Cardiovascular disease

Questions and answers on "Cardiovascular disease"

My recent HDL reading was over 200, but my LDL reading and triglyceride numbers were in the normal range. Should I be concerned over this healthy cholesteral reading being abnormally high?

doctor1 MD

Brief Answer:
HDL cholesterol is actually a good one

Detailed Answer:
Hello,

Thanks for posting your query,

I see no reason why you should be worried given that the bad cholesterols i.e LDL and triglycerides are within normal ranges meanwhile the HDL cholesterol which is the good cholesterol,...

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Hello
I had a blood panel done and noticed My ALT is Low,also HDL & LDL is low.What could this mean?
XXXXXX

doctor1 MD

Hello XXXXXXX and welcome to XXXXXXX

Thank you for writing to us.

Let me explain each aspect of your query for your better understanding. Starting with:
1. ALT (alanine aminotransferase): is an enzyme found in the blood which is mainly used to assess liver damage. Low levels of ALT are a normal...

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what happens when your blood sugar is over 500+ what to do when your blood sugar is over 500+

doctor1 MD

Hello, I am Dr XXXXXXXX, Blood Sugar 500 + means Uncontrolled Diabetes, and need visit endocrinologist/Diabetologist or Physician at earliest and get investigated for Diabetes and for Diabetes Micro vascular complication like Retinopathy, Nephropathy, Neuropathy and Macrovascular Complication...

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a friend had a MI nine years ago. He s been smoking/vaperizing marijuana for three or four of the last years. He also gets a heart palpultations occasionally but only when he is smoking it. He tells me it works for him, sleep. relax, fun, etc and would be very hard to stop. 1st question: is it critical he stop? 2nd question: I ve read mixed reports on marijuana use as causing a 3-5 fold increase in another MI while other studies suggest it actually helps cardiovascular disease . What is the truth? Thanks

doctor1 MD

Hi there ~

Having had or having a myocardial infarction is not something that you should disregard, especially when you also have heart palpitations. Though medical marijuana has been approved for chronic intractable pain in certain states of the united states of america, it is not yet in use or...

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What is a normal range for the Insulin Resistance score (IR). The paper I have states that anyhting <=45 is normal. However, after my fasting bloodwork I discovered that my score was 44. Does this indicate that I may be pre-diabetic? Just how much over 45 can that go before any treatment or medication is warranted? I am not obese and no one in my biological family has diabetes. I do eat fruit (apples, bananas, honeydew, watermellon) and low-fat yogurt, as I have found these to be healthy alternatives to candy and other "junk" food. Should I take a Chromium supplement as a precaution?

doctor1 MD

Hi AAAA
Thanks for writing in.
I am a medical specialist with an additional degree in cardiology. I read your mail with diligence for 70% of cardiology patients I see treat have Diabetes Mellitus too. Some 15 years ago I did some research in State University of New York on insulin resistance and...

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I HAVE A RAPID HEART RATE ONLY WHILE SLEEPING. IT WAKES ME UP. CAN YOU HELP

doctor1 MD

Brief Answer:
History suggestive of cardiovascular disease.

Detailed Answer:
Hello,
Thanks for posting your query on XXXXXXX
Rapid heart beat while sleeping is called orthopnoea.
This is caused by cardiovascular disease.
On lying down the stress on heart is increased.
This stress is due to...

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My husband suffered an aortic dissection in 2008. The tear extends from his heart valve down into his legs bilaterally, stopping just shy of the femoral arteries. He takes numerous meds to control his heart rate and blood pressure . He has been asked to undergo a polygraph test, but I have been advised by several polygraph administrators that this may be an unsafe procedure for him. How unsafe could this be?

doctor1 MD

Hi friend,
Welcome to Health Care Magic

The test only measures pulse, pressure, respiration and so on...

It can not do any harm by itself.
However people who lie may show changes in these parameters – which may harm, if there is an underlying, severe cardiovascular disease and disability.
No...

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I am healthy 63 year old female. Non smoker/ drinking 3 times a week/ odd Gin/ toninc or glass of wine. Healthy eater/ good diet. Lately my heart feels as if it bubbling/rumbling when I lie down doing nothing..not when I am up and about....Sometimes a little tight in the chest/ but not severe. No cardiac disease in my family. Healthy back ground. parents lived to over 85/94.
I am a pilates instructor and I dont feel this rumbling when I exercise or am up and about. My B/P is very normal. Low. 175/77..or thereabouts. I have just had a colonoscopy. Good results. What is this rumbling/feeling, as if heart is bubbling slightly??? But only when I half sit/relax or lying down to sleep. It started 4 weeks ago...

doctor1 MD

Hello.

Thanks for posting your query.

I suspect the possibility of palpitations, but I can not be very sure as I lack the opportunity of clinical examination. If it is not related to the activity, it is less likely to be cardiac symptoms. However, some cardiac problems such valve leak (aortic...

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hello doc,i am a chronis diabitic and hypersensitive. i also have borderline uric acid that is 5.98 it should be 6.00 for ladies. please tell me foods that will help me to reduce uric acid and control diabitis better. i have dibitis type 2, also let me know if i can eat sunflower kernels that is sunflower seed without shell. thank u. waiting for ur advice.

doctor1 MD

Hello
Your uric acid levels are normal.
You can eat sunflower seeds without shell.they are very good anti cholesterol and antioxidants.
You must control your blood sugar levels and blood pressure very meticulously as both of them are recognized as a major risk factor for cardiovascular disease...

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Recent questions on  Cardiovascular disease

doctor1 MD

My husband had his annual check up at 9:45, came home and 3-4 hours later died of coronary trombosis and hypertensive artherosclerosis cardiovascular disease. He was on medication for high blood pressure and his doctor knew that he also had high cholesterol. His doctor did not perform any stress test and he did not reccomended any angiograms or send him to see a cardiologist. That morning his blood pressure was 140/100 and doctor changed his high blood pressure medication and send him home.Is it possible that EKG did not show anything that morning? Is this a negligence? He was 48.

doctor1 MD

For the past 4 days, my blood pressure has been running anywhere from 130/95 to 120/102. My blood pressure is usually normal (typically 120/78 or so). I have high cholesterol and a family history of heart disease & am 51. What I don t understand is the numbers being close together. My last reading was 119/102.

doctor1 MD

I am a 44 year old male with a family history of hyperlipidemia and heart disease. My father had a AMI at age 50 and expired. His father expired at age 51 with an AMi. Both were sudden death. I had a Cardiac CTA yesterday which revealed a calcium score of 252. The report revealed a 70-80% blockage to the middle of the LAD with about 50% occlusion on both of the ends. Seeing a cardiologist tomorrow. What do you think the treatment will be for this?

doctor1 MD

I recently had an ECG after an abnormal EKG. The ECG showed vent. rate 108bpm Sinus tachycardia, PR interval 158 ms, possible left atrial enlargement, QRS duration 88 ms , nonspecific ST abnormality, QT/QTc 368/493 ms, abnormal ECG, P-R-T axes 70 48 58 and prolonged QT. The cardiologist didn t seem very concerned and felt the abnormality was because of the medication I was taking - remeron for sleeping; I suffer from chronic insomnia. I have been on this medication for over two years and have never had any side effects or problems with it. In the past three-four months, however, I have been experiencing chest pains, some severe which is why I went to my physician to get the first EKG which showed a fast heart beat and was referred to the cardiologist for an ECG, EKG and a stress test. I was only on the treadmill for maybe 4 1/3 minutes before I experienced SOB and chest pains. They repeated the ECG and I was told it was abnormal and to discuss my medications with my psychiatrist and that I had nothing to worry about. When I see abnormal ECG, EKG and am taking nitro tablets with a family history of heart disease (father COPD, CHF and angioplasty; grandfather died of a heart attack), I have a tendency not to believe the doctor. I have not even been contacted by my physician for a follow-up visit. Should I be concerned. Cancer also runs in my family; my father died of colon, liver CA and I am breast cancer survivor. I d appreciate your comments. Should I seek another opinion? Thanks, Mary Kopco YYYY@YYYY I am a 61 y.o. white female, 137 lbs w/ hx of cancer (bilateral mastectomy and hysterectomy for CA of uterus), osteoporosis and osteoarthritis, high cholesterol (328), allergic to any statin drugs, being treated with Zetia 10 mg 1 x/day. Presently taking nitro tabs for chest pain, oxybutityn for overactive bladder, clonazepam 1mg 3x/day for anxiety and depression. I look forward to your response. Thank you.

doctor1 MD

How do I help my wife of 40 + years who has developed dementia in the last two, getting worse all the time: memory, mood etc. I try to do everything I can for her but she does not cooperate a good share of the time. She sits in a recliner all day...

doctor1 MD

i lack vitamin D & Vitamin B12 .how manage this two naturally ?

doctor1 MD

I had completed my routine blood check up 5 days back, I have attached my report. Please review my report & let me know on the actions that need to be taken, am currently consuming 125 mg of thyroxine