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What Does This Lipid Profile Test Result Indicate?

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Posted on Wed, 28 Jan 2015
Question: Hello Docter,

I have chest pain which very regular . the pain is not very intense but mild , the place is not standard : some times its in the middle , bottom of the heart , left and right side . I had got these test 6 months back ECG , Scaning , Thread mill test and result was normal . I feel very tired for no reason and somtimes pain in left hand . my weight is 82 kh and hight 5.9
I also got lipd profile tested : below is the result

Total chol : 265. mg%
HDL : 46.9 mg%
LDL: 187.7 mg%
VLDL : 30.5 mg%
triglycerides : 109.3 mg%
Chol hdl ratio : 5.7
ldl/hdl ratio 4.0

Please adive
doctor
Answered by Dr. Pavan Kumar Gupta (1 hour later)
Brief answer:
non cardiac pain

Detailed answer:
Hello,

Thanks for the query. I have read your query and understand your concern.

I will answer your queries one by one.
Your chest pain seems to be non cardiac because...
Your all cardiac reports are normal.
Chest pain is shifting it's place.
You are not complaining of any abnormal sweating, palpitations, uneasiness, discomfort etc.
Your pain could be muscular or due to anxiety and stress or acidity.
Your reports clearly state that your total cholesterol levels as well as LDL ( BAD ) cholesterol are high.

Your fatigue could be due to ...
Late night sleep
Depression
Lack of exercises
Could be hypothyroidism, deficiency of VIT B12, deficiency of VIT D etc.

What to do....
Get tested for above mentioned problems.
Sleep early and take proper 7-8 hours sleep.
Do regular aerobic exercises for 45 minutes, yoga, deep breathing exercises and shed your weight by around 10 kgs.
Avoid fatty foods, sweets, carbonates drinks, junk foods.
Alcohol in moderation and quit smoking, if any.
Eat more of fresh fruits and green vegetables.

It would be better to be on a statin medication for at least 3 months for reduction of cholesterol levels. Your doctor will prescribe them.

In nutshell, a lifestyle change is the answer.

I hope it helps however you are most welcome to revert to me or any further query.

Best of luck

Thanks
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Pavan Kumar Gupta (26 minutes later)
Thank you very much Docter for detailed reply . I some time feel uneasiness and discomfort in chest and feel tired for no reason . Never felt abnormal sweating, palpitations . Please confirm if this not related cardiac problem , as I mention before I am suffering with high BP and being treated. Thanks again
doctor
Answered by Dr. Pavan Kumar Gupta (12 minutes later)
Hello,
Since you are stating that you do feel discomfort and uneasiness in chest sometime,I would advise you to visit a cardiologist once more and get yourself reviewd because it has been six months since your last review and your cholesterol levels are also high.
Although I feel that it should be non cardiac but it is always better to act safe rather than feel sorry later on.
A repeat negative report from the cardiologist would bring tons of relief to you.
In addition get tested for the problems I mentioned in my earlier post.
Thanks
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Pavan Kumar Gupta

General & Family Physician

Practicing since :1978

Answered : 6704 Questions

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What Does This Lipid Profile Test Result Indicate?

Brief answer: non cardiac pain Detailed answer: Hello, Thanks for the query. I have read your query and understand your concern. I will answer your queries one by one. Your chest pain seems to be non cardiac because... Your all cardiac reports are normal. Chest pain is shifting it's place. You are not complaining of any abnormal sweating, palpitations, uneasiness, discomfort etc. Your pain could be muscular or due to anxiety and stress or acidity. Your reports clearly state that your total cholesterol levels as well as LDL ( BAD ) cholesterol are high. Your fatigue could be due to ... Late night sleep Depression Lack of exercises Could be hypothyroidism, deficiency of VIT B12, deficiency of VIT D etc. What to do.... Get tested for above mentioned problems. Sleep early and take proper 7-8 hours sleep. Do regular aerobic exercises for 45 minutes, yoga, deep breathing exercises and shed your weight by around 10 kgs. Avoid fatty foods, sweets, carbonates drinks, junk foods. Alcohol in moderation and quit smoking, if any. Eat more of fresh fruits and green vegetables. It would be better to be on a statin medication for at least 3 months for reduction of cholesterol levels. Your doctor will prescribe them. In nutshell, a lifestyle change is the answer. I hope it helps however you are most welcome to revert to me or any further query. Best of luck Thanks