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Huck - My Journey (BP and Aortic Stenosis)

Discussion in 'My Optimal Journal' started by Huck, Jul 22, 2013.

  1. Huck

    Huck Silver

    We're doing everything right, so best case we win and worse case we have a strong heart and are as healthy as possible if we have to have a new valve put in. The healthier we are, the less chance of complications and the longer the valve should last. I see it as win win.
     
    Jude, JanSz, Anne V and 1 other person like this.
  2. Anne V

    Anne V Gold

    Huck you are grand,thank you for being you xox
     
  3. Huck

    Huck Silver

    I've been exploring the idea that if LDL isn't the cause of atherosclerosis, maybe I should look at the triglyceride side of the equation, and I don't mean by looking at triglyceride value in a lab test. Chylomicrons and VLDL carry triglycerides to the cells and after they have given up most of their triglycerides, they become remnants.

    Just as the liver removes LDL from circulation, it also removes chylomicron and vldl (idl) remnants. At least it is supposed to. But what happens if the liver is unable to remove all the remnants?

    In going back to the weird blood pressure spikes I was having, my thought was that something in my blood wasn't being cleared as it should be and that some circadian process that starts in late afternoon caused blood pressure to spike and then around 1 am, another circadian process kicked off that actually cleared these particles.

    I was pretty sure it was related to my genetic predisposition to have trouble digesting and metabolizing saturated fat. I was eating a high fat diet at the time the bp spikes started and eventually put these 2 things together. Add a leaky gut and my liver was really being taxed.

    I changed to a low fat, mostly plant based diet and over time, the BP spikes lessened and eventually stopped.Also was able to lose weight, which I had not been able to do on a high fat diet.

    Recently I watched a video on lipoprotein metabolism. There is so much more than what shows up in a cholesterol test. That's where I got the idea to look deeper into the fat side of the triglyceride/cholesterol equation. When I saw that chylomicrons were transporting triglycerides and the remnant was cleared by the liver, things fell into place. If my cells weren't metabolizing (genetic) all the fat from chylomicrons and vldl, what happened to them? Did they stay in circulation or was the liver removing them?

    And most importantly, were they atherogenic? Is there a lab test to measure remnants? And guess what I found?

    "CONCLUSIONS: Increased concentrations of both calculated and measured remnant cholesterol were associated with increased all-cause mortality in patients with ischemic heart disease, which was not the case for increased concentrations of measured LDL cholesterol. This suggests that increased concentrations of remnant cholesterol explain part of the residual risk of all-cause mortality in patients with ischemic heart disease.© 2016 American Association for Clinical Chemistry"​

    http://clinchem.aaccjnls.org/content/clinchem/early/2016/02/17/clinchem.2015.253757.full.pdf

    "It is now evident that elevated circulating levels of triglycerides in the non-fasting state, a marker for triglyceride (TG)-rich remnant particles, are associated with increased risk of premature cardiovascular disease (CVD)."
    https://www.ncbi.nlm.nih.gov/pubmed/27216847

    "However, despite success in reducing LDL-C, significant residual cardiovascular risk remains.4 Emerging evidence suggests that triglycerides (TG) and /or the cholesterol content within triglyceride-rich lipoproteins (TGRL), (e.g., remnant cholesterol [RC]), may be important contributors to residual risk and should perhaps be targets of therapy.5"
    https://www.acc.org/latest-in-cardi...nt-cholesterol-and-atherosclerotic-cv-disease
     
    Last edited: Jul 21, 2019
    Jude likes this.
  4. Jude

    Jude Gold

    Quote"I changed to a low fat, mostly plant based diet and over time, the BP spikes lessened and eventually stopped.Also was able to lose weight, which I had not been able to do on a high fat diet."

    Good bio hacking there! Have noticed that early am fat suits me better than evening and not to much . Plant based diet? do tell.
     
  5. Huck

    Huck Silver

    I should have said low saturated fat diet. Unsaturated fat does not seem to cause any problems.

    My diet is plant based most days with occasional fish or seafood, plus fish oil every day.

    I tried restricting saturated fat to breakfast, but I still had the BP spikes. As long as I keep saturated fat under 10 g/day, my BP and cholesterol is fine.
     
    Jude likes this.
  6. Huck

    Huck Silver

    Looks like I will be having the aortic valve replaced in the next month or 2. It is funny in a way - no change in echo over the last year (3 echos), but now it is urgent where 3 months ago it wasn't. I have an idea what is going on, but I really just want to have the valve replaced and get on with it.

    All indications are that plaque buildup has stopped, but it is still too early to tell if there is any reversal. The aortic valve opening has increased a little, but that can probably be attributed to the inexactness of the echo. They still want to do a stent and I keep asking why as I do not have angina.
     
    Anne V and JanSz like this.
  7. Anne V

    Anne V Gold

    me too Huck within the next 2/3 months . aortic valve replaced :)
     
  8. Anne V

    Anne V Gold

    it all started end of 2012 !
    7 years later !!! well done :cool:
     
  9. Huck

    Huck Silver

    In the US, the FDA approved TAVR for low risk patients, so Medicare now covers it. I think my cardiologist knew the approval was coming, which is why he moved the date up for my procedure.

    I'm scheduled for Sep 23. Probably in hospital for 2 days. Just had 2 stents put in last week. Cardiologist didn't want to do TAVR unless I had the stents first.

    Good luck on your valve replacement. Are you having open heart surgery or TAVR?
     
  10. Anne V

    Anne V Gold

    Minimally invasive aortic valve replacement
    Aortic valve replacement may be required due to narrowing, or regurgitation where the valve doesn’t close properly. In a healthy heart, the aortic valve regulates the flow of oxygen-rich blood from the heart into the main blood vessel. The aortic valve is made up of three triangular-shaped flaps which fit neatly together.

    The flaps open up to allow blood to enter into the artery, which then close to prevent regurgitation. However, the valve may wear out or become caked in calcium deposits rendering it inefficient.

    The heart has to work harder to pump blood around the body. Symptoms resulting include chest pains, breathlessness and fainting – if untreated, it could lead to heart failure and death.

    Traditionally, mechanical valves have been used to replace worn out aortic valves – but, of course, this is invasive surgery and patients will need to take warfarin for the rest of their lives. New technologies such as the Inspiris Resilia valve are also providing great results for patients. The indications are that it will last longer than other animal tissue valves, which – although have advantages over mechanical valves – need to be replaced every eight to ten years.

    It’s made from tissue from cow pericardium (the heart lining) and it uses new anti-calcification technology which prevents the valve becoming stiff and damaged, meaning it lasts a lot longer.

    The new Edwards Intuity valve, which is also made from cow tissue, has all of these advantages too. It doesn’t need stitches as it’s held in place by a fibrous ring at the base of where the original valve was. The new valve is fixed to a stent (tube-like mesh) made of stainless steel which holds it under the fibrous ring.

    These new technologies are game-changers, as they last for longer than previous animal tissue valves.
     
  11. Anne V

    Anne V Gold

    they seem to say good recovery in 10 days.
    2/3 keyholes
    they do not offer TAVI if less than 75yo.
     
  12. Anne V

    Anne V Gold

    Good luck for your TAVR
     
    MITpowered26 likes this.
  13. Huck

    Huck Silver

    Thanks Anne. Good luck to you too.
     
    MITpowered26 likes this.
  14. JanSz

    JanSz Gold

    Good luck to both of you.

    ...
     
    MITpowered26 likes this.
  15. Huck

    Huck Silver

    Had TAVR (Aortic valve replacement via transcatheter) Monday morning and released 2PM Tuesday. Doc said it went perfectly. Other than taking it easy for a couple of weeks and keeping the catheter entry point clean, I am pretty much back to normal. Can't drive for a week or 2 and can't lift anything heavy for a while, but that's about the only restrictions.

    On the days leading up to the procedure I did at least an hour nude sunbathing and grounding daily and had several long Epsom salts bath to try to load up on magnesium and sulfur. My magnesium and potassium were both within range, but they like them to be top of range for heart patients. I still need to raise them, so I am going to start making magnesium water.

    I pleaded with them to release me on Tuesday so I could go home and heal. Hospitals are terrible for healing. This was my 1 night in the hospital:
    • 7 pm - Check blood pressure, heart rate, and temperature
    • 11 pm - Check blood pressure, heart rate, and temperature
    • 12 am (midnight) - blood draw
    • 3 am - Check blood pressure, heart rate, and temperature
    • 4 am - Weighed me (really, I had to get out of bed and get weighed)
    • 5 am - EKG
    • 7 am - Check blood pressure, heart rate, and temperature
    I had a 2 hour car ride home. Had lots of blood pooling in my groin, so I guess I should have asked my friend to stop every half hour so I could walk around a little. Didn't get any worse over night, so hopefully drinking lots of water will solve the problem.

    For anyone in US, TAVR is now covered for low risk surgical patients by Medicare. The valve I had put in by TAVR rates slightly better than surgical replacement in many critical areas.
     
    Anne V and Jude like this.
  16. JanSz

    JanSz Gold

    Good luck to you, Huck.
    -----
    How and where do you check magnessium and potassium?

    Please post the full test names.
    ..................................................
     
  17. Huck

    Huck Silver

    It was checked at hospital. The magnesium test just says magnesium test and potassium was from BMP.
     
  18. JanSz

    JanSz Gold

    BMP?

    ...
    There is a number of ways to test the two.

    serum
    RBC Red Blood Cells
    there are other

    I have seen preference for RBC testing.

    Magnesium, RBC TEST: 080283, CPT: 83735
    Labcorp - 202314 Potassium, RBC

    .......................................................
     
  19. Huck

    Huck Silver

    basic metabolic panel (BMP) is a frequently ordered panel of 8 tests
     
  20. Inger

    Inger Silver

    OMG really... how can you sleep there?! what a horror..:eek:
    good you could go home earlier Huck!
     
    drezy likes this.

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