Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What Causes Pain In The Chest After Physical Activity?

namaskar doctor, am saju 39 year old male, doing home appliance business in kerala... now am facing chest pain, while running or taking stare case,,, i daily takes cashew nuts and oily fried meat and fish . is it harmful ? my triglicride level is 320 am hoping your reply at the earliest

thank you
posted on Thu, 13 Mar 2014
Twitter Thu, 25 Sep 2014 Answered on
Twitter Thu, 25 Sep 2014 Last reviewed on
Report Abuse
General & Family Physician,  's  Response
Hi Saju,

Welcome to HCM.

Normal level of blood triglyceride is less than 150mg/dL. Based on the information you have provided your blood triglyceride levels of 320 mg/dL and are certainly high due to the reasons such as intake of fried food. Long term elevated levels of triglyceride will impair the ability of a given artery to dilate upon increasing the energy demand. In your case are the coronary arteries. Thus, when you increased the demand on the heart by running and/or climbing a staircase, your coronary arteries could not potentially keep up with the demand with the resultant chest pain. In other words, you are at a higher risk to develop heart attack in future.

In similar cases, I have advised fenofibrate and statins (simvastatin or atorvastatin) to reduce elevated triglyceride levels. It is very important that you reduce your intake of fried food and increase intake of vegetables and fruits, and foods rich in fiber. I cannot stress less that you should at least do brisk walking every day for 30minutes. Just to rule out whether you have any impending atherosclerotic plaque building in your coronary arteries, I would recommend getting an angiography done as well as an exercise stress test. Your further nature of management may depend upon the results from these tests.

Hope this helps.
I find this answer helpful
Note: For further queries related to coronary artery disease and prevention, click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
What Causes Pain In The Chest After Physical Activity?

Hi Saju, Welcome to HCM. Normal level of blood triglyceride is less than 150mg/dL. Based on the information you have provided your blood triglyceride levels of 320 mg/dL and are certainly high due to the reasons such as intake of fried food. Long term elevated levels of triglyceride will impair the ability of a given artery to dilate upon increasing the energy demand. In your case are the coronary arteries. Thus, when you increased the demand on the heart by running and/or climbing a staircase, your coronary arteries could not potentially keep up with the demand with the resultant chest pain. In other words, you are at a higher risk to develop heart attack in future. In similar cases, I have advised fenofibrate and statins (simvastatin or atorvastatin) to reduce elevated triglyceride levels. It is very important that you reduce your intake of fried food and increase intake of vegetables and fruits, and foods rich in fiber. I cannot stress less that you should at least do brisk walking every day for 30minutes. Just to rule out whether you have any impending atherosclerotic plaque building in your coronary arteries, I would recommend getting an angiography done as well as an exercise stress test. Your further nature of management may depend upon the results from these tests. Hope this helps.