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Feeling pain in the chest. Total cholesterol 178. Worried?

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General & Family Physician
Practicing since : 1986
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I am 27+ year old male, in December I felt like I am having chest pain, chest pain use to go in right when I slept on the right side and went left while sleeping on the left side. I felt of having a cardiac problem and rushed to emergency, 2 ECG were taken the 1st one came sinus tachycardia and 2nd one was normal ECG.
Next day I consulted a cardiologist who refered me for a ECHO followed by a TMT stress test, both were normal, TMT's grades were 100 %, still I was not relaxed I use to get pain in various parts of chest, got my LIPID profile done, Latest report says LDL 98, HDL 25, Total cholesterol is 178, Serum triglycerides went to 300 from 200 in 3 months (what could be the reason) because of all this BP went high and keeps between 120/80 t0 140/80(sometimes) Doc. asked to take BP medicine and Statins for serum. I still feel pain in the various parts of chest, so much worried, please provide a satisfatory answer,

done with 6 ECG's as of now out of which all are normal including 2 sinus tychachardia.
Posted Sat, 8 Jun 2013 in General Health
Answered by Dr. Nirmala P 2 hours later
Thanks for asking in Healthcare Magic.

Although fatty food taken within 12 hours before blood test can temporarily boost the triglyceride (TG) level in a blood test, it may not cause increase so much. The reason for a steady increase could be due to a condition called hyper triglyceridemia, which may be genetic or multifactorial (due to other reasons). Please rule out hypothyroidism as it can cause both hyper triglyceridemia and sinus tachycardia.

Moderatly elevated TG (150 to 400) is usually associated with other problems like hypertension, hypothyroidism, insulin resistance and obesity. A low HDL value substantially increases the risk in such people. The VLDL level may be high but cholesterol level is usually within normal limits.

The symptoms are nor clear cut in hyper triglyceridemia. Although drugs like Statins are helpful you can follow some dietary restrictions too. Diet XXXXXXX in simple sugar, saturated trans fats, hydrogenated fats and starchy food increases TG. So avoid them in your diet. Take whole grains. legumes, soy, fish like meckerel. sardines, salmon, olive oil, fiber XXXXXXX non starchy vegetables like beans, lean meat, walnuts, plenty of fruits (if you don't have insulin resistance). All these will help to reduce TG.

Your chest pain may be due to myalgia. Statins cause myalgia. Also rule out costochondritis which can cause bizzare chest pain mainly in rib areas. Take your BP medication and Statins regularly. Statins are very effective in reducing TG.

I hope this is useful. Please address to me if you have any other clarifications.
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