Vitamin C Forum

can he drink egg protien instead of the ones you mentioned?

Johnwen, I called the doctors office this morning and the lady told me she couldn't find the E/E RATIO but she found the E/A Ratio was 70.47
I will try to get a copy of the eco report this afternoon. What does that ratio of 70.47 indicate?

Sorry, but been busy lately.
70.47 means his left ventricle is functioning good as far as filling.
Rather then wear my fingers off I did a search and wiki had a pretty good presentation others went over my head and I know what all this is about. The others had too many IF,ANDs and BUTTS. Which is ok if your going to use it for diagnosing a problem but to learn what it is straight forward is best which is what wiki did. So here it is!

http://en.wikipedia.org/wiki/E/A_ratio

So why did they talk to us about considering Defibrillator/pacemaker implant? and his EF rate did go down so something must have gotten worse right?

Yes that helps me understand it alot better. I got the echocrdiogram report back and I do not see an E/E ratio. I will type what I do see and maybe that can help some and you can help transalate this report to me so I can understand it better
Diagnosis: CAD/Hypotension/mitral and tricuspid regurgitation
BP: 96/68 mmHg
2D&M-Mode Measurements(cm):
LVED: 5.7 LVES: 4.1
IVS: 1.2 PW:0.8
AR: 3.4 LVOT:
AV: 1.7 RV: 1.7
LA: 4.3
Doppler/Color Flow Findings(m/s):
Aortic Valve: (V1/V2): 0.81/0.93
Mitral Valve (Peak E/Peak A): 0.71/0.47
RVSP: 31-35mmHg
Pulmonic Valve: 0.67-Trail PI
Echo Findings:
Quality: Techincally adequate study
Left Ventricle: Mild left ventricular enlargement with Ejection fraction 28-30%
Left Atrium: Mild left atrial enlargement
Right Ventricle: Normal in size, structure and function
Right Atrium: Normal in size, structure and function
Aortic Valve: Slightly thickened
Mitral Valve: slightly thickened with minimal mitral valve prolapse
Pulmonic Valve: Normal structure with mild PI
Tricuspid Valve: Normal structure with mild TR
Aortic Root: Prominent
Pericardium: normal
Impression:
Techincall difficult study with reduced images.
Normal size chambers with mild left atrial enlargement
Moderate reduction of LV systolic function at 30% (deterioration)
Thickened aortic and mitral valve leaflets
Minimal mitral valve prolapse
Prominent aortic root
Minimal to mild tricuspid regurgitation
Trival pulmonic insufficiency
Mild mitral regurgitation
Mild pulmonary hypertension at PA pressure of 35mmHg

My husband says he feels fine. He has no symptoms of fluid retention or shortness of breath. He jogs on the treadmill 3 days a week and lifts weights too. He is very active outdoors with yard work. He doesn't think he needs a pacemaker/defibrillator implant and says he would rather have an external difibrillator for emergencies. Any advice?

JP:

Is there a AVA on that report???

Whats an AVA? I don't see anything on the report that says anything close to AVA.

AVA Stands for "Aortic Valve Area."

AR: 3.4

Aortic Valve: (V1/V2): 0.81/0.93

Aortic Valve: Slightly thickened

Aortic Root: Prominent

Moderate reduction of LV systolic function at 30% (deterioration)

Mild mitral regurgitation

Mild pulmonary hypertension at PA pressure of 35mmHg

All of the above are indicitive of a Aortic valve problem. We talked about this in a prveious post about your husband.

viewtopic.php?f=11&t=10417&hilit=ostium

AVA is a calculated figure on the newer echos the machine does the math and their also able to look at the valve itself to confirm if it's a bicuspid or stenotic valve. It appears this is not the case with their equiptment.
My assumption with his age etc. their is a good possibilty he has a bicuspid aortic valve that is becoming stenotic and releasing debris which could very well be the cause of his heart attacks. An AVA figure would give a good idea how things are restricted. Without it! It would be an educated guess at best!

What does a bicuspid aortic valve that is becoming stenotic mean? how to they fix that? or what can you do to fix that? and does this have anything to do with the doctor's talking about a pacemaker/defibrillator for him?

I discissed this here back in 2011.

viewtopic.php?f=11&t=8976

The other questions would best be answered by his doctor. It's possible they see something that they feel would be benifical for him. It would be speculation on my part without knowning him or his records.

Ofonorow,
I know Linus Pauling was not concerned with LDL and HDL. I know he looked at Lp(a) as an important number. My husbands latest cholesterol results were a total cholesterol of 218
His Lp(a) was 18 and the range was anything less that 75 was good
LPL-P was high at 1854 nmol/L range was anything less that 1000 was good
LDL-C was high at 146 mg/dL anything less than 100 was good
HDL Total was 28.5 umol/L anything less greater than 30.5 was good
Small LDL-P was high at 880 nmol/L anything less than 527 is good
LDL Size is 21

So my question is, since his Lp(a) seems to be good and his total cholesterol is kind of high....should I be so concerned about that total? and I worry about the particle sizes and if he is making to many small LDL? are the particle size something I need to be worried about? should I be worried about how low his HDL is and how high his LDL is?

Thank You
Josie

jpoww wrote:So my question is, since his Lp(a) seems to be good and his total cholesterol is kind of high....should I be so concerned about that total? and I worry about the particle sizes and if he is making to many small LDL? are the particle size something I need to be worried about? should I be worried about how low his HDL is and how high his LDL is?

Cholesterol elevates for many reasons, and your husbands levels arent horribly high. That being said pauling therapy should lower them in time. Another great goto nutrient is niacin (the good old flush type) it will not only lower cholesterol but also lower homocystine levels, increase blood flow and reduce red blood cell clumping.

After seeing Ownes praises about it I got the book he always mentions and started taking it myself at 1g 3x a day with meals. One word of caution though, you have to build up the dose slowly due to the flush. And if you miss any doses, drop your dosage again when you start it up.