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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest medication for lowering the cholesterol levels with clinical procedure of angioplasty done a decade back

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Dr. Bhanu Partap

Cardiologist

Practicing since :2010

Answered : 2259 Questions

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Posted on Mon, 10 Dec 2018 in Hypertension and Heart Disease
Question: I am XXXXXXX My age 66, I underwent Angio plast in 2008. I stopped taking any tablet after two years. My recent lab report shows
Cholesterol Total 145
Triglycerides(TGL) 134
HDL- cholesterol 29,
LDL Cholesterol 89.2
VLDL Cholesterol 26.8
Total Cholesterol/HDL Ratio 5
LDL/HDL Ratio 3.1
Kindly advice what tablet I should take immediately to bring down my Cholesterol
Thanks XXXXXXX
doctor
Answered by Dr. Bhanu Partap 1 hour later
Brief Answer:
Please refer to the detailed answer below

Detailed Answer:
Hello,

After going through the medical details provided by you I understand your concern for your health and first of all, I would like to know why you have stopped taking all of your medicine after angioplasty. It's not at all a good idea.

Now talking about your cholesterol levels they are all fine don't worry about the ratio part. What's more important is to start at least Ecosprin again so as to avoid any drastic complications such as stent thrombosis.

I hope this information will answer your query and will guide you properly.

Kind regards
Dr Bhanu Partap
Above answer was peer-reviewed by : Dr. Prasad
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Follow up: Dr. Bhanu Partap 13 hours later
Hello Dr. XXXXXXX
Thanks for your reply. Besides Ecosprin, what other tablets should I take to keep Cholesterol and my hypertension under control as I had mentioned of late I feel difficult breathing and exhausted sometimes? This part of my problem was not updated in my profile which I added after payment. My Blood pressure this morning at 9.30 am was 189/91. I do not have my old prescriptions with me but vaguely remember taking Clopitab A75, Rosuvas, Olmozest H 40, Cardace, Prolomat XL 50, Atorva, etc. Hence, kindly give me a complete programme as I am presently living in a remote place.
Thanks XXXXXXX
doctor
Answered by Dr. Bhanu Partap 11 hours later
Brief Answer:
Hello

Detailed Answer:
The issue here is that you are having breathing difficulty so we have to evaluate first to understand why it's happening as it can be because of deterioration in heart function also. This has to be confirmed as the medicine prescription will depend upon this.

First of all its highly advisable that you should get an Echocardiography done to see what your heart function is. Only after that, a suitable prescription can be given.

It's an important issue and please don't ignore this.

I hope this information will guide you properly.

Kind regards
Dr. Bhanu Partap
Above answer was peer-reviewed by : Dr. Prasad
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