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bowdenfan posted:
I had double bypass two years ago. Since then, one of the arteries has had three stents placed. Got lab work two days ago. Triglycerides are 161 and HDL is 31. Am having chest pressure (as before), fatigue and shortness of breath with minimal exertion. Wondering what to do. Any advice?
cardiostarusa1 responded:

"Am having chest pressure (as before), fatigue and shortness of breath with minimal exertion. Wondering what to do."

SEE a/your doctor promptly!

The bottom line

Coronary artery bypass graft (CABG) surgery is only a clever way of temporarily circumventing the problem (atherosclerosis), and coronary stents (bare-metal or drug-eluting) are only a Band-aid or spot-treatment, as these procedures do not address the disease process and what drives the progression.

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

Keep ALL known modifiable risk factors for cardiovascular disease (which actually begins very early in life, even as early as in the pre-teen/teenage years) closely in-check.

Best of luck down the road of life.

Take care,


WebMD member (since 8/99)



Be well-informed


Living with Heart Disease

Coronary Artery Disease (CAD)

CAD is a chronic disease with no cure. When you have coronary artery disease, it is important to take care of your....

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

Recognize the symptoms......

Reduce your risk factors......

Take your medications......

See your doctor for regular check-ups.....

Coronary artery anatomy

Starting with the left anterior descending (LAD). The most critical, next to the ultra-critical left main (LM).


Heart-Healthy Foods

Nothing complicated, just plain and simple

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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Report Problems With Your Medications to the FDA

FDAYou are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.

For more information, visit the Duke Health General and Consultative Heart Care Center