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Medical Forum / General / Cardiology / May 2008baby asprin a day
WOuld it be a good idea to do this? I have heart blockage problems that run in my family. My dad had a stint at 52, bypass at 55. He has always been overweight. I am not. His brother had bypass at 36. I am 36 now. Just though it might be a good idea?? In article <5acc3e93-a3af-424c-be13-d4cdaa437b5d@27g2000hsf.googlegroups.com>, > WOuld it be a good idea to do this? I have heart blockage problems > that run in my family. My dad had a stint at 52, bypass at 55. He has > always been overweight. I am not. > > His brother had bypass at 36. I am 36 now. Just though it might be a > good idea?? I'd tell your PCP what you asked here. Why not ask for a cardio touch base. Bill Below a blast from SMC's past. ............................... Xref: sn-us sci.med.cardiology:143969 Path: sn-us!sn-feed-sjc-03!sn-xt-sjc-11!sn-xt-sjc-09!sn-xt-sjc-14!supernews.com !newsfeed.news2me.com!cycny01.gnilink.net!spamkiller.gnilink.net!gnilink. net!trnddc04.POSTED!c63308e9!not-for-mail From: Jim Chinnis <jchinnis@SPAMalum.mit.edu> Newsgroups: sci.med.cardiology Subject: Re: both ct scan and thallium stress test? Message-ID: <ft14k2d109f54rnij1dl7onal9ekap48js@4ax.com> References: <Bj70h.81294$073.59391@trnddc01> <n4b2k2ljdkc4j1rq1q7burp04plah5u42f@4ax.com> <None-F9EBF4.20551726102006@geraldo.cc.utexas.edu> X-Newsreader: Forte Agent 4.1/32.1088 MIME-Version: 1.0 Content-Type: text/plain; charset=us-ascii Content-Transfer-Encoding: 7bit Lines: 76 Date: Fri, 27 Oct 2006 13:33:03 GMT NNTP-Posting-Host: 70.104.224.213 X-Complaints-To: abuse@verizon.net X-Trace: trnddc04 1161955983 70.104.224.213 (Fri, 27 Oct 2006 09:33:03 EDT) NNTP-Posting-Date: Fri, 27 Oct 2006 09:33:03 EDT Joe Doe <None@mail.utexas.edu> wrote in part: >In article <n4b2k2ljdkc4j1rq1q7burp04plah5u42f@4ax.com>, > Jim Chinnis <jchinnis@SPAMalum.mit.edu> wrote: > >> "mdb" <milo_dhuey@yahoo.com> wrote in part: >> >> >My cardiologist has recommended that I have both a thallium stress test and >> >a CT scan of the heart, to rule out any heart problems for me. The reason >> >for the tests is that my brother, 3 yrs older than me at 58, recently had a >> >heart attack and subsequently had triple bypass surgery. It seems to me that >> >the CT scan would give a better answer about possible calcification and >> >would eliminate the need for the stress test. I'm trying to keep costs down >> >while still getting an accurate picture of my heart. Does anyone know if >> >both tests really are necessary? >> > [quoted text clipped - 4 lines] >> The ct scan shows only calcified plaque. The thallium test can detect >> uncalcified (and probably more dangerous) plaque. I think that sometimes the >> ct is done first. if it is really clear, there may be little probability of >> major plaque buildup that the thallium would detect. The combination of >> tests definitely gives a better picture than either alone. >> -- [quoted text clipped - 21 lines] >Given the fact that the non invasive diagnostics are crappy, I would be >biased towards medical intervention at the smallest anomaly (bad lipids, >blood pressure etc.). > [quoted text clipped - 3 lines] > >Roland I agree completely. I also think that the crux of the issue is: "Given the fact that the non invasive diagnostics are crappy, I would be biased towards medical intervention at the smallest anomaly (bad lipids, blood pressure etc.)." Atherosclerosis is so widespread in my family, that both my internist and I felt that a Ca score of 216 at age 57, even though followed by a normal thallium stress test, was good enough reason to adopt several interventions: low-dose aspirin, tighter control of blood pressure, weight loss back to my age 21 weight, a gym membership (and follow-through!), several changes to my diet, plus 10 mg of Lipitor. Given *my* situation, I might have opted for more invasive testing before taking on the Lipitor, but I decided not to. It's been six years now. -- Jim Chinnis Warrenton, Virginia, USA  SignatureGarden in shade zone 5 S Jersey USA > WOuld it be a good idea to do this? It would be for all folks with black fat (VAT) if there are no contraindications (allergy to aspirin, low platelet count, GI intolerance, etc): http://HeartMDPhD.com/BlackFat In our collective clinical experience, all folks who are eating until they are full (no longer hungry) have VAT. > I have heart blockage problems > that run in my family. My dad had a stint at 52, bypass at 55. He has > always been overweight. I am not. You may still have VAT. > His brother had bypass at 36. I am 36 now. Just though it might be a > good idea?? See above. If you choose to start aspirin for primary prevention of cardiovascular events, it would be wise for you to inform your doctor. Regardless of whether you take aspirin or not, it remains smart to eat less, down to the right amount to lose the VAT: http://HeartMDPhD.com/BeSmart Here again is that simple parable provided in hopes of promoting much greater understanding: http://HeartMDPhD.com/Parable Life in industrialized countries is essentially life in blessed feed lots. Be hungry... be healthy... be hungrier... be healthier: http://TheWellnessFoundation.com/BeHealthier Prayerfully in the infinite power and might of the Holy Spirit, Andrew <>< -- Andrew B. Chung, MD/PhD Lawful steward of http://EmoryCardiology.com A latter-day disciple of the KING of kings and LORD of lords. http://HeartMDPhD.com/HolySpirit/DiscipleNow > WOuld it be a good idea to do this? I have heart blockage problems > that run in my family. My dad had a stint at 52, bypass at 55. He has > always been overweight. I am not. > > His brother had bypass at 36. I am 36 now. Just though it might be a > good idea?? Rather strange you did not mention your heart blockage problem in your other thread a few days ago or did you just find out. Might be a good idea to list all your problems if you are really seriousc - certain there can be some question of that - hmmm, could you be a Chungie sock-puppet > On Wed, 7 May 2008 9:06:14 -0500, stryped wrote > (in message [quoted text clipped - 13 lines] > certain there can be some question of that - hmmm, could you be a Chungie > sock-puppet I dont have blockage problems. (That I know of). I was saying there is a family history of this on my dad's side. What is "black fat"? > > On Wed, 7 May 2008 9:06:14 -0500, stryped wrote > > (in message [quoted text clipped - 20 lines] > > - Show quoted text - "Black fat" is not a term that is used in human medicine. It is only used by Andrew B. Chung. Google him or search these newsgroups for his posts and then decide if you want to take anything he might say seriously. You have a significant family history of premature coronary artery disease. This is a risk factory for the possibility that you may have coronary artery disease, regardless of your weight or activity level. Other risks are male gender, diabetes, hypertension, smoking and unfavorable lipid panel. Have your primary care physician advise you on what further testing you should have. On May 7, 2:07 pm, yamant...@aol.com wrote: > > > On Wed, 7 May 2008 9:06:14 -0500, stryped wrote > > > (in message [quoted text clipped - 34 lines] > > - Show quoted text - I stand corrected. I misread that it was your own brother that had the bypass at 36, not that it was your paternal uncle. Nonetheless, you still have some risk of coronary artery disease due to the early age of bypass in your male relatives, even though your uncle is not a first degree relative (ie brother or parent). > On Wed, 7 May 2008 9:06:14 -0500, stryped wrote > (in message [quoted text clipped - 13 lines] > certain there can be some question of that - hmmm, could you be a Chungie > sock-puppet I had a ct scan last year. It said they could not see my appendix because of the "paucity of fat". Is this waht you are talking about? I am 6 feet tall 163lbs and 9.8% bodyfat. I run about 15-20 miles a week. > I had a ct scan last year. It said they could not see my appendix > because of the "paucity of fat". > Is this waht you are talking about? This would suggest you have very little visceral adipose tissue (VAT). > I am 6 feet tall 163lbs and 9.8% bodyfat. I run about 15-20 miles a week. There is VAT whenever there is overeating not matter the exercise: http://HeartMDPhD.com/BeSmart <>< http://HeartMDPhD.com/HolySpirit/Counsels >> On Wed, 7 May 2008 9:06:14 -0500, stryped wrote >> (in message [quoted text clipped - 17 lines] >because of the "paucity of fat". Is this waht you are talking about? I >am 6 feet tall 163lbs and 9.8% bodyfat. I run about 15-20 miles a week. "Paucity" means "lack of." TGhat doesn't make much sense that lack of fat would keep them from seeing your appendix on a CT scan! --- Zob http://HeartMDPhD.com/Convicts/PrayForZob > > satan via a sockpuppet (corporeal demon) despairingly posted: > >> [quoted text clipped - 18 lines] > "Paucity" means "lack of." TGhat doesn't make much sense that lack of > fat would keep them from seeing your appendix on a CT scan! Visceral adipose tissue (VAT) can serve to "bring out" imaging of intraabdominal structures by increasing separation between something small like the appendix from the rest of the intestinal tract. VAT is afterall intraabdominal. Be hungry... be healthy... be hungrier... be healthier: http://TheWellnessFoundation.com/BeHealthier Prayerfully in the infinite power and might of the Holy Spirit, Andrew <>< -- Andrew B. Chung, MD/PhD Lawful steward of http://EmoryCardiology.com A latter-day disciple of the KING of kings and LORD of lords. http://HeartMDPhD.com/HolySpirit/DiscipleNow |
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