How to manage elevated LDL levels?

Question

Hello doctor,

I sometimes experience shortness of breath and a burning sensation in the chest after meals. I consulted with the doctor and was prescribed Domperidone with Esomeprazole to be taken in the morning. I also underwent some medical tests, including an ECG, and the report is attached. Please confirm the test results. I had a brain tumor (astrocytoma, grade 2) and underwent surgery a year ago.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

I have reviewed your reports (attachment removed to protect patient identity). The only significant finding is deranged cholesterol levels. Your LDL (low-density lipoprotein) cholesterol is mildly elevated, so it is advisable to maintain a healthy lifestyle by avoiding fatty, oily foods and incorporating daily exercise such as walking. No medication is required at present. You should repeat the lipid profile after three months of lifestyle modifications. The ECG (electrocardiogram) shows only minor changes, with no major or significant abnormalities, so there is nothing to be concerned about.

The symptoms are likely due to gastritis and reflux disease. You should take Domperidone and Omeprazole before breakfast for a week, and then as needed. Additionally, avoid spicy foods and heavy meals, and take a walk after meals rather than resting immediately. If you have received chemotherapy during treatment, an echocardiogram should be performed to rule out the possibility of heart damage from chemotherapy.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

LAHB stands for left anterior hemiblock, which is due to minor conduction defects and is not worrisome. Also, there is left axis deviation in the ECG, but not LAHB, and this is also not concerning. Therefore, the precautions to be taken are the lifestyle modifications I mentioned earlier. Otherwise, no further investigations or treatment are necessary from a cardiac perspective at present.

Thank you.