My query belongs to my mother. She is 73 years old. She is not overweight. Few days back, suddenly she felt heavy headache and after few minutes had pain in her throat. We immediately checked her BP and it was high at 180. So, she had BP medicine and after half an hour she felt normal. Now I have done a test profile and attached it for your reference. Please advise us if there is any heart related issue.
Welcome to icliniq.com.
I want to assure you do not worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and reports (attachment removed to protect patient identity) and can well understand your genuine health concerns.
Coronary artery atherosclerosis but needs clinical correlation through physical examination and the following testing.Investigations to be done:
1. Fasting blood sugar levels.
3. LFTs (liver function tests) and RFTs (renal function tests).
4. Fasting lipid profile.
6. Exercise tolerance test.
Her cardiologist may advise after careful monitoring and diagnostic tests. Make an appointment as soon as possible with her cardiologist.Preventive measures:
1. Ask her to take nutritious food like green leafy vegetables and fruits like kiwi, avocado, banana and orange. Almonds and nuts are also good.
2. Give her Citrucel (Methylcellulose) dietary fiber supplement for good digestion and to control cholesterol.
3. Take 2-3 liters of water daily.
Revert back with the investigation reports to a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist
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She is not suffering with any condition such as diabetes, hypertension or thyroid. Her fasting blood glucose is normal. The reports of HbA1c, fasting lipid, LFT and RFT are attached already. Please check and advice her some medication to take before physical examination. Is it fine to go and meet her cardiologist in four to five days?
Welcome back to icliniq.com.
Thanks for providing the details. I have once again worked through your mother's case.
1. She has some factors in laboratory work that are indicative of high risk for heart diseases.
2. Every marker and test used for heart health evaluation is somewhat indicative of higher cardiac risk. But this is not an issue that may have developed today. It has developed in years.
3. Her cardiac evaluation is necessary but it is not an urgent emergency. You may go for that as you mentioned after four to five days.
The tests I had already seen. I meant to say that her cardiologist will need the following tests to evaluate her.Treatment plan:
Her cardiologist may advise after careful monitoring and diagnostic tests. Make an appointment as soon as possible with her cardiologist.Regarding follow up:
For further information consult a cardiologist online.---> https://www.icliniq.com/ask-a-doctor-online/cardiologist
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