Bruno With my case, I had no symptoms you list, with barely 7% circulation in my three main coronary arteries.
I am working with a fellow at work, who can only walk around the building 4 times, then must sit. Four months ago, could walk around it only once. And sitting down strains his legs. He is too tired to get up in the morning. He's overweight with a belly, but slim otherwise.
WebMD did a little show and tell about me. See Page 73 in the September 2012 WebMD magazine. They took a lot out of the story, editing it down from a phone interview. They asked permission to use my story, knowing my history from my profiles on the site, and from my assistance to others in diet, exercise, and information about cardiovascular disease.
With me, you are preaching to the choir.
Sunday, I played volleyball for two hours, my heart rate staying at about 160 almost all the time. Not bad for a guy two months short of his 60th birthday.
Question 1: For the general population, what affordable and accessible diagnostic test(s) are the best indicators of cardiovascular and heart disease? Please list your TOP 3 "Diagnostic Tests". (ex. high blood pressure, high total/hdl ratio, ecg, C reactive protein, etc...) --------------------- If a person stays fit, the best indicator will be shortness of breath and chest pain while exercising, or even at rest. Ignoring those as serious can be fatal. Really.
A simple diagnostic test is a diet question. If a person has a diet low in anti-oxidants and high in saturated fat and salt, there is about zero chance they will not be developing heart disease. That diet pretty much guarantees a person will have oxidized LDL that will fatten blockages and help them develop more quickly. The salt guarantees high blood pressure, necessary to cause artery damage, a necessary pre-cursor to blockage development.
--------------------- Allowing oneself to have high blood pressure, or be aggravated into it, is a pretty good guarantee. That was my only possible symptom, and my BP was not very high, 135/90 before medication. But I was not checked to see how effective it was brought down, nor did I check my blood pressure when I was stressed. That may have done me in.
Unfortunately, the #1 diagnostic test for heart disease is an angiogram. Everything else is a blind guess, but something of increased probablity. I passed two stress tests for other heart problems, and no clue showed up that I was living off of collateral mico-circulation. It fed my whole heart and I could exercise very strongly. One test about 11 years before surgery, the stress test elevated my heart to 178 for a few minutes. That was 100% max for my age at the time, 42, and indicated I was extremely fit. Heart disease takes decades to become severe, unless of course someone is really doing almost no good things, and everything to force it to progress quickly. ------------- Question 2: What are the TOP 3 "symptoms" that are indicative of cardiovascular or heart disease?
With absolute certainly ? That is something available in statistics. To the best of my recollection, the top three killers, and symptoms, are: #1, a heart attack. #2, a stroke #3, ED in men, or PAD, peripheral artery disease in men and women.
Lots of people still die with the first symptom, about 40%, down from 50% or more.
An arterial blockage anywhere can be a symptom of a problem in coronary arteries. It can be a muscle, a limb, or another organ, ----------------[br>Finally, I was prediabetic at one time but through lifestyle improvements, I no longer concern myself with high blood glucose. Did you have high fasting blood glucose numbers (diabetes) accompany your Heart disease? No.View Thread
As you suspect, a jerk of a personal trainer is NOT someone you should be paying. You should be paying him to make sure you do things right and educate you, not to be an anus. The licensing exam is about 50% related to training, so a PT can theoretically guess and be 50% right on that section, pass the rest at 100%, and have no clue what they know or don't know. Scary. Not the kind of PT I would want. I don't need motivation, and neither do you, you want success and knowledge. You are better off with a good book or video to work with than a bad PT. You might get a video course from "The Great Courses". There is one on Physiology and Fitness, 36 1/2 hour video lectures.
Smart training always builds fitness gradually to avoid injury and build confidence. Find a knowledgeable person to train with who can work properly with someone smarter than they are.
High blood pressure is a # 1 precursor to heart disease. Excessive blood pressure can over stress flexible arteries causing micro tears to the lining, or worse. If not healed first by EPCs, your immune system jumps in to hide this foreign protein. Those immune cells on your artery wall, with a toehold behind the lining interior inside facing the lumen, are also tasked to remove oxidized LDL. They gradually engorge, and peal the lining away, and work their way around and along the artery, choking it off from the inside. This is a multi-year, multi-decade process.
If a person is inactive, they will never notice as their heart is not stressed to work harder.
Something many people are not told, but I feel also is of significant benefit to their immune system, is a reduced fat diet.
I am slim, and due to SEVERE heart disease, had to restrict fat in my diet. That should make it more difficult to maintain my weight, yes ? But, I am not eating more carbs than before as a substitute. Those calories are just gone. Yet I amintain weight, with exercise as a muscle stimulus. AND I recover from other illnesses quickly. My immune system seems boosted by the lower fat diet. Its as if the immune system was compromised by having to battle the fat in my diet, and was using some of the calories from fat to work against the rest of the issues caused by dietary fat. To my arteries at least.
Readers might try a little experiment when not feeling well. Have a balanced but very lean diet, and see if you don't recover more quickly. Try it more often, and see if you are under the weather less often and for shorter periods.
Regarding my recovery from heart disease, I asked my doctors at regular visits about many of the valid findings from research I was incorporating in my health plan. They were unaware of them, since they felt they no longer had time to keep up with research. They did say, that if it is working, keep doing it. I do. And I share it here on WebMD, usually in the the Heart Disease forums. Either the main Heart Health community forum, or the Fuhrman Ornish forum, or the Heart Health Cardiac Rehabilitation forum, which I created. I add discussions, tips and resources, usually with links to the abstracts of research studies on Pubmed so the source of my information is available.
We can aid our doctors information store. They just need to know it is of trustworthy source.
Doctors don't study nutrition. Its not part of the medical school curriculum. Nor is exercise science. Thus we have to do cross subject research for our specific illnesses.
We are electrolyte dependent bio-mechanical "machines". Reduce our electrolytes, and our internal processes all slow down or do not work right. It can kill us.
There is always risk of cardiovascular disease if there is stress or other means to cause injury to interior artery walls. Good ratios minimize it, as does beneficial diet and exercise, and low or non stress lifestyle.View Thread
My arteries are severely compromised. I can not afford spikes in saturated fats that give me arterial spasms and angina.
For six years my LDL was in the 50's, and HDL the mid 40's. I'm not sure why the sudden change, but its still ok as the LDL / HDL ratio is still under 2.0 It might be a reduction in intensity in exercise.
As to the source of the coconut information in books, its not from published professional medical research. Again making it of a questionable source.
Politicians make up stuff all the time, and fact checkers have a field day with it.
Nuts are healthy in moderation. I tried one each of a walnut half, an almond, a peanut, and a cashew every day for a month a few years ago. I stopped when I began getting chest discomfort with exercise that I had not had in three years. After another month without the nuts, the discomfort was finally totally gone. I can eat pistachios by the handful everyday. The lowest oil nut, and proper balance of poly and mono unsaturated fats. Pistachios somehow positively impact function and number of EPCs. This is in published medical research.
Eggs raise both HDL and LDL. So do shrimp. So if the numbers are close, adding those to the diet is not harmful, since HDL is raised, too. Again, published medical research.
Having fats be healthy is partly (totally ?) a function of adequate anti-oxidants in the diet.
Heart attacks come on as spasms that turn into a tight constriction, or a piece of interior arterial lining split off by arterial damage foam cell expansion blocking the remaining opening in an artery. Blockages grow slowly as LDL becomes ox-LDL and is taken up by macrophages, and slowly choke off the lumen of the arteries. All is takes is spikes in fats coinciding with drops in anti-oxidants for a blockage to keep building little by little. Almost nothing makes the blockages shrink. But frequent intake of anti-oxidant rich foods, and minimal intake of fats ensures there is no oxidized LDL to be taken up and increase a blockage. Ever. Herbs and spices have ten to a hundred times the anti-oxidant of fruits, which have ten times more than veggies.
We will disagree. I also am further on the continuum of heart disease and can not afford to increase any blockages, so I do not risk it. You believe you can.
I share very few opinions. I write of medical research I have come across, and my own life experience as I try to further distance myself from debilitating heart disease, and help other people's lives who already have angina but not getting answers or results from their doctors. Quite a few grateful co-workers, and I don't know how many readers from WebMD or Yahoo! Answers.View Thread
If there were legitimate research studies that said positive things about coconut oil, it would lead to more studies to verify them. But the few studies indicate it is not beneficial, so further research is not undertaken.View Thread
In my years of scanning and digging for foods and exercise on http://www.ncbi.nlm.nih.gov/pubmed for information and research studies on heart disease, not once have I encountered a research study stating coconut as beneficial for heart disease. So any information cited on another website is questionable, IMHO. Pubmed is a world wide clearing house of research information.
If it was necessary for good health, I would have at least read about it, if not incorporated into my diet.
My most recent cholesterol numbers were LDL 67, HDL 38, Triglycerides ... 75 ? for total cholesterol of 130. Prior to this year, my numbers were 57, 47, 55, total cholesterol of 115. I had a hernia earlier this year and surgery, greatly reducing my exercise, which I hope accounts for the cholesterol changes.
Increased fats in the diet increase the need for anti-oxidants to keep them un-oxidized, and for higher HDL to help get rid of any excess.
Maintaining high function of EPCs (endothelial progentitor cells) is also important to arterial health, and a high fat diet is not beneficial there, either. Its risky to think any fat is in general beneficial. Do more research, and not on websites promoting the edible item you are reading about.
I have a very sensitive system. Most people are years away from being able to induce angina from a small portion of food in a single meal. Its not the best health capability to have. It means one is THAT CLOSE to at least a minor heart attack.
One can move themselves closer to that, or further.View Thread
Doctors are specialists, and it is not in nutrition and exercise. Every doctor you speak to will tell you that. There is much public information available on both topics, and specialists with advanced degrees.
Nutritionists Exercise Physiologists
Personal Trainers knowledge is spotty but getting better. Their licensing exams are 50% business and marketing. So there is the potential that the 50% on exercise and nutrition of the exam, they could miss half of it and still pass the exam. Would you ask for information from someone who was only right half the time, but thought he was right 100% of the time ? I don't think so. So people need to be their own best advocates and do try to find the real research studies and reliable information. Anything a Personal Trainer tells you they should be able to provide sources from extremely reliable organizations and research studies. -------- There is a lot of fat in an avocado. Its a blend of saturated fat, mono-saturated fat and polyunsatyrated fat. Bragging you eat a whole one everyday sounds cool now, but if you get heart disease in 10 or 20 years, you may question the intelligence of that choice. I had 1/4 of an avocado with a lunch salad a few years ago. My heart disease is so advanced, fours hour later I had pain all across my diaphragm hat lasted for two hours, and would not go away with nitro spray. I had no pain incidents like that before or after this avocado, or bypass surgery.
Just because you can eat it today with apparent impunity, does not mean it is a good choice. I have multiple small coronary arteries on the edge of blockage. You don't need to be there.
Coconut oil is almost all saturated fat. Why would you do that to yourself ? You could also eat Crisco from a can. Neither is a good idea.View Thread