Re: This is annoying - results of nuclearr stress test


"Andrew B. Chung, MD/PhD" <andrew@xxxxxxxxxxxxxx> wrote in message
news:425FA0A0.E2A66102@xxxxxxxxxxxxxxxxx
> Bill wrote:
>>
>> I noticed a few weeks ago that I was experiencing some chest pain when I
>> got
>> going a little bit on the tread mill - not too high, 3.2 mph or so - and
>> then
>> it diminished when I backed off.
>>
>> Talked to my cardiologist and we scheduled a nuclear stress test for
>> yesterday. The Dr. saw nothing significant on the EKG except for the
>> results
>> of old MIs. Got the results today and the nurse said there was a change
>> since
>> last time and I should make an appointment with my cardiologist.
>> Unfortunately, she is out until next Wed. and the earliest appt. I could
>> get
>> is the Wed. after that.
>>
>> I suspect this is a stable plaque which is building up and I suspect it may
>> be
>> in part due to me backing off on the amount of exercise I do for the last
>> few
>> months.
>
> How well controlled are **all** your risk factors for progression of
> occlusive coronary disease?
>

Weight admittedly needs some work. (It is embarrisingly high) But I have lost
30 lbs over the last 6 months or so. Diabetes is mostly under control with
meds. Cholesterol is somewhat under control with meds. I forget the exact
numbers but LDL was a little over 70, HDL was in high 40s or low 50s and
triglyclicerides were too high. I'm now up to 80 of Lipitor. BP Is well
controlled. Typical is 120/80. Maleness, 62 years of age, and family history
on fathers side I can not do much about. I've been cutting way back on the
amout of gym time for the last 2 or 3 months. Maybe bacause the treadmill was
my best aerobic exercise and that is where I started to get the chest pains.

I often do eat less than 2lbs a day - which probably accounts for the weight
loss. But that is because the food around the house is often boring. I take
lots of suppliments.

Bill

>> However, I also suspect I am probably headed for another angioplasty.
>> (The first in many years.) I know there is some controversy on angioplasty
>> for
>> stable plaques but I lean toward it, because the signals the blockage sends
>> out could cause me to mistake a real MI for the old blockage and could
>> cause
>> me to further cut back on exercise.
>>
>> Thoughts?
>
> The signals that blockage sends out could also help guide you on how
> aggressive you need to be lower your risk factors for CAD progression.
>
> At His service,
>
> Andrew
>
> --
> Andrew B. Chung, MD/PhD
> Board-Certified Cardiologist
>
> **
> Suggested Reading:
> (1) http://makeashorterlink.com/?L26062048
> (2) http://makeashorterlink.com/?V113154DA
> (3) http://makeashorterlink.com/?X1C62661A
> (4) http://makeashorterlink.com/?U1E13130A
> (5) http://makeashorterlink.com/?K6F72510A
> (6) http://makeashorterlink.com/?I24E5151A
> (7) http://makeashorterlink.com/?I22222129


.

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