The patient has been diagnosed with bp and lvh few yrs back and has been on medication telsar and amdopin.yearly checkup was done recently...
TMT positive for induced ischemia. With 2mm depression at v4,v6,3 and 4.no pain
Ecg positive for lvh
And echo normal
Tyroid activity has spiked ..with
tsh at 9.46, t3-1.01 ,t4 reading is 8 ( no tyroid problem earlier)
while
ldl cholesterol 124.6- and
HDl cholesterol -30
What further Investigation needed...like angiogram etc? Please guide.