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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For High Cholesterol Levels

47 year old female with strong family history of heart disease, normal weight (5'5" 132 lbs) but with high cholesterol (currently 226) for several years. Blood pressure normal (last week at doctor 102/80). 2 yrs ago had a cardiolite test and stress echo done, followed by cardiac CAT scan due to difficulties reading cardiolite scan. Tests showed 3 arteries w/30-40% blockage also found previously unknown mitral valve prolapse (not full prolapse, more like loose movement with only slight thickening and regurgitation is not seen with every beat). Stress test/EKG last year normal. Just had cardiolite and stress echo repeated last week. Dr. called and said a defect showed up on EKG this time, he does not think it is arterial blockage. I will be going back in a month for follow-up visit. Could the mitral valve show up as an abnormality on the EKG? I am essentially asymptomatic with no angina, occasional (once or twice a month) some chest "tightness" not necessarily triggered by activity. No meds currently for cholesterol, take Cardizem CD and aspirin daily.
Tue, 5 Jul 2016
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Cardiologist 's  Response
Dear Madam
Thanks for your query
1. The need of medication for cholesterol depends upon many factors including the fact that if LDL cholesterol is raised or not. LDL cholesterol is a fraction of total cholesterol. Hence treatment can not be decided just by value of total cholesterol.
2. Mitral valve prolapse can produce EKG changes only when it is associated with Severe mitral regurgitation. Else occasional pre-mature beats may occur with MVP which are usually insignificant.
Feel free to discuss further.
Sincerely
Sukhvinder
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Suggest Treatment For High Cholesterol Levels

Dear Madam Thanks for your query 1. The need of medication for cholesterol depends upon many factors including the fact that if LDL cholesterol is raised or not. LDL cholesterol is a fraction of total cholesterol. Hence treatment can not be decided just by value of total cholesterol. 2. Mitral valve prolapse can produce EKG changes only when it is associated with Severe mitral regurgitation. Else occasional pre-mature beats may occur with MVP which are usually insignificant. Feel free to discuss further. Sincerely Sukhvinder