Suggest Treatment For Mild Hyper Homocysteinemia

Posted on Sat, 28 Mar 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 28 Mar 2015 Answered on

Fri, 17 Apr 2015 Last reviewed on

Question : My self referred reports for health check up cardiac are attached...Plse interpret and guide further medical management......

Answered by Dr. Nishad BN (1 hour later)

Brief Answer:
Just mild hyper homocysteinemia.

Detailed Answer:
Hi

Thank you for asking HCM.

I have gone through your query and reports. Your Reports all are within normal limits except mild homocysteinemia. Deficiencies in vitamin B12, folic acid and vitamin B6 are associated with raised homocysteine levels.

So Supplementation of vitamin B12 , folic acid and B6 will be helpful for this. Include full grains in your food. Taking cod fish liver oil is also good as your HDL level is in border.

Hope this may help you. Let me know if anything not clear.
Thanks.

Above answer was peer-reviewed by : Dr. Pradeep Vitta

Follow up: Dr. Nishad BN (1 hour later)

My lipoprotein (a) is also high? i may have artery blockage? i need to see a cardiologist for cardiac catherisation? neef more tests?

Answered by Dr. Nishad BN (15 minutes later)

Brief Answer:
Lipoprotein a is a risk factor for atherosclerosis and artery block.

Detailed Answer:
Hi

Thank you for your follow up query.

Sorry to mention about lipoprotein a. It is increased also. It doesn't mean that you have block and there is no indication to do tests like cardiac catheterisation. You can go for a cardiac check up including ECG, stress test and echocardiography after consulting a cardiologist. In case of any changes in that, an angiogram can be done to rule out any block.

Increase in Lipoprotein can be managed with low dose aspirin and Niacin. Taking anti oxidants and oily fish or cod fish liver oil is also good.

Let me know if anything not clear. I am happy to help you.
Thanks.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Nishad BN (2 hours later)

I had ecg which only showed probable lvh,, 2d echo thereafter came normal....should i go for angiography?

Answered by Dr. Nishad BN (9 minutes later)

Brief Answer:
It is not indicated but you can go for it if you wish to.

Detailed Answer:
Hi

Thank you for your follow up.

Just left ventricular hypertrophy is not an indication. It is indicated in case of abnormal stress test (ischemic findings) . But you can ask your cardiologist for it if you wish to do.

Let me know if anything not clear.
Thanks.

Above answer was peer-reviewed by : Dr. Raju A.T