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    33 yr old w heart disease question
    Niddala posted:
    1 1/2 yrs ago I had a heart attack out of the blue. I am 6'1" 205 pounds in reasonable shape and very active. I have ridiculously high Triglycerides which are brought down to 300 with Pravastatin. I have never smoked or used drugs. My MI was not detected by EKG as it was on the backside of my heart. I only have one drug eluting stent in place. Over the last six months I have noticed an increase in fatigue and occasional shortness of breath. 6 months ago they did some imaging and looked like my heart was functioning normally. My concern is that over the last 2 weeks the shortness of breath has increased and I have an almost constant centralized pressure on the chest. Its not near the severe pressure I had during my heart attack. I have an appointment with my primary in 1 week but am not sure if I should just push to see my cardiologist instead. I eat better than most with mostly turkey used as my protein with red meat or pork eaten about once a week. Does anybody have any idea if these symptoms are normal? At what point should I be concerned?
    cardiostarusa1 responded:

    "...over the last 2 weeks the shortness of breath has increased and I have an almost constant centralized pressure...

    "At what point should I be concerned?"

    Obviously right now.

    As various medical literature and the worldwide media have reported, clinically significant (blood flow-limiting) coronary artery disease (CAD), sometimes leading to a dreaded heart attack, is increasing in those in their mid/late 30s to early 40s.

    CAD actually begins (the process and progression of) very early in life, even as early as in the pre-teen/teenage years. Fatty streaks (represents the earliest precursor to plaque development and plaque is the pathological hallmark of atherosclerosis) are the beginning of atherosclerosis in the coronary arteries. Soft plaque (more dangerous and unpredictable than hard or calcified plaque) is the early stage of atherosclerosis.

    As reported, the symptoms of artery-narrowing atherosclerosis are highly variable. Those with mild atherosclerosis may present with clinically important symptoms and signs of disease and heart attack, or absolute worst case scenario, sudden cardiac death (SCD) may be the first and only symptom of coronary artery disease (CAD). However, many individuals with anatomically advanced disease may have no symptoms and experience no functional impairment.

    The bottom line

    Coronary stents are only a Band-aid or spot treatment, as it does not treat the underlying disease process and what drives the progression.

    Coronary artery disease (CAD) is a life-long unpredictable condition (can exhibit periods of stabilization, acceleration, and even some regression), requiring a continuum of care,

    Best of luck down the road of life.

    Take care,


    WebMD member (since 8/99)



    Be well-informed


    Living With Coronary artery disease (CAD)

    A chronic disease with no cure...

    This is especially true if you have had an interventional procedure...

    Recognize the symptoms. Reduce your risk factors. Take your medications. See your doctor for regular check-ups...

    Coronary artery anatomy

    Starting with the LAD


    Heart-Healthy Foods

    AVOID foods high in saturated fat and cholesterol. CHOOSE skim or low-fat milk, low-fat yogurt and reduced-fat cheeses. Eat more fish and poultry. LIMIT servings to five to seven ounces a day. TRIM visible fat. Limit egg yolks. SUBSTITUTE two egg whites for one whole egg or use an egg-substitute. Eat more fruits and vegetables, whole grains, breads and cereals. USE LESS salt and fat. SEASON WITH herbs and spices rather than with sauces, gravies and butter

    _ . _

    Good to know, for the primary and secondary prevention of heart attack and brain attack/stroke

    Epidemiologic studies (EDS) have revealed risk factors (encompasses some new, novel or emerging) for atherosclerosis, typically affecting the carotid, coronary and peripheral arteries, which includes age, gender, genetics (gene deletion, malfunction or mutation) , diabetes (considered as being the highest risk factor), smoking (includes second and thirdhand), inactivity, obesity (a global epidemic, "globesity"), high blood pressure (hypertension), Low HDL (now questionable, according to recent studies) high LDL, small, dense LDL, RLP (remnant lipoprotein), high Lp(a), high ApoB, high Lp-PLA2, high triglycerides, HDL2b, high homocysteine (now questionable), and high C-reactive protein (CRP/hs-CRP).



    "Be a questioning patient. TALK to your DOCTOR and ASK QUESTIONS. Studies show that patients who ask the most questions, and are most assertive, get the best results. Be vigilant and speak up!"

    - Charles Inlander, People's Medical Society


    It's your there.

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    WebMD/WebMD forums does not provide medical
    advice, diagnosis or treatment.

    NEVER delay or disregard seeking professional medical advice from your physician or other qualified health provider because of something you have read on WebMD.

    IF YOU have a medical emergency CALL 911.
    Niddala replied to cardiostarusa1's response:
    Thank you for your reply. I saw my primary yesterday who had no clue what was wrong. Had me try an inhaer with the hopes it was some sort of asthma. (I have not previously been asthmatic) the inhaler did not change any of the symptoms and she referred me back to my cardiologist who only has an appt on monday. Why specialists don't have any openings for more immediate appointments blows my mind.
    cardiostarusa1 replied to Niddala's response:
    You're welcome.

    ......"who only has an appt on monday. Why specialists don't have any openings for more immediate appointments blows my mind"

    Naturally, we all want things to move quickly (exams, tests, treatment) in the medical profession, though more often than, that is simply not the case.

    Take good care,


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