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re: What age is a good age to start seeing a Cardiologist?

Posted on 11/15/19 at 10:01 pm to
Posted by Bullfrog
Running Through the Wet Grass
Member since Jul 2010
61798 posts
Posted on 11/15/19 at 10:01 pm to
As soon as she gets those student loans paid off.


And how do you frickers afford all the stupid tests y’all toss out there?

shite man, a cardiologist stress test will probably set you back $1,500 or so.

Not worth it.
This post was edited on 11/15/19 at 10:20 pm
Posted by dLSUm22
Shreveport
Member since Aug 2012
688 posts
Posted on 11/15/19 at 11:19 pm to
I found a PCP and started getting annual exams when I was 30 due to my family history of heart disease. Labs have always been within normal limits up to this point, so I’ve had no need to see a specialist yet. That’s a good place to start if you haven’t done so.
Posted by GumboPot
Member since Mar 2009
140573 posts
Posted on 11/15/19 at 11:41 pm to
If your calcium score is up how do you bring it down?
Posted by weadjust
Member since Aug 2012
15817 posts
Posted on 11/15/19 at 11:45 pm to
quote:

And how do you frickers afford all the stupid tests y’all toss out there?


Calcium Score test is $50 at the largest cardiology med place here in N MS. They will do two other heart test for an additional $45 but I can't remember what they are.
Posted by McLemore
Member since Dec 2003
35533 posts
Posted on 11/16/19 at 6:23 am to
quote:

You are right. Bacon and red meat everyday is what keeps your blood pressure low and keeps your arteries from building up plaque. Bacon and beef every day is the best diet and never see a cardiologist that recommends a diet of any sort. That is witchcraft.


You were actually closer to truth, in your first sentence, than your nuts and veggie nonsense. Then you just devolve into some fourth-grade absurdity. Tell me exactly how nuts and veggies diet works with respect to CVD prevention , please. Citing to the precise lipidology/inflammation pathways.

Also, show me the research on how saturated fat "clogs arteries" and causes hypertension.

Tia
Posted by fishfighter
RIP
Member since Apr 2008
40026 posts
Posted on 11/16/19 at 7:01 am to
Was 52. Left work and on the drive home, I blacked out a couple times. Made it home and felt very bad. Wife looked at me and said it was time to go to the ER. I was in full blown Heart Failure. The left side was shot. My EF was at 10%.

I have no blockage at all. Reason of the HF, a infection attacked my heart. 10 years later, my EF is at around 20% now. Been seeing a heart transplant team the last 9 years. My team told me to keep doing whatever I am doing. It has been one hell of a roller-coaster.
Posted by doya2
Charenton
Member since Jan 2005
8893 posts
Posted on 11/16/19 at 8:35 am to
Not necessarily
Posted by soccerfüt
Location: A Series of Tubes
Member since May 2013
76155 posts
Posted on 11/16/19 at 8:50 am to
quote:

My doctor said he wasn't worried about the small bulge.
Posted by Mr Breeze
The Lunatic Fringe
Member since Dec 2010
6810 posts
Posted on 11/16/19 at 9:07 am to
quote:

Reason i ask is ill be 40 next year and heart disease runs in my family.


This is the operative statement it's time to go now.

My dad, his brother, mom's father, sister and uncle all literally dropped dead from SCA anywhere from 50 to 70 years old.

I was checked ok at 40 yrs old and see a cardiologist yearly.

Family history more than most anything is a leading indicator of your future.
Posted by Barstools
Atlanta
Member since Jan 2016
12124 posts
Posted on 11/16/19 at 9:27 am to
quote:

Eat a clean, nutritionally excellent diet and a cardiologist will never be needed at all.


I'm going to go out in a limb here and say you're definitely not a medical doctor of and kind.
Posted by Buck Magnum
Springdale
Member since Dec 2003
11896 posts
Posted on 11/16/19 at 9:33 am to
You need to talk to your primary care doctor and see if you need to be referred.
Posted by Hogbit
Benton, AR
Member since Aug 2019
3091 posts
Posted on 11/16/19 at 9:37 am to
Yep. Heart hospital in LR does those screenings for around $100.
Posted by shinerfan
Duckworld(Earth-616)
Member since Sep 2009
28928 posts
Posted on 11/16/19 at 9:43 am to
Pics of cardiologist?
Posted by McLemore
Member since Dec 2003
35533 posts
Posted on 11/16/19 at 10:06 am to
quote:

I'm going to go out in a limb here and say you're definitely not a medical doctor of and kind.


Meh, the average medical doctor (even cardiologist) is so far behind the times when it comes to CVD causes and prevention, this is really not an insult.

That said, I have no idea what "eating clean" even means.

And, I think everyone (w family history and I'd say even without once you hit 40) should do a coronary calcium score test, read enough to understand the latest lipidology science, get a lipoprotein(a) test (proxy for apo-a: important for diagnosing genetic heart disease predisposition), know your LDL particle number (apo-B is proxy) and size, CR-P, insulin-sensitivity. Also what is your Trig burden? (ask your doctor a out that and watch the head scratch). VLDL remnants? Cholesterol synthesis? Cholesterol absorption? Defective LDL receptors (and the extreme familial hypercholesterolemia and PCSK9 inhibitor treatment)?

Most doctors will only look at the "trick" of the statin without understanding it. Just willy-nilly handing out the best marketed statin isn't ideal. They can be a tool of the right type, in the right dose, in the right patient.

Calcium scores also need to be used properly. The problem with relying on calcium score at a young age is, calcification is such a late phase of atherosclerosis. In other words, you can be in late forties and have a low score and still be at risk down the road.

As far as the type of blood test: Electrophoresis is even better than NMR for LDL particle number/size. But if your doctor isn't at least doing NMR then fire him/her immediately.

And then formulate a program to reduce your risk as much as possible (including through healthy metabolic regulation) , relative to negative side effect risk of statins and low LDL (which is neuroprotective). And there is a drug in phase iii testing that is promising for hereditary CVD via wiping out apo-a twice a year.

Formulate a program to increase HR variability (proxy for bad, chronic stress), sleep improvement, and cortisol control.

To see how much your doctor knows, remembers, or cares about this stuff, ask him/her about endothelial health and how hypertension and smoking affect it. How oxidation creates an unhealthy type of inflammatory response, which contributes to a lipoprotein depositing cholesterol in the arterial wall.

If your doctor refers to HDL as "good cholesterol," then I'd ask him or her to explain why (and then fire him/her when s/he can't explain it).

Or just downvote idiotically. That's easier.
This post was edited on 11/16/19 at 10:45 am
Posted by Barstools
Atlanta
Member since Jan 2016
12124 posts
Posted on 11/16/19 at 10:24 am to
Bro, no doctor would ever tell you that as long as you eat healthy, there's no need to ever see a doctor.
Posted by McLemore
Member since Dec 2003
35533 posts
Posted on 11/16/19 at 10:27 am to
quote:

Bro, no doctor would ever tell you that as long as you eat healthy, there's no need to ever see a doctor.


Right. Ok. So. What? My point obviously was, a) the eat clean statement was dumb and b) most doctors are equally dumb when it comes to CVD.
This post was edited on 11/16/19 at 10:33 am
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