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What Do These Following Lab Reports Indicate?

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Posted on Wed, 30 Dec 2015
Question: As per attached report do i have heart disease?

Dear Sir, My Dad expired in XXXXXXX 2009 due to Asthma & lack of breath while coming from office. I was totally devastated with this incident in my life. After few months I was joined in software company and I had my girlfriend who was very close to me. She was trying to cheat me and I found it one day. That day night while coming to hostel I fought with her in the bus and I sudden felt dizzy and heart beat rised. Later that night I felt my left hand was tingling and I was worried. I toke my roommate and went hospital and doctor checked and told nothing wrong with your hand or body. I think your mind is playing with you. I had gastric from past 12 years. This like incident repeated lot of times after first incident and my gastric and chest pain started to show up. After this incident I shifted to room as per my friend’s advice to cook myself and stay alone in the room. One day night at around 5AM, my dad came in my dream and I was shocked and got afraid (as first time someone came into my dream). My heart beat was high and my head started rotating and same chest pain & gastric trouble started. I went to my home town and toke ECG and doctor told everything is fine. My dad expired because he didn’t went to doctor check up’s stating nothing wrong with my body. That thing got fixed in my mind and I didn’t wanted to neglect any small health after his death. I had multiple endoscopies & blood tests to see if anything wrong with gastric. Doctor told due to vitamin D deficiency I am getting this problem. I got medication for this. Later I toke insurance where they conducted ECG, blood & urine tests. And I got my insurance approved. But in the report ECG outcome was abnormal ECG. My taught started taking control on my body. I immediately went back home and got 2D ECHO & TMT. Cardiologist checked and confirmed nothing wrong with my heart & health. Doctor told clearly this is happening just because of anxiety & worries I kept in my mind. He prescribed Anxiet .25MG & ultracet for pains if any. I was fine until Oct ’14. i had been with my uncle when he underwent open heart surgery and after seeing his angiogram reports. i felt really nervous and that day onwards my body started reacting abnormal. I heard all his issues and started feeling same like chest pain, left hand pain, tingling in fingers etc. My left hand & leg are working properly but i feel inconvenient. Out of anxiety I myself underwent ECG and it came as abnormal. I checked with Cardiologist in HCM and he told fine. Even my family doctor also confirms nothing wrong with my heart. Attached same for your reference. But still I had doubt in my mind. In month of Aug ’15, my Wife went to her home town for a vacation and I was alone. I started getting same sensation again. I ran to my friends room and they left me alone at room and went to some work outside. I suddenly felt something was happening to me (later I understood as panic attack) and As if I am going to die. I toke same Anxit tablet after my friends came and lay down for some time felt fine. I toke lipid profile and details are given below. I toke ECG & 2D Echo as per my friends mom’s advice (she is a doctor). Nothing came wrong my ECG or 2D Echo. From that day I started fearing scared to stay alone & dizzy when I was left alone in house or office. I was afraid to go out as my head used to rotate when I step out my house. I stayed at home and didn’t went to office or even to super market or market. My Wife toke me to ayurvedic doctor for treatment for gastric & mental health. He also saw my reports and said nothing is wrong with my health. After 3rd checkup he told that I don’t have any problem with heart & I am creating problem for myself. He told I am cardiac neurosis and I need to get it out of my mind ASAP. I am strictly following diet and reduced my food intake and reduced 3 kgs in 4 months. My dizziness is reduced & I am able to move out alone for some time. My age is 28, weight is 73, height 5.10 inches, BP 125/87 (usually 120/80 or 110/90), Fasting Sugar is at 67mg/dl and heart beat is 75 (usually B\W 72-80 BPM). Please check and confirm if I have anything wrong with my heart. I have this continues chest pain (both right & left side) with continues brufs & gas passing from rear end and fear.
Lipid profile: Total cholesterol:186 mg\dl HDL cholesterol: 38 mg\dl LDL cholesterol: 125 mg\dl VLDL cholesterol: 23 mg\dl Tryglycerides: 109 mg\dl cholesterol/ HDL ratio: 4.8 mg\dl LDL\HDL ratio: 3.5 mg\dl.

Below is my new Lipid profile after 3 months.
To reduce LDL & increase HDL, I had maintained strict diet (consumed less oil, lost 5 kgs weight in 3 months, brisk walk for 20 mins followed by 10 mins workouts for atleast 5 days in a week, added lot of vegetables, fruits, dry fruits & nuts into my diet).
Lipid profile:

Total cholesterol:145 mg\dl

HDL cholesterol: 29 mg\dl

LDL cholesterol: 94 mg\dl

VLDL cholesterol: 22 mg\dl

Tryglycerides: 111 mg\dl

cholesterol/ HDL ratio: 5.0 mg\dl

LDL\HDL ratio: 3.2 mg\dl
doctor
Answered by Dr. Anantharamakrishnan (2 hours later)
Brief Answer:
NO heart disease

Detailed Answer:
Hi friend
Welcome to Health Care Magic

There is nothing in the reports to suggest any heart disease
Your heart is perfectly normal

You have ANXIETY Neurosis – symptoms centred around the heart / the diagnosis of Cardiac Neurosis is completely correct.

You need only Psychiatric assessment and assistance..,. you will have remarkable improvement with it.

Your Life Style modifications have improved the Lipids very well / still, HDL cholesterol is low and you will benefit further from regular exercise – jogging at least half an hour a day, at least five days a week

All well
No cause for concern
Keep following with your doctor – you are in good hands

Good luck
God bless you
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Anantharamakrishnan (13 minutes later)
Thanks alot sir. Do I need undergo ecg,2d echo or TMT. If yes when do I need to undergo this tests again?

This taughts about heart are killing me. I lost peacfullnesss. My wife recently confirmed pregnancy. Even I am unable enjoy that important movement as well. I am afraid to go out alone thinking something will happen to me. And I do lot of surfing about heart diseases and compare my symptoms with them. I am trying to avoid but mind is not listening and it is controlling me. Pls suggest

And any suggestions to improve HDL with foods along with exercises?
doctor
Answered by Dr. Anantharamakrishnan (7 minutes later)
Brief Answer:
No need

Detailed Answer:
Hi

No need to do anything - except psychiatric assessment and assistance
No drugs for HDL / you may include Olive oil and take Omega 3 fatty acid supplements.....You may benefit from a dietician for further detailed advice

Forget the issue and enjoy life

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Anantharamakrishnan (19 hours later)
Thanks sir.

1) what might be the reason why i have light dizziness (it is like someone push you suddenly, not like surrounding are revolving). My BP & sugar are normal.

2) sometimes i feel tightness on upper part of chest just below shoulder blade is this because of gasrtic?

3) i used to get severe left shoulder pain before but now it is totally gone.

4) can Gastric case both right and left chest pains?
doctor
Answered by Dr. Anantharamakrishnan (46 minutes later)
Brief Answer:
Detailed individually below -

Detailed Answer:
Hi

1)     Giddiness is due to disturbance of the body's balancing mechanism - it is in the inner ear. An ENT (Ear Nose Throat) specialist is the one to see - they have special tests to confirm or exclude the contribution of the ear. This is particularly important in the presence of tinnitus (ringing in the ears).
2)     From chest wall muscles – anxiety can cause muscle spasm
3)     Strain from unusual posture in bed or activity is the likely cause / relieved, when it changed
4)     Can, but less likely. It can be simply excluded by endoscopy

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Anantharamakrishnan (2 days later)
Thanks sir...

If i dont have heart problem, what will be other reasons for continues chest pain.

I am really irritated with my situation. please let me know if i need to undergo any more tests.

my little dizziness is gone post our discussion.
doctor
Answered by Dr. Anantharamakrishnan (25 minutes later)
Brief Answer:
No more test

Detailed Answer:
As said already, the cause of tis pain is chest wall muscle spasm – from tension
Any structure in the area can cause pain – muscle, ribs (bone), nerves, lungs, etc. The nature of pain, duration, severity, precipitating and relieving factors, associated events, other morbidities present - suggest a clue and lead to the diagnosis. The only suggestion here is muscle pain and nothing else.

No need for further tests, unless the examining Psychiatrist wants

Great that the giddiness has gone… so, it was a transient event from a temporary cause

Regards
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Anantharamakrishnan

Cardiologist

Practicing since :1966

Answered : 4505 Questions

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What Do These Following Lab Reports Indicate?

Brief Answer: NO heart disease Detailed Answer: Hi friend Welcome to Health Care Magic There is nothing in the reports to suggest any heart disease Your heart is perfectly normal You have ANXIETY Neurosis – symptoms centred around the heart / the diagnosis of Cardiac Neurosis is completely correct. You need only Psychiatric assessment and assistance..,. you will have remarkable improvement with it. Your Life Style modifications have improved the Lipids very well / still, HDL cholesterol is low and you will benefit further from regular exercise – jogging at least half an hour a day, at least five days a week All well No cause for concern Keep following with your doctor – you are in good hands Good luck God bless you