Takashi Shouno writes:
There are some big differences between
patient A and B. At first, patient A does not take exercises every day,
on the other hand, patient B does exercise every weekend. Second, patient
A 's LDL-cholesterol is not nodal, while patient B's is normal. The third
difference is that patient A is male, patient B is female. The last is
that A does not smoke, but B does. They also have one important similarity:
They like fatty foods (ice cream, eggs, cheese).
About major risk factors:
High blood pressure, high blood cholesterol and smoking are three major
risk factors of coronary artery disease. Cholesterol plays an important
role interacting with fats. Cholesterol is categorized into five types.
They are chylomicron, VLDL, IDL, LDL, and HDL. Too much LDL (Low Density
Lipoproteins) is bad for the arteries, especially, the coronary artery.
If there is an injury on endothelials, LDL's cholesterol should be piled
up there. Then coronary arteries are shut up. That is called 'arteriosclerosis'.
As a result, taking too much cholesterol (LDL) causes to coronary artery
disease.
Suggestions For Patient A:
He is in a dangerous situation. He must change his every day life and has
to stop eating fatty foods, because he was found to have narrowing of the
arteries and his LDL-cholesterol level is dangerous. Next, I will show
you LDL-Cholesterol categories.
LDL-Cholesterol Categories: Less than 130 mg/dL equals a good or desirable
level; 130 to 159 mg/dL equals a borderline-high risk; 160 mg/dL or above
equals a high risk.
I think he must be eating too much fat. This also is a risk factor for
heart disease. He needs to take some exercises to reduce this risk. Regarding
his food, he had better quit eating red meat and ice cream containing a
lot of fat. Bran muffins, brown rice, oatmeal, popcorn, multiple-grain
cereals, cooked or dry 100% whole-wheat bread are low fat foods. Then I
will recommend them for his breakfast.
Suggestions For Patient B:
She is now in good health. But she has a possibility to develop heart disease
in the future. Her risk factors for heart disease are smoking, obesity
and a family history of diabetes. She has to quit smoking immediately and
had better eat whole-grain breads instead of white bread. She also needs
fiber. Apples, berries, figs, oranges, pears, prunes, broccoli, Brussel
sprouts, carrots, cauliflower and Lettuce Potatoes contain fiber.
Both patients have to change their lifestyles. Take care of yourselves,
or the situation may get worse!
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