###Human: I have TGL 530. Do I need to go for an angioplasty? ###Assistant: Hello. I guess you did not have any chest pain or any shortness of breath. Need for angiography and angioplasty depends not on the lipid level but on other tests like ECG and echo which helps to predict the possibility of blockages, and whether you had any chest pain or not. Also, the need for angiography depends on troponin level as well which is a marker of heart attack, which is elevated there (attachment removed to protect patient identity). So if it is truly elevated, then you will need an angiography. So overall, you need to undergo ECG, echo as well and if they show any abnormalities, then you will need angiography. If already undergone, then please upload here. If normal, then you will need stress tests like stress thallium or CT coronary angiography. Next, you need to be on medications for both deranged lipid profile like Rosuvastatin, Fenofibrate, maybe Aspirin and for deranged sugars. Without medications, unlikely to control these derangements, so should get started on medications. Need to have a healthy lifestyle like low calorie, sugar, fat and oily diet. Regular exercise like walking or brisk walking according to your capacity. Need to achieve weight loss.