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Cardiovascular Disease Prevention (Expert Forum)
carotid desease
Answered by
Lee Kirksey, MD - Peripheral Arterial Disease, PAD, Cardiovascular Disease, stroke, treatment, angioplasty, spider veins, laser ablation, wound treatment, surgery, leg pain, Prevention, Varicose veins
Penn Presbyterian Medical Center of the Univ. of Pennsylvania Healthcare Clinical Assistant Professor at The University of Pennsylvania School of Medicine
Philadelphia - PA
Questions in the Cardiovascular Disease Prevention forum are answered by Dr. Lee Kirksey, associate professor at The University of Pennsylvania School of Medicine.
carotid desease
by fred9301, Jul 20, 2008 09:16AM
51 year old male
Family history carotid desease
Stats:
(brother has stroke at 65 year old - almost dies and now is in wheelchair, 86% blocakge in CT artery)
excellent health (BP rest 50)
excellent diet and regular excercise (aerobics and weight trng)
6 ft 175 lbs
BP normal (except I have white coat syndrome so it always high at Doc's office)
Total Cholesterol range 130
HDL 43
LDL 66
trigl 130
lip a being tested
homocystine 9.1
CRP .3
carotid dopler impression;
focal areas of very mild homogeneous plaque are present bilateraaly. no hemodynamically significant
stenosos are present. No change from my last test.
had echo and treadmill stress test and everything is excellent
Do you agree with starting niaspan at 500 dosage?
What would you do
Thanks for the help fred
Family history carotid desease
Stats:
(brother has stroke at 65 year old - almost dies and now is in wheelchair, 86% blocakge in CT artery)
excellent health (BP rest 50)
excellent diet and regular excercise (aerobics and weight trng)
6 ft 175 lbs
BP normal (except I have white coat syndrome so it always high at Doc's office)
Total Cholesterol range 130
HDL 43
LDL 66
trigl 130
lip a being tested
homocystine 9.1
CRP .3
carotid dopler impression;
focal areas of very mild homogeneous plaque are present bilateraaly. no hemodynamically significant
stenosos are present. No change from my last test.
had echo and treadmill stress test and everything is excellent
Do you agree with starting niaspan at 500 dosage?
What would you do
Thanks for the help fred
Doctor's Answer
by Lee Kirksey, MD, Jul 21, 2008 07:43AM
, Jul 21, 2008 07:43AM
To: fred9301
Hello
Niaspan sounds like a good choice. Im not sure about your question of what to do? You have plaque within your blood vessel but no narrowing. There is no indication for surgery or intervention at this point. You should have aggressive control of your cholesterol. Your HDL is low. Your weight is appropriate. I would look to eliminate animal fat from your diet. Your body wont make cholesterol if you dont eat fat. Aim for total fat <35 gm/day and sat fat<12 gm/ day, non fat milk. etc. this is a proven diet for plaque regression
Niaspan sounds like a good choice. Im not sure about your question of what to do? You have plaque within your blood vessel but no narrowing. There is no indication for surgery or intervention at this point. You should have aggressive control of your cholesterol. Your HDL is low. Your weight is appropriate. I would look to eliminate animal fat from your diet. Your body wont make cholesterol if you dont eat fat. Aim for total fat <35 gm/day and sat fat<12 gm/ day, non fat milk. etc. this is a proven diet for plaque regression
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