About me, as I said I am 54 years old. I went through a series of heart tests back in 2005, 2006 & 2007 for what ended up being a gallbladder issue which has been resolved. When I first saw a cardiologist at an ER in 2005 for some chest pain I was experiencing, I weighed 348 pounds, had a BP of 140/85 and my cholesterol was slightly elevated at 219. I went through thallium stress tests and echos all three years, all normal.
I started lifestyle changes in 2005 and started exercising daily and managed my diet. As of today, I am 260 pounds so I have 70 more to go, but I have lost the weight slowly by exercising and watching what I put in my mouth. My BP has dropped to my current 90 day average of 111/67, to which my family doctor wants me to come off the ARB I take for hypertension. My resting heart rate has dropped from the mid 70's to the mid to upper 50's with very good tolerance for exercise. I cycle 12-15 miles per day (I have only missed 2 days since 1/1/2010) and I have peak runs up to 10-12 mets with a heart rate around 160 BPM at peak. My heart recovery rate is between 35 - 45 beats in the first minute from peak. Also, my cholesterol has been well controlled since my first round of testing in 2005 and has not exceeded 170 in total with an LDL between 58 and 80, currently 74 with normal HDL levels. My only bad number is my TGL's tend to run around 250 (down from 400).
Given this long winded introduction, a couple questions;
1. What else should I be doing to protect myself from developing CAD?
2. How concerning are the PVC's for my future?
3. Does my exercise tolerance indicate good cardiovascular health free of CAD?
4. Are my resting heart rate and heart rate recovery numbers OK?
Again, thanks for your time,