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What are some signs of a healthy heart?
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kari69 posted:
Hello all,

I am a 43 year woman, ex-smoker, no health issues and am on no meds. I was just wondering what my chances of a heartattack are when I have healthy below 200 cholesterol levels, my blood pressure is 110/70 and sometimes lower than that and my sugar levels are normal.

I have suffered from anxiety my whole life but have had it under control for about 10 years and now it's back with a vengeance due to financial strain over losing a job that I was at for 13 years. So for the past couple of months I have been experiencing "adrenanline like surges in my chest" just as I am laying down to try to fall asleep along with some pvc's. I am susceptible to palpitations and after stress tests, ekgs and holter monitors, I was deemed healthy but those test were given over 10 years ago so I guess i am due for a cardio re-evaluation right? Just can't understand what those surges are? does anyone have these or know of them?

Thanks for your help
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cardiostarusa1 responded:
Hi:

"I was just wondering what my chances of a heart attack are when I have......"

It has been known for quite some time now that atherosclerosis begins (the process/progression of) at a very early age, even as early as in the pre-teen/teenage years.

Studies performed in the past have shown fatty streaks (represents the earliest precursor to plaque development and plaque is the pathological hallmark of atherosclerosis) as 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, a risk factor merely increases the probability that one will develop cardiovascular disease, BUT doesn't 100% guarantee that one will develop it, nor does its absence (or even the absence of ALL known risk factors) 100% guarantee that one won't have a heart attack or brain attack.

Additionally, 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.

"I am susceptible to palpitations"

The most common type of palpitations, premature ventricular contractions (PVCs, occurs even in many heart-healthy individuals), has various causes or triggers, cardiac and non-cardiac.

Most often, PVCs are typically harmless, be it isolated (single), couplets (2-in-row), triplets (3-in-a-row) or salvos (short bursts of 3 or more in-a-row), bigeminy (occurring every other beat), trigeminy (occurring every third beat), quadrigeminy (occurring every fourth beat), etc., etc.

HOWEVER, the main problem or concern (even more so, much more emphasized for those with certain major or serious heart conditions) with PVCs is if/when sustained ventricular tachycardia (runs of PVCs over 30 seconds) occurs.

Symptoms that may/can occur wih PVCs includes none at all or chest pain/discomfort/pressure/tightness, difficulty breathing, lightheadedness/dizziness, and in uncommon to rare cases, near-syncope or syncope (temporary loss of consciousness, includes fainting and passing out).

Best of luck down the road of life.

Take care,

CardioStar*

WebMD member (since 8/99)

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Be well-informed

MedicineNet - We Bring Doctors' Knowledge to You

Palpitations

http://www.medicinenet.com/Palpitations/article.htm

eHealthMD

Palpitations

http://www.ehealthmd.com/library/palpitations/PAL_whatis.html
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Learn about the heart's delicate and precise electrical conduction system

Animated Tutorial

http://www.your-doctor.com/healthinfocenter/medical-conditions/cardiovascular/conductiontutorial.html

Heart Rhythm Society

Patient and Public Information Center

http://www.hrspatients.org/patients

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Learn about the Heart


WebMD

The Heart: (Human Anatomy) Pictures, Definition, Location in the Body and Heart Problems

http://www.webmd.com/heart/picture-of-the-heart


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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).

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


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