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.
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.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.