I would like to compare how you are being followed by your cardiologist. I had a quadruple bypass 15 yrs ago when I was 45 yrs old. Three yrs ago I had a heart attack ( while exercising) and got two stents. Three weeks ago (while exerciubg) I had another heart attack and got two new stents in the same artery. My HMO says there is no preventive tests simply to manage my cholesterol , take my meds and exercise. My lip panel is excellent .
What are screening routines are you follow up? Nuclear stress test? Angiogram? Thanks a million
Prevention of coronary artery disease is less than perfect. For you, the prevention is secondary inasmuch as we know you have atherosclerotic coronary artery disease. The prevention approaches include cholesterol and LDL in the ideal range, normal blood pressure, no smoking, no exposure to secondary smoke, avoiding excessive and preventable stress, regular physical activity, a Mediterranean type diet, a diet heavy on fruits and vegetables, weight in the ideal range. There are certain medications that are considered to protect the heart. Some doctors advise modest amounts of red wine. It is also desirable to have a good heredity and not to have diabetes.
Screening tests are of questionable value, and it is more important to see a good cardiologist at reasonable intervals.
Please keep in mind that I am unable to diagnose medical conditions online.
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