Joined: 13 May 2007 Posts: 28 Location: Philadelphia, PA USA
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Massive Heart Attacks Posted: 05-29-08 18:35pm
What can cause a major Heart Attack? I ask
this question because my mother had triple
bypass 3 years ago it was very unexpected.
She went in for a simple test and found
out that she had 3 blocked arteries. But
yet, she never had a heart attack. I
believe it is because she never took care
of herself. She had a diet high in fat,
never worked out.
I had a echo stress cardiogram done 5
years ago. The finding were:
Baseline electrocardiogram showed sinus
rythm rate of 72 beats/minute
Procedure: Patient exercised on a Bruce
two-minute protocol for a total of 5
minutes, completing one minute of stag III
of the protocol. Heart rate increased to
131 beats/minute, which is 94% of
predicted maximal heart rate for age.
Blood pressure increased from 120/80 to
160/70. There were no dysrhythmias. ECG's
were negative for ischemia. The patient
achieved a workout of 10.1 METS.
Echocardiography was obtained pre and post
exercise. Prior to exercise, there was
normal wall motion throughout the left
ventricle. Post exercise, there was normal
increase in the left ventricular wall
motion. Stress Echocardiogram was negative
for ischemia.
Conclusions:
Fair exercise tolerance
Negative stress ECG for ischemia,
dysrhythmia, and chest pain.
Stress echocardiogram negative for
ischemia.
I am 5'7", 230lbs, i do aerobics 3 days a
week which last 45 minutes per class. The
majority of my diet is Chicken Breast, i
try to eat as much veggies and fruits as
possible. Can you tell me what the outcome
of this test means. Does this mean that I
have a healthy heart and I have nothing to
worry about?
What are my chances of taking a Heart
Attack?
What are my chances of getting hardening
of the arteries or plaque buildup in the
arteries 5 years later?
According to your stress-test results your
heart seems fine.
To estimate your risk for heart attack you
should give me few more information: sex,
age, blood pressure, total blood
cholesterol, creatinine, if you smoke and
if you have diabetes.
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kathy1965
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Joined: 13 May 2007 Posts: 28 Location: Philadelphia, PA USA
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Posted: 06-02-08 08:49am
Hello Doc,
I am Female, 42 years of age, BP 120/80 no
diabetes. As for the Creatinine I don't
know.
Joined: 13 May 2007 Posts: 28 Location: Philadelphia, PA USA
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Posted: 06-02-08 09:34am
Total Cholesterol is 182
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kathy1965
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Posted: 06-02-08 09:37am
I stopped smoking 7 years ago. I will have
the Creatinine results later, my GP is
going to fax them too me. I will post it.
My Creatinine, Serum is 0.7 mg/dl and the
Bun/Creatinine Ration is 17
Total Cholestrol is 182
HDL is 63 , LDL is 102
Triglycerides are 85
These blood test are from 2/16/08
Also the echostress was done on 2/7/07
not in 2003.
Interpretation Summary is:
Normal left ventricular internal
dimensions and wall thickness
Left ventricular systolic function is
normal
Reversal of the EA waves of the mitral
inflow pattern consistant with reduced
compliance of the left ventricle
There is mild mitral regurgitation
Data about age, sex, former smoker, blood
pressure, total cholesterol, weight,
height, creatinin, having no left
ventricle hypertrophy, no diabetes and no
former heart attacks or stroke help us to
calculate your risk for geting some
coronary heart disease, including heart
attack. According to my calculation, you
have MODERATE risk for heart attack. Being
overweight and fact that you are former
smoker make you to have such risk.
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kathy1965
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Posted: 06-05-08 08:32am
So in other words, my heart is not that
healthy? What do my readings mean? I
stopped smoking alone time ago. Why would
that have an effect on me now?
My cardiologist said that my heart is fine
and I have nothing to worry about. My GP
also told me the same thing.
TO HAVE A RISK for getting some disease in
the future and to HAVE THAT DISEASE NOW is
not the same.
Coronary heart disease (CHD) is a disease
of the arteries that supply the heart
muscle. Narrowing of the coronary arteries
caused by atherosclerotic changes
(plaques) in arteries' walls disturbs the
blood supply to the heart muscle and that
causes symptoms. Coronary heart disease
can be manifested in several forms:
stabile angina pectoris, non-stabile
angina pectoris, heart attack (infarct),
chronic atherosclerotic myocardiopathy and
sudden heart's death. There are several
risk factors for getting coronary heart
disease: smoking, high cholesterol, high
blood pressure, diabetes, male sex,
menopause, older age, overweight, low
physical activity, psychical stress and
genetic predisposition. The risk is higher
as you have many of these risk-factors.
According to your stress-ECG-test you
don't have coronary heart disease (for
now). You only have some mild mitral
regurgitation (according to the
echo-cardiography) which is not a coronary
heart disease and is not related to the
risk factors I mentioned before.
Smoking is one of the biggest risk factors
for getting CHD. If you still smoked the
risk for getting CHD would be HIGH but
since you stopped the risk became
MODERATE. If you continue not to smoke the
risk will become LOW.
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kathy1965
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Joined: 13 May 2007 Posts: 28 Location: Philadelphia, PA USA
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Posted: 06-05-08 09:44am
Thank You Dr. I stopped smokking 7 years
ago. I just thought that my risk would be
low because it has been 7 years.
