I don't know much about Lipoprotein (a). But if it gets into blockages, I suspect that means it must be oxidized first. That simply points you trying to have a low fat and high anti-oxidant diet, as I have. It is so far not an issue when LDL is low, which yours is.
Not exercising too hard is important. Never be out of breath, short of breath, or breathing hard. With my careful regimen, I can do almost anything and it does not affect my breathing. Volleyball recently got my heart rate way up for extended periods, but never out of breath. I have fun, playing for 1 to 3 hours.
I like to think one of the best signs and predictors is the LDL/HDL ratio. At time of my surgery, mine was about 4 to 1. Very bad. Its been under 2.0 ever since, and as low as 1.2. Yours is about 0.65. That is amazing.
HDL is the good cholesterol, so its only a problem when it is low. The higher the better for HDL. And my doctor did not want my LDL below 70. He actually hoped it would come up from the mid 50's. Triglycerides are divided by 5 before being added to the total cholesterol number. At 81, dividing by 5 = 16 points toward the total.
The CRP may indicate either stress or excessive exercise caused inflammation. Can you comment on that ?
Your doctor's comment that the lipid profile is good seems an understatement. In my tightly focused opinion, its a great lipid profile. Do you a tight diet, or a loose one ? Exercise often ?
If a person stays active, but eats poorly. over time they will find their heart does not perform as well, and they tire more easily .
This can be just poor fitness, or, it could be an indication your heart has blockages and can not get enough oxygen to work at the level you want it to.
This makes bad diet choices and lack of exercise excellent ways to mask development of heart disease. This is why many people still die of "sudden" heart attacks. They have been living poorly for their heart for decades, blockages have developed, to the point that any small change can kill them.View Thread
If you had an active lifestyle, you may find medical rehab annoying or boring. But they will, or should, give you a lot of information. Mine did.
Bu with my exercise background, and hobby in exercise physiology, I did my own very careful and very successful rehab.
For that chest pain, try to note if it comes on after eating some type of food with a lot of fats. It could happen as much as 24 hours after eating it, which I what I saw. So I am on a constant very low fat diet. About the only fats in my diet are those with dark chocolate, or pistachios. Anything else in incidental. Five times out of five since bypass surgery, a high fat food gives me strong chest pain. I would try something a year later, then a year later. No matter. Fatty food = strong chest pain for me. The last time, the pain came on in only four hours, and lasted for two hours. Nitro did not help, and I went to the hospital overnight for observation and tests.View Thread
I had those same painful spasms/twitches the first two years after bypass surgery. Do request a prescription for NitroQuick, a spray to use as a cardiac vasodilator. Nitro tablets are good for only 30 days once exposed to air by opening the bottle. The NitroQuick is good for a couple years. Light is supposed to degrade it, so I wrapped my bottle in black electrical tape to minimize exposure. --------------------------------- A lot of people may just read my posts, but few ask new things. If all you needed was a stent, you're lucky.
I look forward to answering specific questions you may have. Chances are very good you'll be back to your full and active lifestyle, but it may take a year or two. A small price to pay to recover your health, likely better than it was before.