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Reports show abnormal cholesterol, HDL, LDL, triglycerides. Are these high CV risks? - Online Doctor Chats

Date : 28-May-2013
User rating for this question
Very Good Posted in: X-ray, Lab tests and Scans
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
User:Hello Doctor
User:We have talked earlier
User:I need some advice for my father
User:I just completed a complete health check for him, he is 64 years now
Doctor:Please go ahead
User:There are two reports which are quite away from normal
Doctor:What are they?
User:cholestrol - 256
User:triglycerides - 164
User:hdl - 51
User:ldl - 172
User:vldl - 32.80
User:non hdl - 205
User:C Reactive Protien is very high
User:If I am not mistaken this indicates a high CV Risk
Doctor:IS your father has any of the following conditions: diabetes, high BP, arthritis, Obese?
User:None of them
User:He is not under any medication too
Doctor:CRP alone does not increase the risk
User:aah okkay
Doctor:Since he has high Non HDL
User:His Glucose fasting is 89
Doctor:and high LDL he may need a medication for its control
User:Are these figures alarming?
User:what specialist should I be consulting?
Doctor:High CRP means inflammation, with high LDL, there can be lipid deposits in the blood vessels
Doctor:as more inflammation can lead to unstable clots
User:aah okkay
Doctor:which can block the vessels and cause stroke, heart attack and cause end organ damage
User:But this is something which can be controlled with medicines?
User:What specialist should I be consulting?
User:A general physicia or should I go for a cardiologist?
Doctor:Cardiologist follow up are essential once in 6 months
Doctor:else a GP should be fine
User:Your recommendation would be consult a Cardio in the first instance? We have not shown this report to any doctors yet
Doctor:YEs cardiologist
Doctor:Ask him to continue on Calcium supplements
User:thank you very much doctor for your help
Doctor:Make sure he walks at least 45 minutes a day
User:sure.. he is not having anything now
User:should he start something?
Doctor:Calcium 1000mg per day, SHELCAL 500mg twice a day
User:okkay docotor
Doctor:or NUTRILITE Cal Mag D, twice a day
User:anything on the diet?
Doctor:We generally recommend few vaccinations for people over 65 years
Doctor:Anti Pneumonia vaccination
Doctor:FLu vaccination
User:Just for my understanding, these vaccinations are preventive for other conditions
User:and they do not have anything to do with the current lipid profile or CRP readfing.. right?
Doctor:Prevent serious lung infections at this age
User:sure.. okkay
User:I will take that...
User:Thank you ver much doctor
Doctor:Thank you
Doctor:bye for now
User:If I am not taking too much of your time, how does the calcium help with the cholestral
Doctor:They may not be directly related
Doctor:Calcium is for bones
User:aah okkay
User:Got it....
User:Thank you doctor
Doctor:If he does not take extra calcium, the blood will take this from the boens
User:for your help
Doctor:bones and make them weak
Doctor:and soon he develops osteoporosis
User:aah okkay... understand
User:Thank you very much doctor
User:Good Day
Doctor:Hope you followed me?
Doctor:Bye for now
User:I Did...
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