Suggest treatment for atherosclerosis

default
Posted on Tue, 9 Dec 2014 in Hypertension and Heart Disease
Question: I was diagnosed with a 99% blockage - right carotid artery and 50% blockage - left carotid artery in 2003 and no surgery is being recommended as I am asymptomatic. I have had two angiograms - last one in 2005 - both were negative with the last one having better results than the first one. I have high blood pressure when I go to the doctor (160/80) - otherwise my bp is normal and is often lower than 120/80/72. I do experience high heart rate though intermittently - 82 to 95 bpm even while at rest and my bp will be 95/65. I was taking Toprol XL-25 mg for 14 years and stopped taking it last year as my heart rate kept going too low. I felt like my heart was skipping a lot of beats and was going to stop. I just had my annual physical and my doctor saw some EKG changes and is wanting me to start taking Atenolol-25 mg, Lisinopril-10mg, and Pravachol-10 mg, and Ecotrin-81mg daily. I do not wish to take all these meds. Is there anything I can do - like more exercise, diet, etc. I was on Lipitor in 2006, even though my cholesterol numbers were good (I think for the carotid artery plaque) and had to be taken off as I was having leg pains. Two weeks after stopping it I awoke at 4 a.m. coughing up blood (I was coughing quite a lot for several months after I started the Lipitor but I was not coughing up blood). I ended up having emergency lung surgery and had a left resection of the upper lobe. So I am really afraid to take another statin drug. My usual cholesterol numbers are 194, triglycerides - 121, HDL Cholesterol-62 and Chol/HDL ratio 3.1.
doctor
Answered by Dr. Benard Shehu 41 minutes later
Brief Answer:
Diet, Sport, if this isn't enough than...

Detailed Answer:
Hi XXXX

I read your query very carefully and understood your concerns.

Based on data you provided you suffer for atherosclerosis which is manifested with carotid stenosis. I would like to say that you have to bettercontrol your BP and HR. By doing so you will decrease the probability of major cardiovascular complications.

This is why i suggest to take the prescribed doses of Atenolol, Lisinopril and Ecotrin.

Your Cholesterol numbers should be lowered further in order to avoid major complications. As a first step I would like to suggest A healthy lifestyle (Mediterranean diet with a lot of sport and exercise). If after three months Total Cholesterol is still >150 mg/dl and LDL cholesterol is > 100 mg/dl, you should start Pravachol in order to achieve the lowering of Cholesterol.

Hope this was of Help!
Dr. Benard
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Benard Shehu

Cardiologist

Practicing since :2004

Answered : 2257 Questions

premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Drug/Medication ,  
Medical Procedures
Medical Topics ,   ,  

Recent questions on  Lung surgery

doctor1 MD

I had bypass surgery one year ago. since then I have extreme xiphoid pain and no one seems to be able to help me?? Been to a Thoracic Heart Dr....

doctor1 MD

My father, 63 got right lung operation in January 12th 2010 from PGI Chandigarh (India). It gives pain badly even after operation. while he is...

doctor1 MD

my husband is facing lung surgery (to remove a mass in the middle section of

the right lung) a general surgeon has been recommended by the...

doctor1 MD

Hi - I am an 80 year old male. I have had plumbing ptobd for years. Bladder cancer 8 years ago and one recurrence. I have had difficulty peeing and...

doctor1 MD

kinda long history but when i was thirty i had cc hyster and radiation then at 32 had lung surgery for masses they thought were cancer turned out...

doctor1 MD

I have daily headaches , tinittus and degenerative disc in my neck. Fribromyalgia also so pain everywhere, flare ups etc. Swollen ankles and knees...

doctor1 MD

I had a CBC and my RBC is 2.97, Hemoglobin is 10.1, and Hematocrit is 30.6. I recently had a lung wedge resection, but my CBC numbers have been low...

Get personalised answers from verified doctor in minutes across 80+ specialties

191 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
backtotop2