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What Does This Lipid Profile Test Report Indicate?
Question: My spouse 31/F has below findings during a health checkup.
LIPOPROTEIN (A) [LP(A)] -- 60.4 mg/dl
HIGH SENSITIVITY C-REACTIVE PROTEIN (hs-CRP) -- >10.8 mg/L
Lipid profile findings are almost within recommended range. But the above 2 findings are very much beyond range. Please suggest what to do.
LIPOPROTEIN (A) [LP(A)] -- 60.4 mg/dl
HIGH SENSITIVITY C-REACTIVE PROTEIN (hs-CRP) -- >10.8 mg/L
Lipid profile findings are almost within recommended range. But the above 2 findings are very much beyond range. Please suggest what to do.
Brief Answer:
please provide lipid profile.
Detailed Answer:
Dear Sir
1. Both these markers are not standard markers of cardiovascular risk. They have not been uniformly adopted by international governing bodies. The level of CRP above 10 itself indicated need of re-checking as this much of level indicate extra-coronary source of inflammation.
2. The risk prognostic information provided by LP-A is not beyond that provided by standard lipid profile. I request you to upload complete lipid profile along with any history of diabetes/ heart attack/ smoking/ high blood pressure/ stroke. I will be able to detail more on the issue.
Sincerely
Sukhvinder
please provide lipid profile.
Detailed Answer:
Dear Sir
1. Both these markers are not standard markers of cardiovascular risk. They have not been uniformly adopted by international governing bodies. The level of CRP above 10 itself indicated need of re-checking as this much of level indicate extra-coronary source of inflammation.
2. The risk prognostic information provided by LP-A is not beyond that provided by standard lipid profile. I request you to upload complete lipid profile along with any history of diabetes/ heart attack/ smoking/ high blood pressure/ stroke. I will be able to detail more on the issue.
Sincerely
Sukhvinder
Above answer was peer-reviewed by :
Dr. Prasad
Thanks for your response Dr. XXXXXXX She has low BP ( 110/70), non habit of smoking and alcohol intake. No history of any stroke or heart ailment though she is little obese. Below are some more clinical reports:
Test Name Value normal range
--------------- --------- ----------------
TOTAL CHOLESTEROL -- 161 mg/dl ---125 - 200
HDL CHOLESTEROL - -- 55 mg/dl ---35-80
LDL CHOLESTEROL --- 94 mg/dl ----85 - 130
TRIGLYCERIDES ---- 98 mg/dl ---- 25 - 200
TC/ HDL CHOLESTEROL RATIO---- 2.9 Ratio --- 3.0 - 5.0
LDL / HDL RATIO --- 1.7 Ratio ---1.5 - 3.5
on fasting
AVERAGE BLOOD GLUCOSE (ABG)--- CALCULATED--- 140 mg/dl
Kindly advice do I rush to any cardiologist for consultation?
Regards//
XXXX
VLDL CHOLESTEROL ---- 19.6 mg/dl ----5 - 40
NON-HDL CHOLESTEROL --- 105.7 mg/dl ---- < 160
Test Name Value normal range
--------------- --------- ----------------
TOTAL CHOLESTEROL -- 161 mg/dl ---125 - 200
HDL CHOLESTEROL - -- 55 mg/dl ---35-80
LDL CHOLESTEROL --- 94 mg/dl ----85 - 130
TRIGLYCERIDES ---- 98 mg/dl ---- 25 - 200
TC/ HDL CHOLESTEROL RATIO---- 2.9 Ratio --- 3.0 - 5.0
LDL / HDL RATIO --- 1.7 Ratio ---1.5 - 3.5
on fasting
AVERAGE BLOOD GLUCOSE (ABG)--- CALCULATED--- 140 mg/dl
Kindly advice do I rush to any cardiologist for consultation?
Regards//
XXXX
VLDL CHOLESTEROL ---- 19.6 mg/dl ----5 - 40
NON-HDL CHOLESTEROL --- 105.7 mg/dl ---- < 160
Brief Answer:
please see details below.
Detailed Answer:
Dear Sir
1. The lipid profile is acceptable. She need not to take any medication.
2. The prognostic information provided by this lipid profile exceeds that provided by LPa.
3. There is no feature in these investigations which suggest a need for rushing to cardiologist.
4. I could not understand the meaning of Fasting....Average Blood glucose... 140. Please upload this report or clarify this issue.
Sincerely
Sukhvinder
please see details below.
Detailed Answer:
Dear Sir
1. The lipid profile is acceptable. She need not to take any medication.
2. The prognostic information provided by this lipid profile exceeds that provided by LPa.
3. There is no feature in these investigations which suggest a need for rushing to cardiologist.
4. I could not understand the meaning of Fasting....Average Blood glucose... 140. Please upload this report or clarify this issue.
Sincerely
Sukhvinder
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Thanks for your detailed answer Dr. XXXXXXX She has give blood sample after 10-12 hours of fasting and the reports related to Diabetes are:
Diabetes Screen(Blood)
HbA1c --- value is 6.5 %
Average Blood Glucose(ABG) -- value 140 mg/dl
is there any reason to worry for these values?
Kind Regards//
XXXX
Diabetes Screen(Blood)
HbA1c --- value is 6.5 %
Average Blood Glucose(ABG) -- value 140 mg/dl
is there any reason to worry for these values?
Kind Regards//
XXXX
Brief Answer:
please see a physician for her blood sugar.
Detailed Answer:
Dear sir
Yes. A value of HbA1C of 6.5% is the cut-off for diabetes. This is important.
Kindly see a physician/ diabetologist for same. She may not be having diabetes but is definitely at verge. She definitely needs evaluation / preventive measures Including low sugar diet and regular exercise.
Sincerely
Sukhvinder
please see a physician for her blood sugar.
Detailed Answer:
Dear sir
Yes. A value of HbA1C of 6.5% is the cut-off for diabetes. This is important.
Kindly see a physician/ diabetologist for same. She may not be having diabetes but is definitely at verge. She definitely needs evaluation / preventive measures Including low sugar diet and regular exercise.
Sincerely
Sukhvinder
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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