Heart Stress Test – Prognosis and Recommendations

I wrote about my Dad’s condition with Coronary Heart Disease and how it ultimately led to him passing away. I went and got consultation with a Cardiologist and these were the steps that we followed:

  1. Blood work
  2. Cardiac CT Scan
  3. Stress Test
Blood work was done to test my Sodium, Potassium, LDL, HDL and diabetes levels. This is first indicators of something going wrong with your body function. There are ranges prescribed by the Heart Associations. We checked and found out that my basic measures are all within range. My blood pressure was “excellent” according to my doctor. Once we had done this, my doctor recommended that we get a Cardiac CT Scan done and I did that last month, the results were surprising to say the least. I have what is known as the Atherosclerosis which is a fancy word to say that there is hardening of my arteries and in my case the small artery. My doctor right away recommended that we go on a lipid lowering drug regime. I take 40mg of atorvastatin everyday since he prescribed it and will go in for more blood work in another couple of weeks.

Heart function under stress
Yesterday we did the Stress Test, basically a number of nodes were attached to my chest and I was on stationary bicycle. The peddling became harder and harder, the doctor kept recording my blood pressure and the machine was recording the beating of all the arteries that go to my heart. All I saw was about 10 graphs that were showing the regularly going up and down, which I believe is the beating rhythm of my heart. The doctor explained to me the stress levels and how they see if there is any abnormality when the heart is working at its peak. He gave a passing grade on all the analysis, which means there is no depravity of Oxygen or Blood Flow to my Heart when it is put under stress which is good because if there is a symptom of either a Oxygen or Blood Flow depravity then it leads to a stroke or heart attack. The prognosis is that I can continue with all my physical activity i.e running without any constrain.

Diet
He recommended the South Beach Diet basically reducing the consumption of simple carbohydrates like white bread, cakes, cookies, pasta, candy and alcohol but increase consumption of complex carbohydrates.

Drug and Treatment

He pointed me to two recent studies, the Reversal Study and the Saturn Study. Both studies point to a method of treatment that my doctor wants me to follow.“This study demonstrates that the highest doses of the most effective statins currently available is safe, well tolerated and produces marked plaque regression,” said Cleveland Clinic cardiologist Stephen Nicholls, MD, PhD, lead investigator of the trial. The finding that these therapies produced low levels of LDL, raised HDL and removed plaque from the artery wall in a safe manner is positive news for patients with heart disease.” The bottom line is that when one goes through an aggressive lipid lowering drug regime i.e 80mg of Atorvastatin or Rosuvostatin, they found that it actually reversed the case of Atherosclerosis. My doctor wanted me to continue the 40mg dosage for another couple of weeks and ensure that there are no side effects before bumping my dosage. The saturn study was designed to measure the impact of CRESTOR (rosuvastatin) 40 mg and atorvastatin 80 mg on the progression of atherosclerosis in high risk patients sponsored by Astra Zeneca and their findings are here.

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Cardio Vascular Disease

My father passed away on September 19, 2011. he was diabetic and had his first heart attack on July 11, 2011. The doctors recommended that we do a by-pass surgery. Before he could get his body in shape to do the surgery he had 2 more attacks. He was rushed into surgery they found 6 major blocks in his artery and his heart was functioning only at about 30% capacity. His internal organs were very badly damaged, he fought for 19 days in the intensive care but finally his kidneys gave up. I stopped running regularly since my father’s incident. Althought I have been doing some runs just don’t have the motivation to get started again seriously. My plans to run the Chicago Marathon in 2011 did not happen as I was preoccupied with my Dad’s passing. While I was visiting my dad every day in the IC unit, we got to talk to the doctor about why he had this problem of course there were many reasons he was diabetic and the doctors felt that he had Cardio Vascular Disease which is basically cholesterol build up on the veins and arteries that blocks blood flow in your body. It happens due to many reasons, like smoking (my dad did not smoke), heavy drinking (my dad was a teetotaler), bad food habits (my dad was very disciplined did not take sugar or eat rice since he found out he was diabetic), overweight (he was once again not overweight – 70 kgs for a 6 foot frame) etc. The main reason I felt that we could not save him was the fact that we did not detect the problem early enough.

I got myself tested with a CT Scan on my veins, arteries and my heart, much to the surprise of my doctor and myself, there was some narrowing of my arteries. The doctor initially told me that we don’t need to do a stress test but now I am on a cholesterol lowering drug and I plan to take a stress test on January 18. I have been tracking my heart rate during all my runs and this data should give more insights into my condition. I feel fine though the holiday diet has not been very helpful but I plan to get on the running trail quite soon and give a good fight to my condition.

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