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Lessons of Heart Disease, Learned and Ignored
NY Times ^ | April 8, 2007 | GINA KOLATA

Posted on 04/09/2007 11:55:05 PM PDT by neverdem

Keith Orr thought he would surprise his doctor when he came for a checkup.

His doctor had told him to have a weight-loss operation to reduce the amount of food his stomach could hold, worried because Mr. Orr, at 6 feet 2 inches, weighed 278 pounds. He also had a blood sugar level so high he was on the verge of diabetes and a strong family history of early death from heart attacks. And Mr. Orr, who is 44, had already had a heart attack in 1998 when he was 35.

But Mr. Orr had a secret plan. He had been quietly dieting and exercising for four months and lost 45 pounds. He envisioned himself proudly telling his doctor what he had done, sure his tests would show a huge drop in his blood sugar and cholesterol levels. He planned to confess that he had also stopped taking all of his prescription drugs for heart disease.

After all, he reasoned, with his improved diet and exercise, he no longer needed the drugs. And, anyway, he had never taken his medications regularly, so stopping altogether would not make much difference, he decided.

But the surprise was not what Mr. Orr had anticipated. On Feb. 6, one week before the appointment with his doctor, Mr. Orr was working out at a gym near his home in Boston when he felt a tightness in his chest. It was the start of a massive heart attack, with the sort of blockage in an artery that doctors call the widow-maker.

He survived, miraculously, with little or no damage to his heart. But his story illustrates the reasons that heart disease still kills more Americans than any other disease, as it has for nearly a century.

Medical research has revealed enough about the causes and prevention...

(Excerpt) Read more at nytimes.com ...


TOPICS: Health/Medicine
KEYWORDS: angioplasty; health; heart; medicine
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To: neverdem

And the moral of the story is, always take the pills the pill-pushers set before you. ;’) Sadly, we are not built to last.


21 posted on 04/10/2007 7:13:35 AM PDT by SunkenCiv (I last updated my profile on Monday, April 2, 2007. https://secure.freerepublic.com/donate/)
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To: Candor7

Probably Gall Bladder.


22 posted on 04/10/2007 7:21:53 AM PDT by KeepUSfree (WOSD = fascism pure and simple.)
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To: Ole Okie

Inspiring! G-d bless you.


23 posted on 04/10/2007 10:00:31 AM PDT by HockeyPop
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To: Mad Dawg
Mad Dawg said: "Rule out esophageal spasm. Feels like a heart attacks, debilitating pain, docs seem never to think of it."

How would one rule out such a spasm?

This is the apparent cause of my visit to an emergency room. The pain in my chest was well beyond anything that I had previously experienced. But there was no elevated pulse, as might be expected with a cardiac event.

Is there a way to differentiate the spasm from any other cause?

24 posted on 04/10/2007 11:54:22 AM PDT by William Tell (RKBA for California (rkba.members.sonic.net) - Volunteer by contacting Dave at rkba@sonic.net)
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To: AppyPappy

Remember Jim Fixx died of a heart attack. I think he had 95% blockage. Yes the exercise extended his life but he still needed to see a doctor and wouldn’t.


25 posted on 04/10/2007 12:30:48 PM PDT by art_rocks
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To: BuffaloJack
15 years ago I had a heart attack and was out of work for 2 months. I had my heart attack the morning after my annual physical during which I received a full treadmill style EKG and was declared to have a clean bill of health. 18 hours after my physical I was on my back in the emergency room.

I don’t believe that the doctors can tell anything from their testing.
 
Oh they can tell a lot. They are not perfect, but they can put your particular case results into a batch of other case results  and Ta Da, you become a statistic.
 
Did you know that a pulomary embolism can be virtually undetectable? Some of the very worst cases of PE involve patients who had all sorts of great test results, and the only initial clinical signs were that the patient "did not feel right."

26 posted on 04/10/2007 12:47:28 PM PDT by Radix (You might find my other Tag Lines for sale on E-Bay.)
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To: Candor7

after many ekgs, treadmill, angiogram, they finally figured out I had two bad discs and two pinched nerves in my neck causing my chest pain, jaw pain, numbness in my left arm. Do not give up too soon.


27 posted on 04/10/2007 5:13:52 PM PDT by grame (The sheep follow Him because they know His voice John 10:4)
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To: William Tell
Not a doc, don't play one on TV.

But

History of acid reflux, heart-burn? Overweight (which sometimes seems to do something to the hiatus) or history of hiatus hernia? Any reason to suspect irritation of the esophagus?

Does it respond to Tums?

What did you eat? For example, minty things or starchy things, like, say, granola, seem sometimes to lead to irritation of the espohagus. Or swallowing a lot of air.

From my point of view I have no history of heart trouble and plenty of history of digestive upset. I just sit up, burp a few times, pop a tums or two, problem goes away. And I can usually tell it's coming nowadays before it gets bad. I had my first one more than 20 years ago and it hurt incredibly, I had to lie down and do breathing exercises, but I just somehow was sure it wasn't a heart attack. I had a few more episodes and finally figured out what it was.

One day I"m going to pop a couple of tums, burp, and die of a heart attack, I guess ....

28 posted on 04/10/2007 5:36:52 PM PDT by Mad Dawg (Tactical shotty, Marlin 1894c, S&W 686P, Sig 226 & 239, Beretta 92fs & 8357, Glock 22, & attitude!)
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To: Mad Dawg
Mad Dawg said: "One day I"m going to pop a couple of tums, burp, and die of a heart attack, I guess ...."

Well, I certainly hope not.

And I had begun experiencing heartburn with any activity after meals. But I didn't associate the pain I was having with that problem. It was just like a very severe and localized cramp.

Oh, well...an unnecessary visit to an emergency room is actually far preferable to a necessary one. Thanks for the info.

29 posted on 04/10/2007 11:51:04 PM PDT by William Tell (RKBA for California (rkba.members.sonic.net) - Volunteer by contacting Dave at rkba@sonic.net)
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To: Mad Dawg

Mad Dawg. Not to make you day worse, but you may be moving toward a damaged esophagus, and that can be devastating.

A friend had it and it convinced me, since I have acid reflux, to go to acid inhibitors and not rely on Tums.

Acid reflux will also cause irritation to the vagus nerve which, if irritated, will mimic a heart attack or trigger spipped beats (PVCs). BTDT. A wise old doctor told me that.


30 posted on 04/11/2007 3:42:41 AM PDT by KeyWest (Help stamp out taglines!)
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To: KeyWest
Thnx.

Actually, I lost weight, cleaned up my act, and it hardly ever happens anymore. I mean not for over a year.

31 posted on 04/11/2007 4:14:58 AM PDT by Mad Dawg (Tactical shotty, Marlin 1894c, S&W 686P, Sig 226 & 239, Beretta 92fs & 8357, Glock 22, & attitude!)
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