Tuesday, February 7, 2012

Coronary Artery Disease, Abraham Lincoln, and Me

It is true you may fool all of the people some of the time; you can even fool some of the people all of the time, but can’t fool all of the people all of the time.

Abraham Lincoln (1809-1865)

February 7, 2012
- When I think of coronary artery disease risk factors, I think of Abraham Lincoln.

As someone who had a coronary three years ago and as a doctor, I know you can reduce some of the risk factors some of the time; you can even reduce some of the risk factors all of the time, but you can reduce all of the risk factors all of the time.

If you have coronary artery disease, soon or late, some devilish risk factor may get you. You don’t know how. You know when. The first sign 30% of the time is sudden death. As with John Wilkes Booth, that risk factor may come when you least expect it.

It may come from adverse blood lipids – a high total blood cholesterol, an elevated LDL, a low HDL, high triglycerides, an unacceptable LDL/HDL ratio – or some combination therein. But luckily, that is not the case with me. Besides you can control lipids with statins.

It may come from persistently high blood pressure but again you can control that with drugs, exercise, or weight loss.

It may come from diabetes – which I don’t have.

It may come from life style overindulgence – eating too much of the wrong thing too much of the time – or from under-indulgence in exercising – which you control by following caloric guidelines on myfitnesspal.com or by fitness programs pedometer-goal setting of 10,000 steps a day.

It may come from subtle inflammations – such as gout flare-ups or infections like urinary tract infection, prostatitis, and gingivitis – which you can identify and treat.

To some extent, you can control or anticipate these inflammatory conditions by measuring your blood counts or by recording your high-sensitivity C-Reactive Protein , which tends to be elevated in patients with coronary artery disease lurking in the shadows. You can even check for your CAC (coronary artery calcium).

There are factors you can minimize – like anger and unnecessary emotional and physical stress.

But alas, there are always those things that are beyond your control – your age and gender.

Tweet: When you have coronary artery disease, to a certain extent you can control its risk factors, but you can’t control your gender and your age.


how to articles said...

Heart problems is a narrowing of the small veins that supply blood and oxygen to the heart. CHD is also called center.

Richard L. Reece, MD said...

Correction. Coronary disease is narrowing of the small arteries, not veins to the heart.

Anonymous said...

What's up to all, how is all, I think every one is getting more from this site, and your views are fastidious in support of new users.

Have a look at my web page - Louis Vuitton Handbags

Anonymous said...

Hurrah! After all I got a webpage from where
I be able to really obtain useful data regarding my study and knowledge.

my web site ... http://xiglute.com/blogs/88877/90259/bose-outlet-deals-and-bargains

Anonymous said...

Wow that was strange. I just wrote an extremely long comment but
after I clicked submit my comment didn't show up. Grrrr... well I'm not writing all that over again.

Anyways, just wanted to say wonderful blog!

Visit my homepage; Louis Vuitton Handbags Outlet (ngosummit.com)

Anonymous said...

I am actually delighted to glance at this webpage posts which carries plenty of helpful facts, thanks
for providing such data.

Look into my weblog; Nike Free Run Sko

Anonymous said...

This is really interesting, You are a very skilled blogger.
I've joined your feed and look forward to seeking more of your fantastic post. Also, I've shared your website in
my social networks!

My blog ... Louis Vuitton Bags

Anonymous said...

I'm not sure why but this web site is loading incredibly slow for me. Is anyone else having this issue or is it a issue on my end? I'll check back
later on and see if the problem still exists.

Here is my blog post Soldes Air Jordan :: ::

Anonymous said...

Appreciate the recommendation. Will try it out.

Here is my page - next page

Anonymous said...

Its like you read my mind! You appear to know
a lot about this, like you wrote the book in it or something.
I think that you could do with a few pics to drive the message home a little bit, but other than that, this is great blog.
An excellent read. I will definitely be back.

My page - make rap beats