Why are we still using cholesterol numbers that show very little correlation with actual heart problems?
I said lipid profiles
HDL
LDL
and they most certainly are more indicative than not of a propensity for cardio ischemia
HDL as high as you can get it
LDL as low as you can
One new drug Repatha has shown promise at remarkable numbers and even reducing ischemia itself
The anomalies are some great lipid profile folks get ischemia early anyhow
And some hypercholestralemia folks don’t get ischemia despite horrible ratios
Repatha and for matter Lipitor reduce arterial wall inflammation which also contributes especially for those with bad numbers already
I was born with a malformed heart and an intramyocardial LAD and at intraseptal as well which means it’s pinched and occluded at D1 and D2
I’ve had two surgeries 14 years ago to clear and graft and may yet have another or an interventionist catheterization and if possible after that a stent or two unless there is too much blue meat downstream for it to matter
Which means I get the joy of dopey meds like high dosage metoprolol and lisinopril forever waiting for a coronary event that is unfixable
I’ve always been extremely active whilst knowing my limitations regardless
Pelham says I need to start acting my age lol
My doc is a Cleveland clinic fellow and head professor of cardiology at Vandy after they poached him from St Thomas
He’s at the forefront of studies on interventionist statin therapy
I’ll ride with him and I keep up too
When your health is what they call ominous you pay attention or should
But folks who eschew statins then don’t take them
I am 62 and my cholesterol is borderline high, even though I am a fitness trainer, a runner, and am mindful of my diet. My doctor had me get a calcium scoring test and the score was a lovely zero. Doc said, just forget the cholesterol level, you are totally fine, no statin needed. Which was great because I’d never take one, anyway.