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CAD in young people
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CAD in young people

My Husband has been on Cholesterol Medications for 10+ years for severe high cholesterol and LDL levels. Trig level has always been normal. In 2004 when we first discovered this problem his Total was >600 and LDL was 400. he began Medications right away. In 2012 he was 36yrs old and suffered the Widow Maker. He had NO symptoms before that day. Thankfully he survived. He had a 95% single Stenosis on the Prox LAD. They placed one stent there. It was also discovered that he had a 100% chronic total occlusion on the RCA that had been that way for years. His LAD had grew extra vessels and that was feeding the right side of the heart and had been for years.

He is now on 60mg of Crestor QD, Metoprolol 25mg BID, Plavix 75mg QD, Lisinopril 2.5mg QD, Zetia 10mg QD, Niacin 2,000mg QD, Fish Oil 4,000mg QD, ASA 81mg QD, along with Garlic and CholestOff daily. He has done well and had no further problems since his heart attack 18months ago. My question is would he benefit from Bypass and what is the likleyhood he will need Bypass in the future? His recent Echo showed mild enlargement of the right and Left Atrial with an EF of 51% which is improved from 45% after MI. He has something called FH which means his body is not able to get rid of the LDL cholesterol like a normal person. At the time of his MI his total was 402 and LDL was 350. His recent test showed total was 226 and LDL was 170 which is improved but that is with all his medications on board.  Advice needed. ~Thanks Amanda
Avatar_dr_f_tn
Hi, understand your anxiety. Whether your husband will need CABG, will depend on if the blocks have improved or not, from the information provided, his EF has improved, so your doctor will be monitoring his coronary status. Agree with you, high cholesterol levels are a high risk factor for coronary artery disease. Along with the medications focus on diet, this should help to normalize the values. Reduce the total fat content of his diet to <30% of calories. Of which of saturated fat<10% of calories, polyunsaturated fat <10% of calories and mono unsaturated fat <10% of calories. Increased dietary intake of fiber rich foods like oat bran will help. Substitute your oil for ones which have a high content of unsaturated fats. Regular exercise will help reduce cholesterol levels. Regards.
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