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Ask the doctor. I'm a 51-year-old man with no risk factors for heart disease other than being male. My blood pressure and cholesterol levels are fine. I exercise, and my diet is pretty good. I've never smoked. Yet I recently underwent a triple bypass for sudden chest pain. What could have caused this blockage and can I prevent future problems?

作者信息

Lee Thomas H

出版信息

Harv Heart Lett. 2002 Dec;13(4):8.

PMID:12499159
Abstract
摘要

相似文献

1
Ask the doctor. I'm a 51-year-old man with no risk factors for heart disease other than being male. My blood pressure and cholesterol levels are fine. I exercise, and my diet is pretty good. I've never smoked. Yet I recently underwent a triple bypass for sudden chest pain. What could have caused this blockage and can I prevent future problems?
Harv Heart Lett. 2002 Dec;13(4):8.
2
Ask the doctor. I'm a 42-year-old man with no health problems, except for the fact that I'm a bit overweight. I recently had an exercise test because of some chest pain. The good news is that it showed no evidence of heart problems, but during the test my blood pressure quickly shop up to 190 mm Hg. Usually, it's about 35/90 mm Hg. The doctor doing the test didn't seem too alarmed, but I'm concerned.问问医生。我是一名42岁的男性，除了有点超重之外没有健康问题。我最近因为一些胸痛做了一次运动测试。好消息是测试结果显示没有心脏问题的迹象，但在测试过程中我的血压迅速飙升到了190毫米汞柱。通常，我的血压约为135/90毫米汞柱。进行测试的医生似乎不太担心，但我很担心。 （注：原文中“35/90”可能有误，推测为“135/90”，不然收缩压过低不符合正常范围）
Harv Heart Lett. 2001 Sep;12(1):7.
3
Ask the Doctor. My older brother recently had a heart attack and bypass surgery at the age of 53! I am physically active and don t have any risk factors for heart disease. But neither did my brother, who also had normal cholesterol and blood pressure numbers. I ve been wondering if I should be taking a cholesterol-lowering medication, even though my cholesterol is normal.向医生咨询。我哥哥最近在53岁时心脏病发作并接受了搭桥手术！我身体活跃，没有任何心脏病风险因素。但我哥哥也没有，他的胆固醇和血压数值也都正常。我一直在想，即使我的胆固醇正常，我是否也应该服用降胆固醇药物。
Harv Heart Lett. 2001 Dec;12(4):8.
4
Ask the doctor. I've been fighting obesity all my life. I'm a 62-year-old woman and every five years or so I lose about 20 pounds, then slowly gain it back. I've heard that this "yo-yo" pattern of weight loss, weight gain, weight loss, may be more dangerous than just staying heavy. Should I give up trying to lose weight?
Harv Heart Lett. 2001 Jan;11(5):7-8.
5
On call. I am a 64-year-old man, quite healthy except for high blood pressure, which was diagnosed last year. My doctor gave me Hydro-Diuril, which was only partly successful. Then he added Prinivil, but I had to stop it because of a terrible cough. Now he wants me to take Lopressor, but I've read the package insert and I'm worried about side effects--especially sexual problems, since I already have problems in that area. Do I have to take the pills?
Harv Mens Health Watch. 2004 Aug;9(1):8.
6
Back to a Future: One Man's AIDS Tale Shows How Quickly Epidemic Has Turned.《回到未来：一个人的艾滋病故事展现了疫情转变之迅速》
Oncologist. 1997;2(2):115-120.
7
I'm 62, and I've been inactive most of my life. Is it too late for me to start exercising?我62岁了，一生中大部分时间都没怎么运动。现在开始锻炼对我来说会不会太晚了？
Health News. 2006 Oct;12(10):16.
8
Ask the doctor. My cholesterol profile is pretty good, except that my HDL level is only 32 mg/dL, and I know the normal range is 40 or more. My LDL cholesterol is 110 mg/dL and my triglycerides are in the normal range. I don't have a history of heart disease and I've never had any symptoms (or diagnosis) of heart disease. Should I be taking a drug to raise my HDL?
Harv Heart Lett. 2001 Jul;11(11):7.
9
Ask the doctor. I'm 78 years old. I've known for years that I have a narrowing of the aortic valve of my heart. My doctors are always asking me whether I have chest pain, fainting spells, or any other special symptoms. Until recently, the answer has been no. A few days ago, however, I was washing dishes in my kitchen, and I suddenly felt lightheaded and fell to the ground. I didn't black out, but I almost did. Now my doctor is saying that I should have my aortic valve replaced. Isn't this rather an extreme response to just one spell of lightheadedness?问问医生。我78岁了。多年来我一直知道自己心脏的主动脉瓣狭窄。我的医生总是问我是否有胸痛、昏厥或其他特殊症状。直到最近，答案都是没有。然而，几天前，我在厨房洗碗时，突然感到头晕，摔倒在地。我没有昏厥，但差点就昏厥了。现在我的医生说我应该更换主动脉瓣。对于仅仅一次头晕发作，这反应是不是有点过激了？
Harv Heart Lett. 2001 Feb;11(6):8.
10
On call. I am a 71-year-old man with diabetes and high blood pressure. I take Glucophage for my diabetes and Zestril for my blood pressure, and my doctor says both problems are under good control, but I've developed a very annoying problem. Every time I eat, I develop terrible sweating on my face and neck. It only lasts 10-15 minutes, but my shirt collar gets soaked and I'm too embarrassed to go out to dinner. Am I allergic to something in food? Am I getting hot flashes as my wife did when she had the change of life?正在值班。我是一名71岁的男性，患有糖尿病和高血压。我服用二甲双胍治疗糖尿病，服用洛汀新治疗高血压，医生说这两个问题都控制得很好，但我出现了一个非常恼人的问题。每次我吃饭时，我的脸和脖子都会大量出汗。这种情况只持续10到15分钟，但我的衬衫领口都会湿透，我不好意思出去吃饭。我是对食物中的某种东西过敏吗？我是像我妻子更年期时那样在经历潮热吗？
Harv Mens Health Watch. 2005 Feb;9(7):8.