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What Does My Lipid Profile Test Report Indicate?
Question: Hello Doctor, My heart rate is 113 beats per minute at rest and my HDL level is 67 , LDL is 45, Tri glycerises is 35 and cholestorl is 115. Am I having heart problem ? (Female, 34 years, Indian) abd pressure is 140/80
Brief Answer:
Probably Not
Detailed Answer:
Hi friend
Welcome to Health Care Magic
Your lipid profile (cholesterol etc.) is excellent
Blood pressure is normal / systolic (upper figure) is in upper range – check again in a few months.
The heart rate is slightly high / The normal range is 60 to 100
There could be several reasons for this – Anaemia / Anxiety / Alcohol / Tobacco (smoking) / Caffeine (too much tea, coffee, cola) / Fever / Infection / Pain / Stress / Thyroid / calcium, magnesium / Medicines like Phenylephrine used for ‘cold’; Salbutamol used for asthma and so on – are some of the usual causes...
Only rarely it is from a heart problem like the conduction system!
The first step is to see a Cardiologist
A thorough history and physical examination is the first step –
Blood tests are routine – blood count, hormones like thyroid etc…
ECG (Electrocardiogram / EKG) – Routine 12-lead – is part of clinical examination.
HOLTER (24 to 48 hour ambulatory monitoring) is done to analyse and plan further management.
ECHOcardiogram is necessary to see the heart valves (Mitral Valve Prolapse) / heart muscle (Cardiomyopathy) and heart function (Ejection fraction, wall motion abnormality) / clots...
TMT – Treadmill exercise ECG; may be done to evaluate ischemia (reduced blood flow / Coronary Artery Disease)
If there are no clues and if the problem is still bothering to the extent of interfering with life style, one may need Electro Physiological Studies (EPS) > it resembles angio – a catheter is put inside the heart / electrical activity recorded / stimulation and suppression tests are carried out / suitable medicine tested and so on. Though the test is the gold standard, it is INVASIVE and hence is not generally done unless there are compelling indications. This super-speciality expert is called ELECTRO-PHYSIOLOGIST.
The treating doctor may suggest them depending on need, based on his assessment of the situation and could guide better, based on the total clinical picture
Good luck
God bless you
Probably Not
Detailed Answer:
Hi friend
Welcome to Health Care Magic
Your lipid profile (cholesterol etc.) is excellent
Blood pressure is normal / systolic (upper figure) is in upper range – check again in a few months.
The heart rate is slightly high / The normal range is 60 to 100
There could be several reasons for this – Anaemia / Anxiety / Alcohol / Tobacco (smoking) / Caffeine (too much tea, coffee, cola) / Fever / Infection / Pain / Stress / Thyroid / calcium, magnesium / Medicines like Phenylephrine used for ‘cold’; Salbutamol used for asthma and so on – are some of the usual causes...
Only rarely it is from a heart problem like the conduction system!
The first step is to see a Cardiologist
A thorough history and physical examination is the first step –
Blood tests are routine – blood count, hormones like thyroid etc…
ECG (Electrocardiogram / EKG) – Routine 12-lead – is part of clinical examination.
HOLTER (24 to 48 hour ambulatory monitoring) is done to analyse and plan further management.
ECHOcardiogram is necessary to see the heart valves (Mitral Valve Prolapse) / heart muscle (Cardiomyopathy) and heart function (Ejection fraction, wall motion abnormality) / clots...
TMT – Treadmill exercise ECG; may be done to evaluate ischemia (reduced blood flow / Coronary Artery Disease)
If there are no clues and if the problem is still bothering to the extent of interfering with life style, one may need Electro Physiological Studies (EPS) > it resembles angio – a catheter is put inside the heart / electrical activity recorded / stimulation and suppression tests are carried out / suitable medicine tested and so on. Though the test is the gold standard, it is INVASIVE and hence is not generally done unless there are compelling indications. This super-speciality expert is called ELECTRO-PHYSIOLOGIST.
The treating doctor may suggest them depending on need, based on his assessment of the situation and could guide better, based on the total clinical picture
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. Chakravarthy Mazumdar
Answered by
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