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Medical Forum / General / Cardiology / March 2007

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arterial diseases/inflammations/heart, etc (auto-immune/hormonal induced)

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PetShopQueen007 - 25 Mar 2007 05:25 GMT
im sure most of you have been reading up on my saga of a mess.

anyways, on my recent DVT scan, everything was decompressible, except
for this area near the bottom of my right leg.. above and behind the
ankle, where the tech and my doc think its some sort of arterial
disease. im 25!
but i have a history of non-specific auto-immune problems.. high
ANA's, polycystic ovarian syndrome (high testosterone, etc), but
perfect cholesterols.
my mom has had a history of plaque buildup in her arteries and her
brain.

i do know, that this could also be a sign of something widespread..
and might.. possibly be whats going on with my heart.. or pulmonary
artery (which everyone keeps thinking is the origin, as do i). PE
seems to have been ruled out, at least a current one, had my echos,
etc.. everything is good there, its just my symptoms and EKG show some
right hearted problems.

so, lets say i go along with the cath, like the doc said i could think
about.
he suggested a right heart/pulmonary cath... but could they also do
that along with a main cath of my other arteries.. to test for any
coronary blockages or abnormalities, in the same session? or would
they have to order these as two separate cath tests?

ok, and say they do find something. like plaque or buildup from
soemthing, or scar tissue from soemthing with my auto-immune
disorder..  can they fix this? can they go in and clear it out like
they would with someone with regular blocked arteries?

i really need some more info on this type of a thing and experiences
and opinions. my doc brought this up...and this has been another thing
ive been thinking of. like an idiot, i always remember things i wanted
to ask.. after i get home.

thanks.
Andrew B. Chung, MD/PhD - 25 Mar 2007 09:45 GMT
> im sure most of you have been reading up on my saga of a mess.
>
> anyways, on my recent DVT scan, everything was decompressible, except
> for this area near the bottom of my right leg.. above and behind the
> ankle, where the tech and my doc think its some sort of arterial
> disease. im 25!

It remains possible.

> but i have a history of non-specific auto-immune problems.. high
> ANA's, polycystic ovarian syndrome (high testosterone, etc), but
> perfect cholesterols.

What many call polycystic ovarian syndrome is actually metabolic
syndrome (MetS).

This arises from one having to much visceral adipose tissue (VAT).

Here's how to lose the VAT:

http://HeartMDPhD.com/HolySpirit/overweight.asp

> my mom has had a history of plaque buildup in her arteries and her
> brain.

It is likely that MetS has been behind your mom's atherosclerosis.

> i do know, that this could also be a sign of something widespread..
> and might.. possibly be whats going on with my heart.. or pulmonary
> artery (which everyone keeps thinking is the origin, as do i). PE
> seems to have been ruled out, at least a current one, had my echos,
> etc.. everything is good there, its just my symptoms and EKG show some
> right hearted problems.

Folks with high ANAs are at higher risk for having anti-phospholipid
antibodies which will make them hypercoagulable (ie have a higher risk
for having PEs).

This is treated with warfarin anticoagulation.

> so, lets say i go along with the cath, like the doc said i could think
> about.
> he suggested a right heart/pulmonary cath... but could they also do
> that along with a main cath of my other arteries.. to test for any
> coronary blockages or abnormalities, in the same session?

It is not indicated because your stress testing did not reveal any
inducible ischemia.

> or would
> they have to order these as two separate cath tests?

It could be done in the same setting but again, it would not be
indicated in your particular case.

> ok, and say they do find something. like plaque or buildup from
> soemthing, or scar tissue from soemthing with my auto-immune
> disorder..  can they fix this?

It is likely that they will discover that indeed you have pulmonary
hypertension.

> can they go in and clear it out like
> they would with someone with regular blocked arteries?

No.

> i really need some more info on this type of a thing and experiences
> and opinions. my doc brought this up...and this has been another thing
> ive been thinking of. like an idiot, i always remember things i wanted
> to ask.. after i get home.
>
> thanks.

Would redirect your thanks to GOD so that we will both be blessed.

Prayerfully in Jesus' ever-lasting love,

Andrew <><
--
Andrew B. Chung, MD/PhD
http://EmoryCardiology.com

May HIS immortal brethren pray for our dying mortal friends and
neighbors:
http://HeartMDPhD.com/Convicts

Especially dear Bob(this one) Pastorio:
http://bobs-amanuensis.livejournal.com/4211.html
http://pics.livejournal.com/bobs_amanuensis/pic/0000z24f/g1
PetShopQueen007 - 25 Mar 2007 11:30 GMT
> What many call polycystic ovarian syndrome is actually metabolic
> syndrome (MetS).
[quoted text clipped - 4 lines]
>
> http://HeartMDPhD.com/HolySpirit/overweight.asp

um, im underweight actually. never been overweight.. never ever had a
weight problem. i eat good..

im 5 foot 2 and 118 pounds.. sometimes 122 at most.

> It is likely that MetS has been behind your mom's atherosclerosis.

my moms always been severely underweght from other problems as well.

though, she does have severe hypogylcemia..

> Folks with high ANAs are at higher risk for having anti-phospholipid
> antibodies which will make them hypercoagulable (ie have a higher risk
> for having PEs).
>
> This is treated with warfarin anticoagulation.

yes.

> It is not indicated because your stress testing did not reveal any
> inducible ischemia.

it found non-specific st-t waves. hwever, i prolly wasnt even on the
treadmill long enough for them to have really seen anything anyway ,
if it was to be induced.

> > or would
> > they have to order these as two separate cath tests?
>
> It could be done in the same setting but again, it would not be
> indicated in your particular case.

i think it should be.. given the situation. just to check to see if
theres any early stages of soemthing. people can develop AS starting
in childhood. can be plaque.. or even effect from the extra
antibodies.

> > ok, and say they do find something. like plaque or buildup from
> > soemthing, or scar tissue from soemthing with my auto-immune
> > disorder..  can they fix this?
>
> It is likely that they will discover that indeed you have pulmonary
> hypertension.

god forbid its PPH. and its secondary to soemthing they can fix. that
sh.ts scary.
i knew a girl in high school who had that.. and she dropped dead right
there suddenly one day. a year after being diagnosed.

> > can they go in and clear it out like
> > they would with someone with regular blocked arteries?
>
> No.

are you sure? im sure theres 'something' they can do. they do it with
the other stuff. or they can put something in my artery to help flow.
Andrew B. Chung, MD/PhD - 25 Mar 2007 13:39 GMT
> > What many call polycystic ovarian syndrome is actually metabolic
> > syndrome (MetS).
[quoted text clipped - 7 lines]
> um, im underweight actually. never been overweight.. never ever had a
> weight problem. i eat good..

You may still be eating too much.

> im 5 foot 2 and 118 pounds.. sometimes 122 at most.

You may have 10 lbs of VAT... sometimes 14 lbs at most.

For some folks, just a few ounces of VAT is enough to cause MetS.

> > It is likely that MetS has been behind your mom's atherosclerosis.
>
> my moms always been severely underweght from other problems as well.
>
> though, she does have severe hypogylcemia..

That would indicate she has insulin resistance which would be
consistent with MetS.

> > Folks with high ANAs are at higher risk for having anti-phospholipid
> > antibodies which will make them hypercoagulable (ie have a higher risk
[quoted text clipped - 10 lines]
> treadmill long enough for them to have really seen anything anyway ,
> if it was to be induced.

If occlusive coronary disease was the source of your symptoms and
limited the time you could endure the treadmill exercise, it would
have shown itself during the test no matter how little time it took.

> > > or would
> > > they have to order these as two separate cath tests?
[quoted text clipped - 6 lines]
> in childhood. can be plaque.. or even effect from the extra
> antibodies.

With the negative treadmill stress test, your cardiologist could
perform a coronary angiogram but it would be unlikely that your health
insurance company will pay for it.

> > > ok, and say they do find something. like plaque or buildup from
> > > soemthing, or scar tissue from soemthing with my auto-immune
[quoted text clipped - 4 lines]
>
> god forbid its PPH.

That would be my wish for you as well.

> and its secondary to soemthing they can fix.

With warfarin anticoagulation and time.

> that sh.ts scary.

You are understandably frightened.

> i knew a girl in high school who had that.. and she dropped dead right
> there suddenly one day. a year after being diagnosed.

Yes, PPH is deadly.

> > > can they go in and clear it out like
> > > they would with someone with regular blocked arteries?
> >
> > No.
>
> are you sure?

Yes.

> im sure theres 'something' they can do. they do it with
> the other stuff. or they can put something in my artery to help flow.

Your right heart cath would be for diagnostic purposes only.

May GOD bless you, dear neighbor whom I love unconditionally.

Prayerfully in Jesus' ever-lasting love,

Andrew <><
--
Andrew B. Chung, MD/PhD
http://EmoryCardiology.com

May HIS immortal brethren pray for our dying mortal friends and
neighbors:
http://HeartMDPhD.com/Convicts

Especially dear Bob(this one) Pastorio:
http://bobs-amanuensis.livejournal.com/4211.html
http://pics.livejournal.com/bobs_amanuensis/pic/0000z24f/g1

As for knowing who are the very elect, these you will know by the
unconditional love they have for everyone including their enemies
(Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17).
http://HeartMDPhD.com/Love
 
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