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High cholesterol, stents in heart, stress. On simvastatin and aspirin. Need to continue blood pressure medication?

have been running practically all my life - marginally high cholesterol but otherwise excellent blood values- fast forward to the present- i have a total of three stents in my heart - the first two 6 yrs ago and the 3rd in may of 2012- question-besides a likely genetic componenent to my condition is STRESS a factor as well - am currently on simvastsatin and plavix as well as baby dose aspirin and enalapril which i understand is a medication for blood pressure although my blood pressure has ALWAYS been normal
Asked On : Thu, 17 Jan 2013
Answers:  2 Views:  44
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Internal Medicine Specialist 's  Response
Welcome to HCM,
You have high cholesterol which leads to premature atherosclerosis that is why you have 3 stents in coronary arteries.
Please take your medicines as they will keep lipid profile in desirable range your target of LDL is
Aspirin and clopidogrel are anti platelet agents and to be continued for lifelong.
Please also give place to regular exercise and diet modification.
Enalapril is ACE inhibitor drug and has many beneficial effects in heart disease apart from reducing blood pressure so please continue as per advise of your cardiologist.some advantages of this drug are increase cardiac output, cardiac index, stroke work, and volume; lower renovascular resistance.
Please take care
Good Luck

Answered: Thu, 17 Jan 2013
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Psychiatrist Dr. Jonas Sundarakumar's  Response
Hello and welcome to Healthcare Magic. Thanks for your query.

Stress can be one of the factors which can increase the risk for various medical problems, including cardiac problems. Other factors include diabetes, hypertension, hypercholesterolemia, obesity, smoking, etc. and of course, like you have mentioned, a genetic predisposition.

It is good that you are in the habit of exercising regularly and I would advise you to maintain the same. Continuing the prescribed medication is also important. Especially, in people with cardiac problems, it is essential to keep the blood pressure strictly under control, which may be the reason you have been prescribed Enalapril.

I would also advise you to eat healthy and stay as stress-free as possible. Trying relaxation exercises like deep breathing, yoga, etc. can also be beneficial.

Wish you all the best.

Dr. Jonas Sundarakumar
Consultant Psychiatrist
Answered: Fri, 18 Jan 2013
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