Heart Health: Interpreting Your Checkup Results and Risks

Cardiac issues

Hello Doctor, I previously inquired about some issues, and this time I would like to ask about my health check report.

Static Electrocardiogram: Sinus bradycardia at 57 beats per minute.

Arterial stiffness analysis: Pulse wave analysis (1-7 scale) shows vascular elasticity analysis at level 5 (86.7%), level 6 (8.3%), and level 7 (5.0%) (two years ago it was at level 2, not as severe).

Blood analysis: Cholesterol is elevated at 262 mg/dl (normal range 0-200 mg/dl), triglycerides are elevated at 293 mg/dl (normal range 0-150 mg/dl), high-density lipoprotein (HDL) is 58 mg/dl (greater than 40 mg/dl), low-density lipoprotein (LDL) is 153 mg/dl (less than 130 mg/dl), LDL/HDL ratio is 2.64 (normal range 0-3.55), total cholesterol/HDL ratio is 4.52 (normal range 0-5.5).

Epithelial cells in urine sediment: 30-49 (normal range 0-5).

Other (urinalysis): Positive for red blood cell distribution density at 16.9% (normal range 11-16.9%).

I would like to ask the doctor if the values from the heart examination and vascular elasticity are serious and indicate a high probability of myocardial infarction? What methods can improve vascular elasticity? Regarding the urinalysis and red blood cell distribution, what issues are present, and do they affect vascular components?
I am 153 cm tall, weigh 60 kg, slightly overweight, with a systolic blood pressure of 111, diastolic blood pressure of 80, and a pulse of 71 (on the day of examination).
The check was done half a month ago.
Sometimes I feel dizzy, as if I might faint, and I am very afraid of suddenly having a myocardial infarction without anyone to help.
I have been living alone at home with a child who is just over three months old.
Is there hope for my health? I hope the doctor can help answer my questions, and I would be very grateful.

Miss Lin, 40~49 year old female. Ask Date: 2019/02/01

Dr. He Dongjin reply Cardiology

Hello, it's not that serious.
Don't scare yourself.
Vascular elasticity analysis is just an estimate and may not be entirely accurate.
Don't let the numbers control you.
If possible, engage in more exercise, control your diet, manage your weight, and regulate your blood lipids.
Stay relaxed; your body can be saved.
Peace from Changhua Hospital cares for you.

Reply Date: 2019/02/01

More Info

Interpreting your heart health checkup results and understanding the associated risks can be quite daunting, especially when faced with various medical terminologies and numbers. Let's break down your findings and address your concerns regarding heart health, vascular elasticity, and the implications of your lab results.

Heart Health Checkup Results
1. Electrocardiogram (ECG): Your resting heart rate of 57 beats per minute indicates bradycardia, which is a slower than normal heart rate. While bradycardia can be benign, especially in athletes or those who are physically fit, it can also indicate underlying issues, particularly if accompanied by symptoms like dizziness or fainting.

2. Vascular Elasticity Analysis: The results show a significant decline in vascular elasticity over the past two years, moving from a level 2 to level 5. This suggests that your blood vessels are becoming stiffer, which can increase the risk of cardiovascular events, including heart attacks. The fact that you have a level 6 and 7 indicates areas of concern that need to be addressed.

3. Lipid Profile: Your total cholesterol level of 262 mg/dL and triglycerides at 293 mg/dL are indeed elevated. High levels of LDL (low-density lipoprotein) cholesterol and triglycerides are risk factors for coronary artery disease (CAD) and can lead to atherosclerosis, which is the buildup of plaque in the arteries. Your HDL (high-density lipoprotein) level of 58 mg/dL is good, as higher levels of HDL can help protect against heart disease.

4. Urinalysis: The presence of red blood cells in your urine and the elevated epithelial cell count may indicate a urinary tract issue or other underlying conditions. While this may not directly affect your cardiovascular health, it is essential to follow up with your healthcare provider for further evaluation.

Risk of Myocardial Infarction (Heart Attack)
Given your elevated cholesterol and triglyceride levels, along with the findings of reduced vascular elasticity, there is an increased risk of myocardial infarction. However, it is essential to consider other factors such as family history, lifestyle, and overall health. Your blood pressure readings (111/80 mmHg) are within a normal range, which is a positive sign.

Improving Vascular Elasticity and Heart Health
1. Diet: Focus on a heart-healthy diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats (like those found in fish and nuts). Reducing saturated fats and sugars can help lower cholesterol levels.

2. Exercise: Regular physical activity can improve cardiovascular health and vascular elasticity. Aim for at least 150 minutes of moderate aerobic exercise each week, such as brisk walking, cycling, or swimming.

3. Weight Management: Maintaining a healthy weight can significantly impact your heart health. Given your height and weight, consider discussing a weight management plan with a healthcare provider.

4. Stress Management: Chronic stress can negatively affect heart health. Techniques such as mindfulness, yoga, or meditation can help manage stress levels.

5. Regular Checkups: Continue to monitor your heart health with regular checkups. Discuss your concerns about dizziness and any other symptoms with your healthcare provider, as they may warrant further investigation.

Conclusion
Your concerns about the risk of a heart attack are valid, especially given the current findings. However, with proactive management of your lifestyle and regular medical follow-ups, you can significantly improve your heart health and reduce risks. It’s crucial to maintain open communication with your healthcare provider, especially considering your responsibilities as a caregiver. They can provide personalized advice and support tailored to your specific health needs. Remember, taking small, consistent steps towards a healthier lifestyle can lead to significant improvements over time.

Similar Q&A

Understanding Blood Test Results: Heart Health Concerns Explained

Hello, on May 19th, I had a health check-up, and the blood test results showed some concerning values: total cholesterol 125, high-density lipoprotein (HDL) 39, urine pH 7, and a positive reaction for occult blood. Does this indicate a risk for cardiovascular disease? Additionall...

Dr. Lin Changqi reply Cardiology
Dear Sir/Madam, there should not be significant cardiac issues. The presence of hematuria should be evaluated by a urologist, but it is necessary to rule out menstruation or gynecological problems first. Thank you, Lin Chang-Chi.

Understanding Heart Health: Key Questions About Your Cardiovascular Checkup

Hello, Doctor. I have a few questions to ask. During a recent mountain climbing trip, I felt unwell, and the tour guide noticed that my blood oxygen level was low and my heart rate was high, suggesting that I go to the hospital for an examination. The results of the examination a...

Dr. Wu Xueming reply Cardiology
1. Chest pain can be classified as cardiac or non-cardiac. Cardiac chest pain, commonly known as angina, typically has the following characteristics: 1. It lasts for several minutes (2-10 minutes), is described as pressure-like, and may cause shortness of breath (like an elephant...

Understanding Your Cardiovascular Test Results: What They Mean for Your Health

Previously, I experienced left chest pain and consulted a cardiologist. On that day, I underwent a chest X-ray and an electrocardiogram, both of which were normal. Later, I was asked to have blood and urine tests. I suspected whether I might have a myocardial infarction, aortic d...

Dr. He Dongjin reply Cardiology
Hello, blood and urine tests show no significant abnormalities, but myocardial infarction or aortic dissection cannot be determined from these tests. Essentially, myocardial infarction or aortic dissection are emergencies and would not allow you to feel comfortable enough to ask ...

Understanding Abnormal Health Check Results: What You Need to Know

Hello, doctor: A few days ago, my school conducted health checks, and I have a few values that are not quite normal. Could you please explain what these values mean? What should I pay attention to on a regular basis? Thank you! T-G Triglycerides 324 mg/dL. Additionally, my mother...

Dr. Hong Shouhong reply Family Medicine
Cholesterol and triglycerides are components of blood lipids. Elevated levels of these two values indicate abnormal blood lipid levels, which can lead to an increased risk of vascular obstruction and vascular wall lesions, subsequently raising the likelihood of cardiovascular dis...