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How can high cholesterol levels be managed?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 35-year-old male. My weight is 169 pounds, and my height is 5 feet 6 inches. What is a skipping pulse? Is it a blockage in the heart or not?

My test report is as follows,

  • Cholesterol: 247 mg/dL.
  • Triglycerides: 283 mg/dL.
  • Hdl: 43 mg/dL.
  • Ldl: 149 mg/dL.
  • VLDL: 57 mg/dL.
  • Non-HDL cholesterol: 204 mg/dL.
  • Lipoprotein A: 94 mg/dL.
  • HS-CRP: 8 mg/dL.
  • Sugar fasting: 90 mg/dL.
  • BP mostly: 130/85 mmHg.

Please guide.

Answered by Dr. Ilir Sharka

Education:

Faculty of Medicine

Professional Bio:

Dr. Ilir Sharka is a Cardiologist. He can diagnose and manage heart diseases such as coronary artery disease and heart failure. He can interpret ECG, echocardiography, and stress tests. He can help in hypertension management and lipid control. He can treat arrhythmias and conduction disorders. He also does interventional procedures, including angioplasty and stenting (where applicable). He can help in heart valve disease assessment and management. He can provide preventive cardiology and risk factor modification.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I recommend performing ambulatory ECG (electrocardiogram) monitoring for 24 to 48 hours to investigate any potential cardiac arrhythmias. I would also suggest conducting a complete blood count and assessing blood electrolytes for any possible imbalances that could trigger ectopic heartbeats.

Regarding your blood lipid profile, I recommend modifying your diet by avoiding fatty foods and sugar while increasing your intake of omega fatty acids (such as fish, fish oil, olive oil, and walnuts).

Additionally, I suggest considering a statin due to your blood lipid profile. Atorvastatin 20 mg daily for a month may help improve your lipid levels. Consult your specialist doctor, discuss with him or her, and take the medicines with their consent.

I hope this has been helpful.

If you have any other questions, please do not hesitate to ask me again.

Thank you.

Medically reviewed by Dr. K. Shobana
Published At March 18, 2018
Reviewed At May 5, 2026

Education:

Faculty of Medicine

Professional Bio:

Dr. Ilir Sharka is a Cardiologist. He can diagnose and manage heart diseases such as coronary artery disease and heart failure. He can interpret ECG, echocardiography, and stress tests. He can help in hypertension management and lipid control. He can treat arrhythmias and conduction disorders. He also does interventional procedures, including angioplasty and stenting (where applicable). He can help in heart valve disease assessment and management. He can provide preventive cardiology and risk factor modification.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

Faculty of Medicine

Professional Bio:

Dr. Ilir Sharka is a Cardiologist. He can diagnose and manage heart diseases such as coronary artery disease and heart failure. He can interpret ECG, echocardiography, and stress tests. He can help in hypertension management and lipid control. He can treat arrhythmias and conduction disorders. He also does interventional procedures, including angioplasty and stenting (where applicable). He can help in heart valve disease assessment and management. He can provide preventive cardiology and risk factor modification.

This doctor is not available for online consultations on the platform anymore.

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