Re: I came here for information and advice

It seems to me I heard somewhere that zob wrote in article
<l2rtu3dscj616i6f7e23sitclij93fvd0p@xxxxxxx>:

On Sat, 29 Mar 2008 14:32:47 -0700, Don Kirkman
<donsno2@xxxxxxxxxxxxx> wrote:

It seems to me I heard somewhere that zob wrote in article
<37atu3teh1jc8u74sg70a45ggb44chuibf@xxxxxxx>:


[. . .]

Since the angioplasty I feel better and have more energy than I've had
in years. My only real concern has been the prospect of eventually
stopping Plavix with the drug exuding stents. Guess I'll just wait
and express my concerns to the cardiologist at my August appointment.

Welcome, Zob. You sound like you've brought a breeze of fresh air in here with
you. :-)

[. . .]

To the extent either of you can handle exercise, I'd sure urge you to get into a
routine of some kind; it doesn't have to be hard or intense, but it needs to be
continuous and repeatable. I began running close to thirty years ago because
most of the men in my family were ill or dying from cardiac problems, so by now
running has become a habit and I can see the benefits in my daily activities.
Fortunately, my first cardiologist was also a runner, and he had me walking
about two weeks after each stenting session, and running soon after that.

Your story makes me wonder about something. They always recommend
exercise for heart rehab. But when someone is already exercising --
and especially in your case long distance running -- what do the
doctors say about that? Shouldn't the conditioning be sort of a
preventative against the CAD, and if it didn't work before your heart
attack, what are the benefits now? I'm not being facetious; I really
don't understand how someone with aerobic conditioning gets CAD.
Although I guess genetics must play a huge part. My father died from
a stroke at 59 (just 3 years older than I am now) and he had several
heart attacks when he was in his 40's I guess I'm holding out hope
that there's still a way to beat the genetic predisposition with the
right nutrition, exercise and meds.

Natural enough questions. My interpretation is that, like many things in life,
there is only risk reduction, not risk elimination. For instance Jim Fixx, a
well known runner a few decades ago, wrote a lot about running for health, but
he disregarded symptoms and the fact that his own father had died of heart
problems at an early age, and he died during one of his runs.

OTOH, my own first cardiologist (and the best of the ones I've had) told me my
running background probably played a large part in how mild my attack was and
how quickly and completely I recovered from it.

And while genetics is IMO never the sole determinant of physiological outcomes,
it does play a part. My oldest brother died in his forties of heart disease.
The rest of my siblings are on various cardio treatment programs, and my oldest
surviving brother now in his mid-eighties has had bypasses. My father made it
into his eighties as well, but had a number of small attacks along with general
decline because of his heart. I haven't beaten the genetic odds, but I've
turned them in my favor, I believe.

"THE first symptom of heart disease is sometimes sudden death. Never was that
fact made clearer than in the ironic death last week of James Fixx, whose
best-selling book ''The Complete Book of Running'' led tens of thousands to take
up jogging and made him a guru of the running world. Mr. Fixx, whose transition
from a heavy young man who smoked two packs of cigarettes a day into a trimmer,
middle-aged nonsmoking athlete seemed to insure a healthy life, died at the age
of 52 while jogging in Vermont."
1954;
http://query.nytimes.com/gst/fullpage.html?sec=health&res=9E07E4DB1E39F937A15754C0A962948260
.

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