I am a 45 year old white male about 40 pounds overweight. Family history is significant for hypertension, diabetes, but no significant coronary history per say. My parents are both still living. I see a cardiologist annually as I have a history of benign PVCs . My cholesterol has been in the 220 range with a HDL of 30 and LDL of157. I enjoy walking/jogging 3-4 times per week with no symptoms.
My stress tests and carotid doppler screenings have always been normal in the past. Yesterday however,on carotid doppler my doctor said there was a 5% occlusion on one side and "thickening" on the other. We immediatley started 10mg Crestor, low dose ASA, and 2000mg fish oil.
My question is, am I in immediate danger? Should I get imaging of heart, aka 64 slice? I have two young children and want to be there for them!! Is this low amount of plaque reversible?? I am now comitted to making changes in my lifestyle but hope I am "in time." I guess I am asking if 5% blockage means I could have coronary heart disease...I am hoping I am "in time."
Thank you for all your help!!
Congratulations on committing to improve your lifestyle. The presence of atheroclerotic plaque is an indicator of cholesterol deposition. Atherosclerosis is a systemic process and it is likely that you have cholesterol deposits elsewhere in your body. Mild plaques like this in the carotid do not generally cause a stroke however this is a good indicator that you need to modify your intake. there is evidence that plaque can regress and remodel with extreme lo fat diets like tot fat <30gm and sat fat<12-15gm
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