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Medical Forum / General / General / January 2006reversing Heart Blockage
I do not get tired of doing work, I am non smoker, non drinker, vegetarian , havebeen taking lots of fruits from decades, I also get regular blood test for cholestrol, trigricides and sugar . and have always got positive results second week of January 2004 i had chest pain and i visited my family doctor immediately he advised me for angiography and on 13th jan 2005 it was diagnosed that i had blockage which was of great concerned. since then i am on control diet no fats, no dairy products, no oils, lots of fruits salads and vegetables, oats..... I have now few questions to ask any help will be highly appreciated 1) Can heart blockage removed without getting operated 2) how can i view angography CD and interpret it 3) are their any test to verify heart blockage other than angiography 4) If my cholestrol was always in control than how come their is blockage ? BLOOD TEST REPORT AS ON 30-NOV-2004 BLOOD SUGAR-------99.2 MG/DL BLOOD UREA--------41.2 MG/DL S.CREATININE------1.2 MG/DL S.URIC ACID-------5.1 MG/DL S. CHOLESTEROL----188.2 MG/DL S. TRIGLYCERIDES--130.3 MG/DL Prescribed Medicines (Ceruvin 75 mg and Razel 10 mg) Result After Medication BLOOD TEST REPORT AS ON 17-AUG-2005 GLUCOSE (FASTING)------93 MG/DL GLUCOSE PP-------------103 MG/DL UREA-------------------23 MG/DL SERUM CREATININE-------1.0 MG/DL URIC ACID--------------4.8 MG/DL CHOLESTEROL------------104 MG/DL HDL CHOLESTEROL--------35 MG/DL LDL CHOLESTEROL--------61 MG/DL TRIGLYCERIDE-----------87 MG/DL VLDL CHOLESTEROL-------17 MG/DL HEART REPORT Dated 13/01/05 INDICATION: Post MI Evaluation Previous Procedure------None Procedure Details Route:------SF Sheath Size Catheter------RCA JR ------LCA JL Contrast------Ionic Complications------Nil Hemodynamic Status Aortic Pressure(S/D/M)------130/80/mmHg LVEDP Pre------------16 mmHg Post 18 mmHg EF 45 % LV angiography > done in RAO view and shows RWMA > Apical, Inferior segment Hypokinetic. > Other segment normal. Coronary Angiography LAD ------------90% mid segment stenosis LCx ------------90% mid segment stenosis RCA ------------75% proximal segment stenosis ------------40% proximal segment stenosis Summary >Triple Vessel Disease LAD mid segment stenosis , LCx mid segment stenosis, RCA proximal segment stenosis, proximal segment stenosis, >Mild LV Dysfunction Thankyou for you answers Jattinder jattinder.kumar@rediffmail.com | >I do not get tired of doing work, > I am non smoker, non drinker, vegetarian , havebeen taking lots of [quoted text clipped - 73 lines] > > jattinder.kumar@rediffmail.com | Wow thats a great read jattinder and so sorry about your Heart blockage.I think any answers will help people in the future like me understand what might help for them also . What did you eat allot of that may have caused this ? Dairy? Your cholesterol was pretty low! Good luck and hope you get some good answers. JK wrote in message <1137429720.962518.234330@g14g2000cwa.googlegroups.com>... >I do not get tired of doing work, >I am non smoker, non drinker, vegetarian , havebeen taking lots of [quoted text clipped - 15 lines] >Thankyou for you answers >Jattinder I cannot answer your questions (engineer, not a medical person) but I can mention some things you should think about: 1. Your Fasting Blood sugar is a bit high. It may be predicting future diabetes. http://www.diabetesincontrol.com/modules.php?name=News&file=article&sid=3165 2. If your suspiciously high Fasting Blood sugar is caused by high Insulin Resistance, your past cholesterol history may not have been as "positive' as you thought. A triglycerides to HDL ratio greater than 3.0 is considered a marker for high Insulin Resistance and small-sized LDL particles. Small-sized LDL is implicated in arterial disease. You are taking a statin (Razel) and controlling your diet , ( ". . . .control diet no fats, no dairy products, no oils,. . ."), but your ratio is 2.48. Mine is 1.3 People with high triglycerides/HDL ratios often reduce their ratios by reducing the amount of carbohydrate in their diet. Metformin has been found useful in people with unfavorable triglycerides and HDL ratios related to high Insulin Resistance. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?holding=npg&cmd=Retrieve&db=Pu bMed&list_uids=1752350&dopt=Abstract 3. Razel is suspected of producing excessive adverse side effects in Asian ethnic groups. If you are such, (India?) you may want to seek a substitute statin, i.e. http://www.doctorndtv.com/FAQ/detailfaq.asp?id=4991 ". . . .Assuming that you do need medicine, one should certainly avoid rosuvastatin (sold under various brand names such as Razel) since it has caused severe adverse effects including rhabdomyolysis (a potentially fatal disorder of muscles). This medicine is known to have more serious side effects in Asian ethnic groups (such as Indians) compared to Caucasians (such as English, Anglo-Saxons). Because of this reason the US Government agency dealing with medicines has ordered the manufacturers to conduct further trials on this drug in Asian communities. Older statins such as atorvastatin (sold under various brand names like Atorva, Liporest) or lovastatin (sold under the brand name of Pro-HDL) are safer and as effective in reducing cholesterol levels. . ." Regards Old Al > I do not get tired of doing work, > I am non smoker, non drinker, vegetarian , havebeen taking lots of [quoted text clipped - 15 lines] > 4) If my cholestrol was always in control than how come their is > blockage ? 1) There are really no proven ways to "remove" blockages of coronary arteries. Surgery bypasses the blockages, and stenting opens up the blockages, but in neither case is the blockage removed. Maintaining a very low cholesterol level may, in some people, result in the body slowly decreasing blockages over years. 2) You might be able to get someone to give you a copy of the angiography. I'm not sure what you mean by interpret it -- presumably you would need someone with expertise in looking at an angiography to interpret it. 3) Angiography is considered the gold standard test for coronary blockages. Other tests could be done looking for problems, but the angiography is usually the confirmatory test. In the posted report it did not just show multiple blockages. It also showed evidence of a prior heart attack. Unless the people reading the angiography are incompetent, it doesn't make sense to think about getting some other test. The blockages are almost certainly there. 4) Unfortunately, high cholesterol is just one risk factor for coronary heart disease. A lot of people with normal cholesterol levels develop coronary disease as well.  SignatureDavid Rind drind@caregroup.harvard.edu Just out of curiousity, because I have no knowledge to offer you, JK........but....Is it true that stress and anxiety cause a body to release cholesterol into the bloodstream? I ask this because my cholesterol level is far higher than it should be, given that I've been a vegetarian for over 30 years. Take care, and good luck, JK, Sharon > Just out of curiousity, because I have no knowledge to offer you, > JK........but....Is it true that stress and anxiety cause a body to [quoted text clipped - 3 lines] > Take care, and good luck, JK, > Sharon Secondary hypercortisolism as a result of stress? 1: J Clin Endocrinol Metab. 2002 Nov;87(11):4872-8. Related Articles, Cited in PMC, Books, LinkOut Comment in: J Clin Endocrinol Metab. 2002 Nov;87(11):4869-71. Patients with subclinical Cushing's syndrome due to adrenal adenoma have increased cardiovascular risk. Tauchmanova L, Rossi R, Biondi B, Pulcrano M, Nuzzo V, Palmieri EA, Fazio S, Lombardi G. Department of Molecular and Clinical Endocrinology and Oncology, University Federico II, Via S. Pansini n. 5, 801 31 Naples, Italy. tauchman@unina.it Subclinical Cushing's syndrome (SCS) is increasingly being reported in incidentally discovered adrenal adenomas; its hallmark is mild autonomous cortisol hyperproduction without specific clinical signs of cortisol excess. Increased prevalence of hypertension, obesity, and impaired glucose tolerance have been described in SCS, but there is no specific study of the risk factors for cardiovascular diseases. In this cross-sectional study we assessed the cardiovascular profile in 28 consecutive SCS patients (19 women and 9 men; aged 56 +/- 10.6 yr) compared with 100 controls matched for age, gender, and body mass index. Systolic (P < 0.001) and diastolic (P < 0.005) blood pressures were higher in patients, as were fasting glucose, insulin, total cholesterol, triglycerides (all P < 0.001), and fibrinogen (P < 0.05). Moreover, the insulin resistance index was increased in patients as was the waist to hip ratio and mean carotid artery intima-media thickness (all P < 0.001). Of the patients, 60.7% had arterial hypertension, 71.4% had lipid abnormalities, 28.6% had impaired glucose tolerance, 35.7% type 2 diabetes mellitus, and 53.6% had abnormalities in hemostatic parameters. Atherosclerotic plaques were more frequent in patients (P < 0.0001). Only 4 (14.3%) patients did not have multiple risk factors for cardiovascular events. Six (21.3%) had clinical evidence of cardiovascular disease; another 11 (39.3%) had cardiovascular abnormalities as revealed by ultrasound scanning of carotid arteries and/or electrocardiogram records. These results strongly suggest that an increased cardiovascular risk profile, similar to that described in overt Cushing's syndrome, is present in SCS subjects. This finding supports the concept that chronic mild endogenous cortisol excess may have important systemic effects on the human body. PMID: 12414841 [PubMed - indexed for MEDLINE] >I do not get tired of doing work, > I am non smoker, non drinker, vegetarian , havebeen taking lots of [quoted text clipped - 73 lines] > > jattinder.kumar@rediffmail.com | David Rind is quite right. Also, my sister had a blockage. She seemed the almost the perfect candidate to not have one - though there was some history in our family. I attributed it to anxiety- she had recently had some major problems. There have been some suggestions that anxiety increases the risk of heart attacks. I noticed you posted to an anxiety board. They gave me pictures at my last angioplasty - before and after. One blockage was obvious, the other fuzzy. I'm not sure what good it would do you. You have already suffered mild heart damage due to blockages. That's what "Mild LV Dsyfunction." means. What kind of operation are they suggesting? If it is a tripple by-pass, you MIGHT be able to talk them into a series of angioplasties with the new drug eluting stents. With the new stents, there is some debate on when to use angioplasty and when to bypass. This is NOT a recommendation. It is a suggestion on something to bring up with your Dr. if your case fits. Bill - not a Dr. 1) Can heart blockage removed without getting operated > 2) how can i view angography CD and interpret it > 3) are their any test to verify heart blockage other than angiography > 4) If my cholestrol was always in control than how come their is > blockage ? Since this was put here for obvious reasons, I guess I'll indulge it... Question number one: Please see David Rind's answer, posted on 1/16 Question number two: Unless you are a physician, you can't interpret it. Question number three: No Question number four: Again, Dr. Rinds answer was quite adequate I thought. OK? G >>I do not get tired of doing work, >> I am non smoker, non drinker, vegetarian , havebeen taking lots of [quoted text clipped - 95 lines] > > Bill - not a Dr. : I do not get tired of doing work, : I am non smoker, non drinker, vegetarian , havebeen taking lots of [quoted text clipped - 15 lines] : 4) If my cholestrol was always in control than how come their is : blockage ? You might want to have a look at this thread in sci.med.nutrition: http://tinyurl.com/dtvoa SignatureJuhana one of the most important risk factors I am not sure anyone mentioned. Of course I have not followed all the links . If you want to know ask. >I do not get tired of doing work, > I am non smoker, non drinker, vegetarian , havebeen taking lots of [quoted text clipped - 73 lines] > > jattinder.kumar@rediffmail.com | |
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