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CLINICAL REVIEW:
Sean Tierney, Fiona Fennessy, and David Bouchier Hayes
ABC of arterial and vascular disease: Secondary prevention of peripheral vascular disease
BMJ 2000; 320: 1262-1265 [Full text]
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[Read Rapid Response] Cad/PAD with NO RISK FACTORS
Peggy C Brown, ??   (21 July 2002)

Cad/PAD with NO RISK FACTORS 21 July 2002
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Peggy C Brown
office manager for husband;s Orthodontic practice ( done at home office),
??

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Re: Cad/PAD with NO RISK FACTORS

I recently had a couple weeks with severe angina that felt like I'd swallowed a sharp peice of ice and had the esophogeal spasms associated with that, only ti the left of my sternum, and radiating pain in my left arm. My Rheumatologist did and EKG, which showed flattened T-Waves.

He referred me to a cardiologist, who I saw two weeks later (with 8- 10 episodes occuring in that 2 week period). On the morning I saw him, he ran an EKG and said it was extremely unstable and sent me via wheelchair across to the hospital for an emergency Heart Cath and Stent in the LAD. The T-Waves were fully inverted and longer then the QRS waves. I had an 80% occlusion which he stented, and a 25% occlusion, which they'll watch. They also wast to do an MRA to check for PAD and renal artery involvement.

The strange part is that I have a cholesterol of 179, with the HDL and LDL having a perfect ratio. I have never smaoked or consumed alcohol, and no one in my family has had this problem. They're saying it MAY be related to the Prednisone I took a few years ago (1985) for Lupus; but there's nothing on the websites about that.

Any help would be greatly appreciated!

Thanks!

Peggy