HELP: What tests to request from Cardiologist

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Canadian416
New Member


Date Joined Aug 2017
Total Posts : 1
   Posted 8/12/2017 5:12 PM (GMT -6)   
Hi everyone,

I was hoping that someone could give me some guidance. I am a 29 year old male, 245 lbs, 5'10. I have had high blood pressure over the past few years but have kept it under control (128/80 range) since starting chlorthalidone in 2015. I also take dexilant for GERD.

One month ago today, my father passed away suddenly and unexpectedly. One week before his passing, he had a heart attack and two stents were placed in his heart. The results of his angiogram were as follows:VIEW IMAGE

We believe the cause of his death was a pulmonary embolism, but we are not sure. My father was a celiac who ate a strict gluten-free diet, he smoked marijuana for most of his life, but never drank. He also had liver disease that he received treatment for twice and was finally cured in late 2015. He was at the weight that he should have been for his height, no history of high blood pressure.

My father's grandfather died from heart disease, as did his father, and now him as well. My mother's parents both had heart disease (which killed only one of her parents), and my mother was born with subclavian steel but has never had any health problems in her life nor does she seem to have any heart related issues.

Since the death of my father, my primary physician has referred me to a cardiologist (on my request) to have my heart checked for peace of mind. Given that I am not the most healthy in terms of body weight and what not, I am quite worried that my father's end-result will also be my destiny.

When I see the cardiologist in September, I would like to have all of the comprehensive tests done that will be able to determine the state of my heart, arteries etc.

What tests should I be requesting?

I recently did a 72 hour holter monitor that was normal. It showed a few dropped heart beats but outside of that, everything was normal. I also had the following blood tests done recently that my doctor was pleased about.





-------------------------

The results of my blood tests are as follows:


....................................................Flags.....Results.....Reference.....Units

Glucose Fasting.................................................4.2...........3.6-6.0.......mmol/L
Hemoglobin A1C/Total Hemoglobin......................5.4...........<6.0..........%

Performed on new instrumentation from the
manufacturer. Testing procedure remains the same.
===============================================
CDA 2013 Guidelines:
-------------------------------------------------
Screening and Diagnosis:
<5.5 % Normal
5.5% - 5.9 % At risk
6.0% - 6.4 % Prediabetes
>OR= 6.5 % Diabetes Mellitus

If HbA1c >OR= 6.5 % and asymptomatic, confirm
using Fasting Glucose, HbA1c or 75g OGTT.


Lipids.........................Flags.....Results.....Reference.....Units
Hours After Meal......................N/A............................Hours
Triglyceride.............................1.90...........................mmol/L
Cholesterol..............................4.70..........................mmol/L
HDL Cholesterol.......................1.12..........................mmol/L
Non HDL Cholesterol................3.58..........................mmol/L

Non HDL-Cholesterol is not affected by the fasting status of the patient

LDL Cholesterol.......................2.72............................mmol/L

LDL-C calculation is decreased if fasting
< or = 10 hours. Consider the Non HDL-C value as
an alternate lipid target if monitoring treatment
in intermediate or high risk patients.


Cholesterol/HDL Cholesterol........4.2

Lipid Target Values should be based on patient
10 year CVD risk assessment.

! High or Intermediate CVD risk
-----------!-----------------------------------
Primary ! LDL-C < or = 2.0 mmol/L OR
Tx target ! > or = 50% decrease in LDL-C
!
Alternate ! Non HDL-C < or = 2.6 mmol/L OR
Tx target ! ApoB < or = 0.8 g/L
-----------!-----------------------------------
! Low CVD risk
-----------!-----------------------------------
Primary !> or = 50% decrease in LDL-C
Tx target !
-----------------------------------------------

......................................Flags.....Results.....Reference.....Units
Thyroid TSH........................................1.0........0.32-4.00.....mlU/L

Post Edited (Canadian416) : 8/12/2017 5:48:42 PM (GMT-6)


theHTreturns...
Elite Member


Date Joined Mar 2009
Total Posts : 19621
   Posted 8/13/2017 12:37 AM (GMT -6)   
am sorry for your recent loss. welcome to the forum. so doc checked ya sugars, lipids and thyroid. we can't give medical advice........however i would print your post as it says everything the cardiologist needs to hear. i will just say cholesterol..cough.....and leave it at this. me too, and it caught me out....all the correct tests will be done, cardiologists don't mess about. keep well.
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