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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do My Lab Test Reports Indicate?

i m 61-weight 77kg-height 5 4 -retired banker-tmt +ve.at 6 to 9 mnts walking on tmt.angiogram done on 16.09.2013 -findings-normal coronaries-slow flow in LAD-pathological reports-as of 22.12.2014-hdl37.02.0mg/dl- ldl 75.01mg/dl- vldl 14.0 -serum triglycerides 70.0mg/dl- serum cholesterol 107.84mg/dl serum urea 19.49mg/dl- serum creatine 1.20mg/dl haemoglobin 14.02g/dl-pcv 44.02%-rbc 6.21 million/ul-mcv 71.07fl-mch22.91pg-mchc 32.24g/dl- total leucocyte count 8700number/ul eosinophils 5%-platelet count 2.88lacs/cumm. now taking ecosprin ev 75/20,sorbex gold since last 2yrs. feeling breathlessness when climbing stairs. is taking aspirin has any side effects or advise further action ? Your s Surendra Jena-0000-balasore-756001-odisha
Thu, 21 Dec 2023
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General & Family Physician 's  Response
Hi,

In your case, most of the pathological reports of blood are almost in reference range & non- contributing for the diagnosis of your disease process. However, coronary slow flow is to be also considered a disease identity, even if the coronary arteries are completely patent & not showing any blockage on angiography. These patients usually present repeated symptoms of chest pain & breathlessness, even at rest (unstable angina).

In your case as the TMT is also positive, hence the presentation of symptoms will be more frequent. These patients usually require frequent re-evaluations of the symptoms by repeated serial investigations. Aspirin is not responsible for your symptom, rather it is your disease process itself resulting in your symptoms.

You may also need another re-evaluation of your symptoms, with appropriate investigations etc., and your treatment regimen may be intracoronary infusion of dipyridamole, adenosine or atropine in acute presentation and other treatment for relief in the symptoms of angina etc. by Dipyridamole, Diltiazem, Nebivolol, Telmesartan, Atorvastatin etc., under guidance of your cardiologist.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Satnarain Bansal, General & Family Physician
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What Do My Lab Test Reports Indicate?

Hi, In your case, most of the pathological reports of blood are almost in reference range & non- contributing for the diagnosis of your disease process. However, coronary slow flow is to be also considered a disease identity, even if the coronary arteries are completely patent & not showing any blockage on angiography. These patients usually present repeated symptoms of chest pain & breathlessness, even at rest (unstable angina). In your case as the TMT is also positive, hence the presentation of symptoms will be more frequent. These patients usually require frequent re-evaluations of the symptoms by repeated serial investigations. Aspirin is not responsible for your symptom, rather it is your disease process itself resulting in your symptoms. You may also need another re-evaluation of your symptoms, with appropriate investigations etc., and your treatment regimen may be intracoronary infusion of dipyridamole, adenosine or atropine in acute presentation and other treatment for relief in the symptoms of angina etc. by Dipyridamole, Diltiazem, Nebivolol, Telmesartan, Atorvastatin etc., under guidance of your cardiologist. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Satnarain Bansal, General & Family Physician