Hello doctor, For the past three years, my 2D Echo seems to be deteriorating. My TMT is positive and CAG is recommended. Early stage cervical spondylosis too has been reported. I have attached my test reports for your reference. Currently I am taking Losar- H 25 mg. Please go through the reports and let me know if I have to be worried about something. It would be of help if you could suggest any medication for betterment. Thank you in advance.
Hi. I have gone through your case and can understand your genuine health concerns. I would like to assure you not to worry as everything is going to be fine. Proper care and treatment is what you require. According to the reports (attachment removed to protect patient identity) attached I will need few clarifications that are significant:  1. Slight increase in RBC (red blood cell) count will not cause much problem.  2. Regarding heart chambers, there are no clots seen and no problem with the resting (filling phase) of the heart.  3. There are no issues with the lungs as there is no pulmonary arterial hypertension or clots.  4. Raised ESR (erythrocyte sedimentation rate) value is due to the raised RBC counts.  5. Liver function is normal and no hepatitis B or C.  6. Lipid profile is deranged. Only medications will not help. You need to modify your lifestyle, change your diet and start exercising.  7. Fatty liver may be due to alcohol intake or due to age related deranged lipids.  8. Early changes are observed in the cervical spine.  9. Age related osteoporosis of the bones is seen on chest x-ray and heart seems to be enlarged. 1. Angiography is recommended to see the exact problem with the coronary blood vessels of the heart and also to see if there is a need for CABG (coronary artery bypass grafting) or only a stent placement (angioplasty) is enough right now.  2. Let me know if any assistance is required during the course of treatment. 1. Tablet Losartan is a good drug that you are taking. 2. It lowers blood pressure and decreases the risk of stroke in patients with high BP. 1. Avoid having heavy meals containing carbohydrates.  2. Fried fatty foods, junk foods and beverages should be avoided.  3. No added salts.  4. Take plenty of vegetables, salads, fruits and use Canola oil for cooking.  5. Deranged lipid profile is directly related to the heart's blood vessels resulting in bad health.  6. Walk for ten minutes in direct sunlight by applying sunscreen lotion and use sunglasses. So that you will get enough of vitamin D required for your body. Revert back with the investigation report to an internal medicine physician online.--->