Here is more specifics. Damage to EPCs. That means exposure to cigarette smoke greatly exposes arteries to risk of damage sites being plugged with blockage initiating immune cells rather than correctly repaired by EPCs.
"The researchers learned that in healthy nonsmokers, even brief exposure to secondhand smoke resulted in blood vessel dysfunction and interfered with the activity of endothelial progenitor cells (EPCs), which are believed to play a key role in repairing blood vessels. The damage to the EPCs appeared to last as long as a day."
As a teenager, I played cards every weekend, and many summer evenings with 3 friends who all smoked. It did not seem to affect me, but considering the magnitude of my blockages at age 53, I think the 5 years with my smoking friends may have been one more major factor for me.
Plus three years with at home smokers of a step-mother and her son.
Combined effects of 2nd hand smoke, teenagers eating a high fat diet with minimal anti-oxidants, stress of growing up, and excess transfats from chips, cookies and crackers, is almost certain serious heart disease 20 - 40 years later.View Thread
An ekg would determine if your heart is beating abnormally because of tissue loss from a heart attack. If it came out positive, they might do a stress test, echo stress test, sonogram, angiogram, or other test .
What was the situation when you were talking with your friends, preceding the incident. What had you had to eat in the preceding 24 hours ?
That sure sounds like a near heart attack to me. I have a triple bypass, done as an emergency surgery, and can't fudge my diet or I have serious angina within 24 hours of a meal.
What is your diet and lifestyle, and what has it been the past 20 years ? Are you prone to worry and anxiety ? Do you get a huge adrenaline reaction from sports or exciting movies ? Are you and have you been athletic, and if so casual, competitive, super-competitive ?
My internist was sure an initial 5 minutes of minor chest pain was anxiety, December 21, 2005. Five days later I had mammoth chest pain on vacation, 4 times in three days. January 11, 2006 I went to the ER for unstable angina. With initial x-rays and tests, doctors asked my wife how long I had been bedridden and on oxygen. They did an angiogram the next morning, and scheduled me for bypass surgery the next day after they saw the results.
You are already on anxiety medication, but that does not mean you should not also be living as a heart patient with ideal diet and exercise. That would be the safest thing.View Thread
Also, the angina that may come is not much fun. I have tiny almost pinpoint size angina, and knock'em dead double major blocked artery angina.
We probably won't die fast enough, so be merry, but be careful with the eat and drink part. You can enjoy other parts of life a whole lot more if you also implement the lifestyle changes required, to become pain free in a year or so, have almost no limitations, and add 10 or 20 healthy years to your life.
What kind of lifestyle changes have you made ? Some people make none, some a few things, very few do almost all the recommended changes.
I did change just about everything. My cardiologist and my HMO have been surprised I have not developed heart failure. My wife asked my doctor how long I might survive after the bypass surgery. He only gave her silence. She cried. That was 4 1/2 years ago.
Diet, stress elimination, proper exercise management, oral hygiene all can make a huge impact post stents and bypass surgery.
Read up on endothelial function and cholesterol effusion. The effusion is the release of cholesterol by plaque objects. It seems to be activiated by increase in the enzyme paraoxonase, which is predominately responsive to pomegranate products.
A low fat diet high in fiber and anti-oxidants can halt the progression of atherosclerosis.
Endothelial function, artery maintanence and healing, is improved with pistachios, and step-wise improved as you change out lifestyle factors that aggravate heart disease.
Daily moderate exercise, with occasional more intense exercise, helps wring out LDL and triglycerides by using them for energy in long cardio.
The vitamins themselves are isolated forms of a few anti-oxidants. The highest impact anti-oxidants are herbs and spices, followed by fruit, followed by vegetables. The bigger the variety of all those in your diet, the healthier you will be.
Damage comes from stress to the arteries and oxidized LDL. Cut stress, eliminate ox-LDL, start cholesterol effusion, and that is the best you can do. Its a slow process.
Check out the Heart Health Fuhrman Ornish board for more on diet and heart disease.
My cardiologist said that if I don't drink, better to simply take resveratrol by capsule. For most drinkers, they need to reduce their drinking and switch to red wine to get some benefit.
Even better for the heart and blood vessels are: high anti-oxidant foods: herbs and spices, fruits, vegetables; pistachios to help the body's stem cells that maintain healthy arteries, and green tea; plus the usual lifestyle improvements, all of which improve the ability of the body to repair itself.
Without making ALL changes, and almost no one does, my doctor expected me to have heart failure set in soon after my emergency triple bypass. I have been able to implement close to everything, and take my meds on a daily basis. Thus far, 4 years and 6 months, no heart failure, and I'm doing fine. People at work note how I am an unfailing model of healthy consistency in the cafeteria.
The healthier you want to be, the more heart healthy lifestyle changes you need to make.