<human>: about a year ago my boyfriend was diagnosed with high cholesteral. Last night he was really shaky, his heart was racing, and he felt really faint and blacked out a couple of times. he doesn t have insurance so he wouldn t go to the ER. could this be serious?
<bot>: Hello, Your boyfriend with high cholesterol level needs detail clinical evaluation to determine the cause of episodic tachycardia and syncopal attacks. Investigations should include 12 lead ECG with rhythm strip and 2-D Echocardiography (as needed). Meanwhile, for lowering of LDL cholesterol, l statin (e.g. atorvastatin) and for high Triglyceride level, Fenofibrate oral will be needed. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. 