY 74 mg/dl
• TC/ HDL CHOLESTEROL RATIO CALCULATED 2.9
• LDL / HDL RATIO CALCULATED 1.5 Ratio
• VLDL CHOLESTEROL CALCULATED 14.8 mg/dl
• NON-HDL CHOLESTEROL CALCULATED 79.6 mg/dl
• APOLIPOPROTEIN - A1 (APO-A1) NEPHELOMETRY 140 mg/dl
• APOLIPOPROTEIN - B (APO-B) NEPHELOMETRY 65 mg/dl
• APO B / APO A1 RATIO (APO B/A1) CALCULATED 0.5 Ratio
• HIGH SENSITIVE C - REACTIVE PROTEIN (HSCRP) NEPHELOMETRY > 10.2 mg/L
• HbA1c – 5.1%
• Blood Sugar Fasting – 67 mg/dl
• Blood Sugar PP – 61 mg/dl
2. ECG
The ECG had the three remarks
• large T wave
• R/S inversion area between V1 and V2
• borderline ECG
I am a Type 2 diabetic for the last 8 years, however I have had excellent sugar control particularly over the last 7 months. I have been obese for the last 30 years, however over the past 7 months, with dietary management and regular excercising, I have reduce my weight by about 30Kg (I have reduced my weight from 119Kg to currently 87 Kg), which has helped me bring my blood sugar under control. My blood pressure is usually around 105/67.
My current medications are
• Glycomet GP1 Forte – 1 morning + 1 night / daily
• Istavel 100mg – 1 afternoon / daily
• Rosuvas 5mg – 3 times a week
• Tazloc 40mg – 1 morning daily
My questions are
I am concerned about the extremely large value of HsCRP and the remarks on my ECG about R/S inversion. What kind of follow up tests do I need and do these represent a significant risk of CVD.
Since my cholesterol seems to be under good control can I stop the use of rosuvas.
1. Blood Report
• TOTAL CHOLESTEROL PHOTOMETRY 122 mg/dl
• HDL CHOLESTEROL - DIRECT PHOTOMETRY 42 mg/dl
• LDL CHOLESTEROL - DIRECT PHOTOMETRY 64 mg/dl
• TRIGLYCERIDES PHOTOMETRY 74 mg/dl
• TC/ HDL CHOLESTEROL RATIO CALCULATED 2.9
• LDL / HDL RATIO CALCULATED 1.5 Ratio
• VLDL CHOLESTEROL CALCULATED 14.8 mg/dl
• NON-HDL CHOLESTEROL CALCULATED 79.6 mg/dl
• APOLIPOPROTEIN - A1 (APO-A1) NEPHELOMETRY 140 mg/dl
• APOLIPOPROTEIN - B (APO-B) NEPHELOMETRY 65 mg/dl
• APO B / APO A1 RATIO (APO B/A1) CALCULATED 0.5 Ratio
• HIGH SENSITIVE C - REACTIVE PROTEIN (HSCRP) NEPHELOMETRY > 10.2 mg/L
• HbA1c – 5.1%
• Blood Sugar Fasting – 67 mg/dl
• Blood Sugar PP – 61 mg/dl
2. ECG
The ECG had the three remarks
• large T wave
• R/S inversion area between V1 and V2
• borderline ECG
I am a Type 2 diabetic for the last 8 years, however I have had excellent sugar control particularly over the last 7 months. I have been obese for the last 30 years, however over the past 7 months, with dietary management and regular excercising, I have reduce my weight by about 30Kg (I have reduced my weight from 119Kg to currently 87 Kg), which has helped me bring my blood sugar under control. My blood pressure is usually around 105/67.
My current medications are
• Glycomet GP1 Forte – 1 morning + 1 night / daily
• Istavel 100mg – 1 afternoon / daily
• Rosuvas 5mg – 3 times a week
• Tazloc 40mg – 1 morning daily
My questions are
I am concerned about the extremely large value of HsCRP and the remarks on my ECG about R/S inversion. What kind of follow up tests do I need and do these represent a significant risk of CVD.
Since my cholesterol seems to be under good control can I stop the use of rosuvas.
Brief Answer:
Ecg is all normal, may stop rosuvastatin, get a treadmill stress test don
Detailed Answer:
Hello Sir, I am Dr. Mody and I will be addressing your concern.
First I would congratulate you as your lipid profile and Sugar control s are as perfect as it can be and nothing is required in this context. Rather I can tell you that we should rather reduce upon your anti a diabetic meds Hba1c 5.1 and Fbs /pp2bs are really low and hypoglycaemic spells are something we should avoid.
Your blood pressure is also in low normal range, so if no proteinuria in urine,, we can even decrease tazloc dosage
Now coming to hscrp, it is one which is a non specific risk maker for future cardiac event. However in isolation it doesn't increase your chances of any cardiac problem in future as compared to someone of the same age.
Also the weight reduction achieved is great and I request you to carry on the same lifestyle, diet and exercise protocol for the same.
So only risk factor, is long standing diabetes. I would request you to get a treadmill stress test and for once 2d echo done, if normal, everything is just fine. The ecg transition, all the wave depends completely on where the leads of ecg are put, so just don't worry about it and it a normal variant. Tall T are not always heart related. However as you are on tazloc, just see that potassium is on normal range. Otherwise just don't worry
So we can decrease the hscrp through exercise, continue rosuvastatin, though it's for primary prevention and at minimum dose so you may stop, however repeat lipid profile after 3 months . You may add omega 3 fatty acid capsule (cod fish oil) 1-2 gms per day.
Hopefully that will help,
Regards. Dr Priyank Mody, Lilavati Hospital, XXXXXXX
Ecg is all normal, may stop rosuvastatin, get a treadmill stress test don
Detailed Answer:
Hello Sir, I am Dr. Mody and I will be addressing your concern.
First I would congratulate you as your lipid profile and Sugar control s are as perfect as it can be and nothing is required in this context. Rather I can tell you that we should rather reduce upon your anti a diabetic meds Hba1c 5.1 and Fbs /pp2bs are really low and hypoglycaemic spells are something we should avoid.
Your blood pressure is also in low normal range, so if no proteinuria in urine,, we can even decrease tazloc dosage
Now coming to hscrp, it is one which is a non specific risk maker for future cardiac event. However in isolation it doesn't increase your chances of any cardiac problem in future as compared to someone of the same age.
Also the weight reduction achieved is great and I request you to carry on the same lifestyle, diet and exercise protocol for the same.
So only risk factor, is long standing diabetes. I would request you to get a treadmill stress test and for once 2d echo done, if normal, everything is just fine. The ecg transition, all the wave depends completely on where the leads of ecg are put, so just don't worry about it and it a normal variant. Tall T are not always heart related. However as you are on tazloc, just see that potassium is on normal range. Otherwise just don't worry
So we can decrease the hscrp through exercise, continue rosuvastatin, though it's for primary prevention and at minimum dose so you may stop, however repeat lipid profile after 3 months . You may add omega 3 fatty acid capsule (cod fish oil) 1-2 gms per day.
Hopefully that will help,
Regards. Dr Priyank Mody, Lilavati Hospital, XXXXXXX
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Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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