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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Control High BP & Triglycerides?

I am a male aged 50. A smoker but did Lipid profile in every 6 months since many years. My Triglycerides were always little higher than the limit but total and HDL were good. In my routine annual checkup I have been diagnosed with BP and on further tests.e Color Doppler found Septal wall hypertrophy (IVST=13mm, PWT=12mm, RVId=24mm,LVIDd=44mm,LVIDs=23mm,EF=79%,FS=47%) and the ETT results (ECG during exercise 3 shows significant ST-T changes in V4-V6 & II,III, aVF, which reverted to normal following exercise, Multiple PVCs were also observed during recovery.) and concluded as: Stress test is EQUIVOCAL for ECG evidence of provocable myocardial ischaemia. Dear doctor, what would you advice ?
Tue, 16 Dec 2014
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Pain Medicine & Palliative Care Specialist,  's  Response
hi
your stress test indicates that you are more prone for cardiac ischaemia or more vulnerable for any cardiac ischaemia under stress.
2d-echo report : as such does not show more variations.
i suggest you to undergo an angiogram, to rule out the problems with coronary blood flow.
you have to start on antiplatelets, anti-cholesterol drugs,stop smoking.
angiogram will be more specific for initiating treatment , or to decide whether you have any specific blockage, which can be medically managed or requires any intervention.
all the best
take care
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How To Control High BP & Triglycerides?

hi your stress test indicates that you are more prone for cardiac ischaemia or more vulnerable for any cardiac ischaemia under stress. 2d-echo report : as such does not show more variations. i suggest you to undergo an angiogram, to rule out the problems with coronary blood flow. you have to start on antiplatelets, anti-cholesterol drugs,stop smoking. angiogram will be more specific for initiating treatment , or to decide whether you have any specific blockage, which can be medically managed or requires any intervention. all the best take care