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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had quad bypass. Cath found 3 bypass grafts have failed, had to get 3 stents. Is diet the cause ?

I had quad bypass just 3 years ago...had a cath last week and found that 3 of the bypass grafts have failed and i had to get 3 stents. My cardio is blaming diet solely for this...my diet hasn t been perfect, but pretty damn close to it. What else could be going on besides diet to cause 3 grafts to fail in just 3 years. I m 39 and I only weigh 170 lbs and I m 5 8 tall. Family history is there. Is there something else going on that could cause my body to build up plaque so quickly?
Fri, 3 Aug 2012
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Cardiologist 's  Response
Hi there, Thanks for writing. I am a qualified and certified cardiologist and I read your question with diligence. Apart from diet there are many risk factors which I will list which keep on operating even after revascularization. To a large extent they have a role to play in graft occlusion so soon after surgery. Some factors, you can not change are called non modifiable family history being one of them. Let us recount them

At any age, following is the list of risk factors for future development of Coronary Artery Disease. Let me enumerate and you can place yourself the risk you are carrying ('*' means you have the risk factor, '+/-' means I do not know and about others you know better):-

A: MODIFIABLE RISK FACTORS
Diabetes +/-
Hypertension+/-
Smoking+/-
Stress+/-
Obesity and Sedentary Life Style -
High Bad Cholesterol and Lipid Component +/-
Total Cholesterol above 190 mg%, LDL above 130 mg%, VLDL above 40 mg%,
Triglycerides above 150 mg%, Apolipoprotein B above reference value
Low Good Cholesterol and Lipid Component: +/-
Apolipoprotein a below reference range for the lab and
HDL below 40 mg% for man & and 50 mg% for woman
B: NON MODIFIABLE RISK FACTORS
Family History 0f Coronary Heart Disease*
Increasing age*
Being a Man (as opposed to women) till the age 45*
Take Care. Good Luck.
With Best Wishes
Dr Anil Grover,
Medical Specialist & Cardiologist
M.B.;B.S, M.D. (Internal Medicine) D.M.(Cardiology)
http://www/healthcaremagic.com/dr-anil-grover/63370

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Had quad bypass. Cath found 3 bypass grafts have failed, had to get 3 stents. Is diet the cause ?

Hi there, Thanks for writing. I am a qualified and certified cardiologist and I read your question with diligence. Apart from diet there are many risk factors which I will list which keep on operating even after revascularization. To a large extent they have a role to play in graft occlusion so soon after surgery. Some factors, you can not change are called non modifiable family history being one of them. Let us recount them At any age, following is the list of risk factors for future development of Coronary Artery Disease. Let me enumerate and you can place yourself the risk you are carrying ( * means you have the risk factor, +/- means I do not know and about others you know better):- A: MODIFIABLE RISK FACTORS Diabetes +/- Hypertension+/- Smoking+/- Stress+/- Obesity and Sedentary Life Style - High Bad Cholesterol and Lipid Component +/- Total Cholesterol above 190 mg%, LDL above 130 mg%, VLDL above 40 mg%, Triglycerides above 150 mg%, Apolipoprotein B above reference value Low Good Cholesterol and Lipid Component: +/- Apolipoprotein a below reference range for the lab and HDL below 40 mg% for man & and 50 mg% for woman B: NON MODIFIABLE RISK FACTORS Family History 0f Coronary Heart Disease* Increasing age* Being a Man (as opposed to women) till the age 45* Take Care. Good Luck. With Best Wishes Dr Anil Grover, Medical Specialist & Cardiologist M.B.;B.S, M.D. (Internal Medicine) D.M.(Cardiology) http://www/healthcaremagic.com/dr-anil-grover/63370