diastolic is louder than systolic

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Richard - 12 Mar 2008 23:37 GMT

What does it mean with diastolic is about 2x's louder than systolic?

If I haven't got the terms mixed up, my systolic used to be 140 and my
diastolic used to be 80 (on average). Now, I am usually 110/70 and I'm
quite dizzy all the time. It has only been this low for the past few
months.

When I hear 110, its very faint. When it gets to 80, it gets twice as
loud.

I have PSVTs sometimes (once every 3 months or so) and I have MVP, no
regurgitation. My last echo looked fine (I have one once a year).

Thanks,
Richard

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Andrew B. Chung, MD/PhD - 13 Mar 2008 01:01 GMT

> What does it mean with diastolic is about 2x's louder than systolic?
>
> If I haven't got the terms mixed up, my systolic used to be 140 and my
> diastolic used to be 80 (on average). Now, I am usually 110/70 and I'm
> quite dizzy all the time. It has only been this low for the past few
> months.

Would suggest you inform your doctor about your symptoms.

> When I hear 110, its very faint. When it gets to 80, it gets twice as
> loud.

This is typical for folks with hardening of the arteries.

> I have PSVTs sometimes (once every 3 months or so) and I have MVP, no
> regurgitation. My last echo looked fine (I have one once a year).
>
> Thanks,
> Richard

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Richard - 13 Mar 2008 01:09 GMT

On Mar 12, 5:01 pm, "Andrew B. Chung, MD/PhD"
<heartdo...@emorycardiology.com> wrote:

> > What does it mean with diastolic is about 2x's louder than systolic?
>
[quoted text clipped - 4 lines]
>
> Would suggest you inform your doctor about your symptoms.

I have. He's run every test imaginable and nothing has come up except
thyroid and cholesterol.

> > When I hear 110, its very faint. When it gets to 80, it gets twice as
> > loud.
>
> This is typical for folks with hardening of the arteries.

My total cholesterol is in normal range, but the bad cholesterol is
flagged HIGH and the good cholesterol is flagged LOW. My doctor said
that because "total" is ok, there is nothing he can do about it. I'm
just 32 years old btw. What should I do?

Thanks,
Richard

> > I have PSVTs sometimes (once every 3 months or so) and I have MVP, no
> > regurgitation. My last echo looked fine (I have one once a year).
[quoted text clipped - 17 lines]
> Lawful steward ofhttp://EmoryCardiology.com
> Brethren of the KING of kings and LORD of lords.http://HeartMDPhD.com/ChristianBrethren

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Richard - 13 Mar 2008 03:18 GMT

> On Mar 12, 5:01 pm, "Andrew B. Chung, MD/PhD"
>
[quoted text clipped - 11 lines]
> I have. He's run every test imaginable and nothing has come up except
> thyroid and cholesterol.

I should clarify: I've had every test EXCEPT tests to look at my
arteries. What tests might those be, and who should I see? A
cardiologist? I'm going to call my insurance for another doctor
tomorrow but I just want to know who specializes in "hardening of the
arteries" and that sort of thing.

Here's my lipid profile:
Total cholesterol: 172 (ref 100 to 199)
HDL: 39 (ref: 40 to 59)
LDL calculated: 117 (ref 0 to 99)
Triglycerides: 81 (ref 0 to 149)

Just suppose that if my dizziness is caused from hardening of the
arteries, how serious is this, and can this be fixed without surgery?
Can the damage be reversed?

Thanks for any advice, as always - it is very much appreciated.

Richard

> > > When I hear 110, its very faint. When it gets to 80, it gets twice as
> > > loud.
[quoted text clipped - 32 lines]
>
> - Show quoted text -

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Andrew B. Chung, MD/PhD - 13 Mar 2008 03:42 GMT

> > Andrew, in the Holy Spirit, boldly wrote:
> >
[quoted text clipped - 18 lines]
> Here's my lipid profile:
> Total cholesterol: 172 (ref 100 to 199)

Optimal.

> HDL: 39 (ref: 40 to 59)

Suboptimal and consistent with metabolic syndrome (MetS).

> LDL calculated: 117 (ref 0 to 99)

Suboptimal

> Triglycerides: 81 (ref 0 to 149)

Optimal

> Just suppose that if my dizziness is caused from hardening of the
> arteries, how serious is this, and can this be fixed without surgery?

There is no surgical treatment to reverse hardening of the arteries.

Instead, addressing the cause (MetS) is needed.

> Can the damage be reversed?

Possibly when the MetS is cured:

http://HeartMDPhD.com/BeSmart

> Thanks for any advice, as always - it is very much appreciated.

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Michael F. Poellot - 13 Mar 2008 13:03 GMT

>I should clarify: I've had every test EXCEPT tests to look at my
>arteries. What tests might those be, and who should I see? A
>cardiologist? I'm going to call my insurance for another doctor
>tomorrow but I just want to know who specializes in "hardening of the
>arteries" and that sort of thing.

Cardiac catheterization, for example, is a tool to diagnose, evaluate
or exclude coronary heart disease. This is an invasive procedure and
performed by a cardiologist (of course :-).

MP

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