Re: Heart Attack

Bill:

I was taking aspirin.

My lipid profile right after the attack was as follows:
Triglycerides 72
Cholesterol 107
HDL 49
LDL 44
VLDL 14

Arnold

Bill wrote:
> <arnold2@xxxxxxxxxxx> wrote in message
> news:1137462127.348232.99240@xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
> > Attack: I recently had a heart attack while exercising. My angiogram
> > showed 100% blockage of the right coronary artery. The blockage was
> > cleared and a stent inserted within about two hours. Damage was minimal
> > and I could engage in normal activities and start strenuous exercise
> > after only a few days.
> >
> > Background: I am a 66 years old male. I have had stable angina for
> > about 9 years which was relieved by a beta-blocker. About two years ago
> > I reduced my weight from about 200 pounds to 160 pounds and started
> > strenuous daily exercise. A stent was placed about 15 months ago to
> > clear a 60% blockage of another artery. The stent did not relieve the
> > symptoms, but the beta-blocker continued to help. About 12 months ago,
> > an angiogram showed continuing plaque buildup.
> >
> > After the stent was placed I went on 10 mg of Lipitor per day. This
> > reduced my cholesterol from a little over 200 to under 140. It measured
> > 107 the day after the attack.
> >
> > 1. Does anyone know why the damage was not more severe? What does it
> > take to damage heart muscle and what mechanisms mitigate it.
> >
> There are several possibilities. It may not have been 100% - maybe some blood
> got through. They say time is heart muscle - the longer part of the heart is
> denied blood the more likely it is that tissue dies. You got help quickly.
> Over time small vessels, called collaterals, will grow from one area of the
> heart that is normally served by a different artery to an area that is not
> getting enough blood. These help out when a complete blockage comes.
>
>
> > 2. It seems to me that it is likely I will have more attacks given the
> > continuing plaque buildup with Lipitor. I am now taking 20 mg of
> > Crestor a day instead of the Lipitor. Can this stop the build up of
> > plaque? What options do I have?
> >
>
> It depends on the type of cholesterol. You need to describe the breakdown into
> types. Also, cholesterol is not the whole thing. Are you taking a daily
> aspirin?
>
> Bill - not a Dr.

.

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