Doctor insights on:
Is There Test For The Effects Of Colesterol On My Arteries
Arteries are defined as blood vessels which carry blood away from the heart (to either the body or lungs). Arteries: higher pressure, thicker walls, stretch (pulse) with each heart contraction & deliver blood to the arterioles which control the flow to individual capillaries. Veins are blood vessels which carry blood from capillaries back to the heart (body to right heart; ...Read more
I had slightly elevated cholesterol for last 10 years Age 35 Total 200~240. Is there any test to access the damage I have done so far to arteries.?
High cholesterol: Hi. Total cholesterol is a fairly uninformative number, and treatment decisions should not be based on it. It helps to know your overall profile. If "high" is due to HDL, no problem. If "high" is due to LDL, that is a risk for atherosclerosis. Are your triglycerides high or normal? Hi triglycerides correlate with low HDL, which is another risk for atherosclerosis. So without more information... ...Read more
Don't treat numbers: Over decades in medicine, I've watched new markers for cardiac risk come and go. The difficulty with evaluating each new marker is that we are only looking at correlations with mortality / illness in a complex system that's largely still not understood, with often-inaccurate self-accounts from patients. Use your wishes and i'd suggest the classic labs to make decisions (lifestyle, statins). ...Read more
Depends on diet: Arterial plaque has been found at autopsy of gang members (teenagers) and in deceased soldiers. The "western" diet (watch "supersize me" for more info) speeds deposition, while mediterranean & others slow it. Family history and cholesterol levels (if very high) can also contribute. Certain ultrasound studies of the blood vessels can screen for it. Ask your doctor if concerned. ...Read more
Is heart rate recovery a good way to test for clogged arteries? After elevating my heart rate due to exercise HR typically 30-35 BPM less after 1 min.
No: Hi. Nope, that is NOT a test for clogged arteries. ...Read more
Usually stress tests: Stress tests are used to see if an artery has severe blockage in it, which prevents adequate blood flow to the heart muscle to meet its energy needs. If abnormal, cardiac cath (i.e. "angiogram) is often needed to invasively image the arteries and see the extent of the problem. ...Read more
I have a family history of high cholesterol and heart disease. What test can I request to learn if my arteries are narrowing?
More than one test: You should see your doctor for a comprehensive evaluation as no single test is good enough. The tests incluse, fasting lipids, fasting glucose, high sensitivity c-reactive protein, ultrasound examination of arteries in the neck, scan to detect calcium in coronary arteries and more. Discuss the issue with your doctor for proper selection of tests. ...Read more
If I have high cholesterol and I'm young shouldn't dr order test to see how clogged my arteries are? To prevent heart attack?
Is Heart attack is about clogged arteries? MIBI test normal, No Cholesterol, Blood pressure normal. Can it be concluded no heart attack?
Heart attack: Heart attack is from complete occlusion of one of the arteries. Unless opened right away - can lead to permanent damage resulting in a scar of the myocardium. Normal MIBI, low chol and BP means you are a low risk for developing coronay plaque which usually is the reason for heart attack. Plaques can break leading to occlusion in the arteries that result in heart attack. ...Read more
Can heart artery spasams cose chest pains for over a year and mis undiagnosed by cardiologist is there a test for it thank you?
Spasm of coronary artery happens in people with coronary artery risk factor or in people with no risk factors.
Happens due to stress, cold exposure, alcohol withdrawal.
Diagnosis is hard, needs high level of suspicion.
Relieved pain with Nitroglycerin is the way to diagnose it.
Also ecg, angiogram is done, bout hard to pick it up. ...Read more
Mother 75+ with 50% blocked Carotid Arteries what is a 50 yr old sons risk with lipid fasting test with Cholesterol 5.39 and HDL ratio 3.8? Treatment?
Genetic risk.: Regardless of your numbers, this genetic risk is present and unalterable. It means you have to optimize the control of your other risk factors - blood pressure, blood sugar, cholesterol, weight - and not smoke cigarettes. Exercise regularly and maintain healthy diet practices. ...Read more
Chronic pain in both calves and feet throbbing when resting. Test for artery disease negative. Blood tests normal. What could be going on?
Pain in calves: Glad to hear health tests are good so far. Are you taking a statin medication for cholesterol? That can cause muscle pain but your doc probably is keeping that in mind. Do you exercise? If so, do you cool down slowly afterwards? That can be a cause if not. Peace and good health. ...Read more
Chances of getting coronary artery disease at 18 with no genetic cholesterol issues? Am now 22, get pain in centre sternum exercise. See profile tests
Low: If a battery of test to check the functional capacity of your heart is normal, including some form of stress test, the probability of you having coronary artery disease its extremely low. Check for other causes of chest pain. Chest wall pain, acid reflux, asthma, anxiety disorders. Follow up with your doctor. ...Read more
An MRI to test for HCM says There is a tortuous descending aorta. There is an aberrant right subclavian artery which courses posterior to the trachea?
MRI answers nothing: The MRI answers nothing about HCM. The descending aorta being tortuous points to a long history of hypertension, smoking, and/or high cholesterol. The right subclavian normally passes in front of (not behind) the windpipe. This anomaly probably doesn't mean much, u were probably born with it. With HCM, you want to get an idea of how narrow the outflow tract (aortic valve) is, which is not given. ...Read more
Why is my left foot going numb? When I sit crossed legs, it turns blueish. Doctor did test for plaque in arteries before, but it was clear.
Vein compression.: Your foot may be turning blue, especially when you sit cross legged, because of the veins being compressed or torqued. Slowing of return blood flow in the veins, especially in the legs, typically causes your feet to have a bluish cast. This can happen whether or not the arteries have plaque. ...Read more
How do doctors test for coronary artery disease? I'm a man in my mid-twenties. Every couple of months, I experience a sharp, shooting pain in the area of my chest that covers my heart. The shooting pain only last for a minute or two, and then is alleviate
Stress test, ultrasound arteries, carotid, legs, cath, everything is clear, last LDL 113, family history of heart disease. Hbp, cholesterol med?
Focus on lifestyle: I wonder why all of that was done? Was it for symptoms or anxiety over potential symptoms? What was your risk factor status beyond the family history? If all of these studies were negative and your LDL was 113, you could either consider lifestyle modifications alone (if no other risk factors), or lifestyle modification plus a low dose statin if multiple other risk factors present. ...Read more
What is a better test for coronary artery blockage.... A CCTA ct heart of coronaries or a stress echo? Is either 1 more accurate? Both non invasive...
Coronary: In general you get better info with CT at the expense of being exposed to a lot of X Ray radiation ...Read more
Had US to look for DVT. Test negative. Doc questioned arterial clot. Advised to "monitor". Symptoms worse. Lost leg. Test for arterial clot?
Leg: Your symptoms and details aren't clear but it sounds like you shouldn't be 'sitting back' and waiting for more to happen. A second opinion, or serious talk with your doc about what needs to be done next sounds appropriate. ...Read more
I live in singapore and have cholesterol and slow blood flow in artery, on aspirin, clopidogrel but they gave side effects, what alternatives can I use?
Complicated issue: There are other options, like statins, drastic changes in diet and life style, stenting of the artery and perhaps more. However, you need an in-person evaluation, lab tests and imaging studies; or review of those if you already have those, for proper diagnosis and treatment. You will need long term follow-up. Pick a cardiologist you trust and follow his/her advice. ...Read more
It's several things: Atherosclerosis (hardening of the arteries) is a complex process. The majority of a plaque ("blockage") is made up of cholesterol and triglycerides that come packaged in ldl-cholesterol particles. Although we say ldl-cholesterol, there is triglyceride also. The plaque also contains many white blood cells which turn into immobile cells called foam cells. The plaque is an area of inflammation. ...Read more
See below: Have a diet rich in fresh vegetables, fruits, whole grains, low fat milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco in any form and do not take any more than one drink on a given day. ...Read more
In Short: It gets taken up into the cells. Then, immune cells called monocytes see it and turn into their bigger, meaner cousin called macrophages. Those macrophages get angry and foam things up in the tissues and lead to the repetition of this cycle. ...Read more
Atherosclerosis: Cholesterol is only one risk factor associated with narrowed vessels. Narrowed vessels can occur with normal cholesterol. ...Read more
Lipid: We don't really know but it does. Likely genetically mediated. ...Read more
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