Summary:
After his first heart attack, this man had delilgently followed all recommendations from standard cardiology. The low fat diet and regular exercise routines, lowered his body weight and blood lipids. Then he headed out for his annual fishing trip and another MI hit him. Multiple additional cardiac risk factors were found needing correction when the Metametrix Cardiovascular Health Profile was done.

CVD
heart disease

K161 Cardiovascular Health Profile

53

M

9/23/2003

History This 52 year old man had experienced two heart attacks with intervening complete normalization of body weight and blood lipids. He followed dietary and excersize instructions to the fullest. The Metametrix Cardiovascular Health Profile revealed other modifiable risk factors. Description of Results Homocysteine elevation, low coenzyme Q10 and vitamin E, and low range testosterone were found. Recommendations This patient can be given further assurance of avoiding cardiovascular disease progression by supplementing his diet with vitamins B6, B12, E, and folic acid along with extra coenzyme Q10. Testosterone may be administered as a trans dermal lotion or otherwise to bring his anabolic hormone status back near mid-normal. Other Comments This case illustrates the problem with relying on cholesterol and triglyceride measures to assess cardiac risk. Even normal ferritin, fibrinigen, and high sensitivity c-reactive protein fail to tell the story adequately. All of these factors were normal while the important factor of homocysteine was high and significant antioxidant inadequacy was developing. The antioxidant depletion might have been exacerbated by higher levels of exercise. Finally, a free testosterone concentration that is about to fall below the low reference limit is related cardovascular risk. All of the abnormalities found are easily modified by dietary supplemlents and transdermal hormones.

Lab Data Figure . Cardio Factors.gif