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Doctor insights on: Framingham Risk Score Sheet

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LDL 104...HDL 62.... TOTAL 174.. Triglip..42...My HDL/ risk factor said 2.8 . Does this # mean I'm at risk for heart Attack?

LDL 104...HDL 62.... TOTAL 174.. Triglip..42...My HDL/ risk factor said 2.8 . Does this # mean I'm at risk for heart Attack?

No: Your cholesterol numbers are great: LDL <120; HDL > 45; and TG way below 150. Continue your exercise routine, low saturated diet (and as much of a Mediterranean diet as possible) and your risk for CAD or heart attack should be low. ...Read more

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Mobile hypertension risk calculator?

Mobile hypertension risk calculator?

Ambulatory: Ambulatory blood pressure monitor. It is used when doctors are concerned about white coat syndrome or your blood pressure being high as a result of the stress of being in the office. ...Read more

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New Lancet article: Obesity in middle age lowers Alzheimer's risk by a third. New Neurology: Obesity in middle age increases risk fourfold. What gives?

New Lancet article: Obesity in middle age lowers Alzheimer's risk by a third. New Neurology: Obesity in middle age increases risk fourfold. What gives?

Haven't seen either: Article are written many ways and you need to see the article to clarify it. They may have looked at different groups, may have assumes the wrong information, put in misinformation, used different statistical models etc. An in depth analysis may explain this ...Read more

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Have CAD stent cto LAD 17month ago.cbc shows mpv12.4. read higher mpv could up risk for cv events.take asp.81mg,no more effient.am concerned.what todo?

Have CAD stent cto LAD 17month ago.cbc shows mpv12.4. read higher mpv could up risk for cv events.take asp.81mg,no more effient.am concerned.what todo?

No new therapy: i believe your MPV is so close to normal range that additional therapy aimed specifically at that would not convert to any meaningful change in outcome. Certainly keep taking your aspirin 81 daily. Good luck ...Read more

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Is ideal BMI range dependent on person's race for diabetes/heart disease risk reduction? Why?

Is ideal BMI range dependent on person's race for diabetes/heart disease risk reduction?  Why?

No: The BMI is simply your weight with respect to your height - an overly simplistic and thereby essentially flawed assessment of your health. It's a bit better when used in combination with body fat measurement. That being said, a high BMI might be associated with diabetes and heart disease amongst other health conditions. ...Read more

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Epidemiology: health statistics and demographic statistics?

Epidemiology: health statistics and demographic statistics?

Multiple locations: Government agencies, special interest and single issue organizations, health organizations, groups, and non-profit associations have websites and may post stats. Also, depending on type you are looking for, cdc has national center for health statistics, and a faststats section on website. Also nat'l institutes of health website, nih.Gov has many. ...Read more

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On testosterone replacement therapy. Good or bad in lieu of jama nov 5 article citing increased cardiac event risk. Trt benefits outweigh risks?

On testosterone replacement therapy. Good or bad in lieu of jama nov 5 article citing increased cardiac event risk. Trt benefits outweigh risks?

Unknown: As is indicated in the article, we need randomized, prospective studies to truly know the risks and benefits of testosterone treatment. The real problem is that as many as 80% of men who are on testosterone, were placed on it for inappropriate reasons, including inadequate testing or misinterpretation of results.Mother nature has a way of striking back when we do inappropriate things to our body. ...Read more

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Do I have any risk factors of coronary artery disease? 59, female, BMI 28, sedentary?

Do I have any risk factors of coronary artery disease? 59, female, BMI 28, sedentary?

Low risk: Your sendintary lifestyle is a risk. However, the most common and serious risk factors are smoking, diabetes, hypertension, high cholesterol, genetics, age, and obesity. ...Read more

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According to atp-iii guidelines hdl-c >59 mg/dl is considered a negative risk factor for chd. What does this mean?

According to atp-iii guidelines hdl-c >59 mg/dl is considered a negative risk factor for chd.  What does this mean?

It's good: It means that it's a positive marker, that if your HDL is that high it's a move away from coronary artery disease. So it's a good thing. Exercise and certain essential oils can get your hdl's up. ...Read more

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Family history lung cancer before 50. I'm 32 former smoker. Good age for low dose CT screen? I do not fit current screening requirements. Studies say I have 80% increase lc risk, scared!

Family history lung cancer before 50. I'm 32 former smoker. Good age for low dose CT screen? I do not fit current screening requirements. Studies say I have 80% increase lc risk, scared!

Too early to screen: Fam hx of lung cancer in a first degree relative? Less concerning if it is not. Former smoker at 32? What is your pk/yr smoking history? Risk does not increase significantly over nonsmokers until > 10 pk/yr. Smoking assoc lung cancer is very rare before 45 yoa. If lc is in first degree relative & smoking hx >10 pk/yr and very concerned discuss with your PCP and get low dose CT at 45 then every 2 y ...Read more

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Sean Baskin Dr. Baskin
3 doctors agreed:
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Who is at greater risk for stroke?

Sean Baskin Dr. Baskin
3 doctors agreed:
Who is at greater risk for stroke?

Depends: Strokes are more common in men under 75 and women above 75. And african americans are twice as likely to have a stroke. Some other factors for stroke include: high blood pressure, history of previous strokes, women who smoke while on hormonal birth control, diabetes, heart disease such as atrial fibrillation, high cholesterol and atherosclerosis. ...Read more

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Who is at risk of developing prostate cancer?

Who is at risk of developing prostate cancer?

Men as they age: No joke, risk #1 being male, risk#2 getting older. The risk of prostate cancer increases with age, especially after age 50. More than 80% of prostate cancers are diagnosed in men who are 65 or older. And in the us, african american men have a higher risk of prostate cancer than white men. Additionally a family history of prostate cancer is also a risk. See this link: http://bit.Ly/lhig6p. ...Read more

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Low-level ionizing radiation from noninvasive cardiac imaging: can we extrapolate estimated risks from epidemiologic data to the clinical setting?

Low-level ionizing radiation from noninvasive cardiac imaging: can we extrapolate estimated risks from epidemiologic data to the clinical setting?

extrapolation: Your question remains a subject of controversy today. We assume that total exposure to ionizing radiation is a correlate of risk of complications from all kinds of testing exposures. This is why we try and limit radiation testing procedures to use when the data is really needed in decision making. ...Read more

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Doesn't being ethnic minority place patient at definite risk of misdiagnosis b/c dr's base decisions on experience w/ majority population?

Doesn't being ethnic minority place patient at definite risk of misdiagnosis b/c dr's base decisions on experience w/ majority population?

Maybe.: The chemistry and physiology of all humans is pretty close. There are some minor variations in presentation of disease based on sex and race and certainly there are differences in genetic risk factors. But again most of the major variations are covered in training. ...Read more

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Can we extrapolate estimated radiation risks from epidemiologic data to the clinical setting?

Can we extrapolate estimated radiation risks from epidemiologic data to the clinical setting?

No: Radiation risk is a population based item. There is good data on the radiation dosage and the likelihood a radiation induced disease including cancer. But the chance for each individual is quite variable and can be estimated in a general sense but not for a specific person. ...Read more

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