Dr. Sadaf Mustafa
Internal Medicine
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
Please examine my heath checkup report with the CBC report extensively and help me to understand my present health condition.
Hello,
Welcome to icliniq.com.
I reviewed your reports. (attachment removed to protect patient identity).
All and all it looks very good but I have a few questions if you can answer them:
Do you have any one in the family with heart attack? If yes who were they and what were there ages? Did some one shred with you that you snore or stop breathing when you sleep? Do you live on a hilly or mountainous area, high altitude area or you travel frequently? Do you have any medical conditions, allergies or taking any supplements? Are you a vegetarian?
Patient's Query
Thank you doctor,
No family history of heart attack. Are my homocysteine levels very high? I do snore but I suffer from anxiety attacks sometimes in the night while sleeping or I feel I might have a heart attack.
My BP gets elevated sometimes because of heath anxiety when I visit a doctor, but at other times it is normally less than 140/90 mmHg. I am a non-vegetarian. How does my overall report look like? Kindly advise.
Hello,
Welcome back to icliniq.com.
Homocysteine levels are used as a predictor of cardiovascular outcome along with other indices. Your cholesterol panel looks good and you do not have diabetes yet. However, you carry a risk of developing it in the future because your blood sugar is more than 100 mg/dL and your hbA1c is more than 6. I would suggest you start working on losing weight and try to lose 10 kg over the next six to eight months. Luckily you do not have any family history of heart problems, so you do not need to take an Aspirin as of now.
Now coming to your blood pressure. The latest recommendations are that blood pressure of 140/90 mmHg is normal, but if you have higher numbers then this should be treated. Try to watch your intake of salt it will help.
The panic attacks in the night are not panic attacks. Looking into your blood work CBC (complete blood count), I see you have high hemoglobin that indicates that your oxygen drops in sleep that cause you to have this panic attack. This happens classically in a condition called obstructive sleep apnea. I would suggest a sleep study.
I hope this helps.
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Internal Medicine
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