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Heart Disease  (Expert Forum)
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cholesterol
Answered by
Cleveland - OH
This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve Prolapse, Pacemaker, PAD, Stenosis, Stress Tests.

cholesterol

by Pattisue, Jun 16, 2009 12:46PM
As an anesthesia provider should I provide anesthesia for a 48 yo woman, otherwise healthy, with a total cholesterol of 460, LDL 379? She does not want to take chol. lowering medication. She denies any cardiac history herself. EKG is wnl.

by Cleveland Clinic, Jun 21, 2009 03:17PM
It sounds as if she is a heterozygous carrier of the familial hypercholesterolemia gene, which is very closely linked to premature coronary artery disease. The fact that she has a normal EKG only says that she has not had an event yet, but is at very high risk of doing so in the near future. Someone should spend some time to counsel her to take HMG Coa reductase inhibitors as these have conclusively been shown to improve cardiac outcomes in such patients.
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