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Medical Forum / General / Cardiology / May 2006What's a person to do???
Hubby had a heart attack 2 years ago. 59 yo / low normal blood pressure / low normal cholesterol / very lean / very active (tradesman) / picture of health most would say / good diet / no smoke or booze. Right coronary artery blocked and had a stent implanted. He's VERY lucky to be here. 1 1/2 years after his HA he had another event. Stent implanted LAD. The angiogram shows the LAD to be clear when he had the stent implanted in his RCA a year and a half before. After a year and a half there was no room for improvement in lifestyle. He took the usual cocktail of meds after the HA and was weaned off due to his doing so well. Now, after the LAD stent he is on Plavix, aspirin, Niaspan, Lipitor, fish oils. He is seeing a lipid specialist/cardiologist. His numbers are good, but they were before all this too. Now he just stopped his Lipitor due to severe muscle cramps and the doc wrote him a script for Zetia. He'll start that tomorrow. I don't mind telling you that I am not confident about the Zetia. I hate that he is on the cholesterol med, but afraid too. I have been reading this NG for a long time and have studied nutrition / various med problems / and meds for the past 30 years. I have a somewhat wide macrobiotic practice myself. The last time I was tested, my cholesterol was UP / trigs WAY UP / HDL down. So the conclusion I think I am coming to is that I don't know sh** from shinola and neither does anybody else. I apologize for the long rant, but I felt the need tonight for some odd reason. Thanks for listening. > Hubby had a heart attack 2 years ago. 59 yo / low normal blood pressure > / low normal cholesterol / very lean / very active (tradesman) / [quoted text clipped - 19 lines] > shinola and neither does anybody else. I apologize for the long rant, but > I felt the need tonight for some odd reason. Thanks for listening. I had muscle cramps and muscle twitching on Lipitor and then on Zocor. I'm now on Pravachol and no muscle problems. According to my doc, it is metabolized differently than the other statins. It's not as effective as Lipitor or Zocor in reducing cholesterol but it is good enough. Total 150 & LDL 80 on 20 mg dose. I actually split the pill and take 10 mg in am and 10 mg in pm. That keeps the blood serum concentration from peaking as much as with a single dose (my theory). sounds like a good and reasonable theory LOL. Hubby had problems with Zocor and then another one / I think it was atorvastatin? Can't remember right now. So the Lipitor was his 3rd one. All we can do is hope that the Zetia does it's job. I mean what's the alternative? lol > sounds like a good and reasonable theory LOL. Hubby had problems with > Zocor and then another one / I think it was atorvastatin? Can't remember > right now. So the Lipitor was his 3rd one. All we can do is hope that the > Zetia does it's job. I mean what's the alternative? lol Here one. Best Bill ............................ VITAL SIGNS: NUTRITION; Red Grapefruit Earns a Star on Chole... http://query.nytimes.com/gst/fullpage.html?sec=health&res=9F03E... 1 of 2 5/20/06 6:28 AM VITAL SIGNS: NUTRITION; Red Grapefruit Earns a Star on Cholesterol By NICHOLAS BAKALAR Published: February 21, 2006 VITAL SIGNS: NUTRITION; Red Grapefruit Earns a Star on Chole... http://query.nytimes.com/gst/fullpage.html?sec=health&res=9F03E... 2 of 2 5/20/06 6:28 AM More Articles in Health > Grapefruit, especially the deep red star ruby variety, can help reduce cholesterol in some patients who do not respond to statin drugs, researchers in Israel are reporting. The researchers tested 57 patients ages 39 to 72 who had undergone coronary bypass surgery and had found that Zocor, or simvastatin, was ineffective. They divided them randomly into three groups. Each group consumed the same diet, except that one ate one red grapefruit daily, the second ate one white grapefruit, and the third ate no grapefruit at all. None took lipid-lowering drugs during the test. After one month, there were no differences in the heart rate, blood pressure or weight of the three groups. Antioxidant activity in both white and red groups was increased compared with the group that ate no grapefruit. But the group that ate red grapefruit every day also had significantly decreased blood levels of triglycerides. The findings will be published in the March 22 issue of The Journal of Agriculture and Food Chemistry. Although it is well known that grapefruit and other citrus fruits contain antioxidants that help control lipid levels, the researchers are unsure exactly what components of red grapefruit make it so much more effective than other varieties. In any case, Shela Gorinstein of the Hebrew University of Jerusalem School of Pharmacy, the study's lead author, said that eating red grapefruit would ''most probably'' help anyone with high cholesterol, not just heart patients. The star ruby grapefruit has a yellow peel with a red blush and an intensely red pulp. It is very sweet, and has few or no seeds. Home World U.S. N.Y. / Region Business Technology Science Health Sports Opinion Arts Style Travel Jobs Real Estate Autos Back to Top Copyright 2006 The New York Times Company Privacy Policy Search Corrections XML Help Contact Us Work for Us Site Map  SignatureS Jersey USA Zone 5 Shade This article is posted under fair use rules in accordance with Title 17 U.S.C. Section 107, and is strictly for the educational and informative purposes. This material is distributed without profit. > Now he just stopped his Lipitor due to severe muscle cramps and the doc > wrote him a script for Zetia. He'll start that tomorrow. I don't mind > telling you that I am not confident about the Zetia. I hate that he is on > the cholesterol med, but afraid too. Zetia mechanism of action is different from the statins. It works by interfering with cholesterol absorption in the digestive tract while the statins interfere with cholesterol synthesis. Fiber in oatmeal etc. works in an analogous way to Zetia. While you may not like the idea of drugs it is worth at least trying it to see if he can tolerate it. Best wishes. Roland |
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