My Posts
super high HDL
Feb 11, 2012 in the Cardiovascular Disease Prevention Expert Forum
The berkely heart panel is a tool to help generate a risk profile on a given patient when used in combination with individualized patient historical information including lifestyle and family history. It really should be ordered by a physician who is caring for you and then interpreting the information in light of your broad medical condition. In an ideal wor...
Conflicting cardio test results
Feb 11, 2012 in the Cardiovascular Disease Prevention Expert Forum
In summary you are asymptomatic with conflicting stress test results. Im not clear if a repeat echo was normal as well. A cath would be the most direct path to certainty for you while in many cases your clinicians, certainly the ones in cleveland who received normal results of studies, would suggest that medical risk factor management is sufficient without su...
Bradycardia, borderline Low LV EF, borderline high BP, PVCs on occasion....problem??
Feb 11, 2012 in the Cardiovascular Disease Prevention Expert Forum
Hello It sounds like you are concerned about your heart rate in combination with your subjective feeling. Given your normal stress test additional tests that might be helpful to uncover an underlying occcult problem include a stress echo or a holter monitoring. Having said that, I would suggest that perhaps you should engage in an aroebic program that works ...
should i have some sort of cardiac stress test?
Dec 16, 2011 in the Cardiovascular Disease Prevention Expert Forum
Hello If you have had a sedentary life and plan to exercise I would suggest having a complete evaluation by your physcian to determine if there is any detriment to doing so. Your physician will evaluate you and determine what test is necessary, perhaps just and ekg or maybe a stress depending upon your history With this information, you will be taking you...
Adding Lipofen to Simvastatin
Dec 16, 2011 in the Cardiovascular Disease Prevention Expert Forum
An extensive discussion of all of the genetic tests performed is beyong the scope of this post. Briefly you have several lab results which are associated with a higher risk of heart disease including elevated Apo B greater than 90, elevated LDL >. and apo e genotype 3/4. The decision to treat you aggressively for CVD risk factors should be a mutual discus...
Will EECP be Effective for CAD?
Dec 11, 2011 in the Cardiovascular Disease Prevention Expert Forum
I have currently moved my practice to the Cleveland Clinic http://my.clevelandclinic.org/heart/disorders/cad/eecp.aspx We have found EECP to be a reasonable option for individuals whose anatomy precludes coronary bypass grafting as an option. However, EECP does not achieve identical results compared to bypass grafting. I would encourage you to seek second o...
Adding Lipofen to Simvastatin
Dec 11, 2011 in the Cardiovascular Disease Prevention Expert Forum
hello Its good that you have had state of the art testing for your cholesterol disease. I think that what you are suggesting is reasonable as long as you have had no intolerance to simvastatin. As you know his reason for adding an agent is based upon your high risk genetic profile. Either way, I agree that your parameters should be driven lower. Good luck...
PALPITATIONS
Nov 05, 2011 in the Cardiovascular Disease Prevention Expert Forum
After the holter monitor findings you are best advised to consult a rhythm abnormality specialist. There may be some underlying reason that you are experiencing these new symptoms. Its also obviously a wake up call that there is nothing good that comes of smoking. Lastly, you should minimize your caffeine intake and see if that helps. Best of luck
S-T depression making me anxious
Sep 03, 2011 in the Cardiovascular Disease Prevention Expert Forum
Your question raises several important points. First what is your lifestyle including exercise, weight and dietary habits. Clearly smoking is a significant risk factor for heart attack, stroke, limb loss and lung cancer. The current gold standard for identifying a coronary stenosis that would be responsible for the nuclear perfusion finding is a cardiac cath....
Echo Results
Aug 02, 2011 in the Cardiovascular Disease Prevention Expert Forum
Hi Chrlotte It appears that you are asymptomatic and the only reason for the test was prep requirement. Your test suggests mildly leaking heart valves which have produced a mild elevation in pulmonary pressures. You would probably benefit from an annual cardiac visit to check your echo. Good luck. Best of health