I debated posting this, but what the hey, nothing ventured, nothing gained. My 3/3 husband received a stent yesterday. He had a 95% blockage of the "widowmaker" artery. It blew my mind and put me in a bit of an emotional tailspin. He just turned 60 a couple of weeks ago; he's thin, lifelong exerciser, normal BP, ok lipids (HDL 51, LDL 107, Trigs 80), eats a pretty good diet due to my influence, overall seems kinda healthy on paper and certainly looks healthy. He is a type A personality. He does take testosterone and has run very high (over range) for a couple of years; his primary care dr. didn't seem concerned but I was and my husband finally cut his T therapy recently and is now low. So he's working to get that in the middle range now. He is prediabetic, but I bought him a meter a couple of weeks ago and he's drilling down even more on his carbs. He also has untreated sleep apnea (moderate), he tried and gave up on the cpap, but he's definitely on board now for making that happen after this week.
Basically, he had some chest pain while walking on Tuesday. We both felt like he should be checked, but the response from our primary dr. was a little sluggish. Even though the chest pain was limited to Tuesday morning, Wednesday morning we decided he should just visit ER for a quick check. His BP and vitals were fine, his labs fine, the ER dr. almost sent him home, BUT, he has family history of CVD. (Today I learned family history trumps all in my opinion!). They made the call (the right one!) to admit him for a more thorough evaluation. The stress test with dye indicated a problem area, but everyone appeared to be surprised when during the cath procedure, they found the major blockage. He also has another artery 40% blocked that they will monitor. In my mind this is a game changer for us...we were both thinking that with the 4/4, I was the one with the probable shorter lifespan, but this seems very significant to me! According to what they told us yesterday, he will be on lifelong aspirin, statins, beta blocker and plavix for a year. Sometimes I wonder if I'm advising him correctly on diet, since I'm telling him pretty much what I do....for several months now, he's been eating lower carb, lots of veggies, avocados, some nuts, minimal meat, pastured eggs for breakfast on the weekends. Last week, he cut out his daily OJ and switched to V8. Since I bought him the meter, he's finally understanding the carb effect and is seeing spikes with his daily oatmeal and raisins (imagine that!). I just don't know if as a 3/3, he should up the pufa's mufa's? He has lost some weight with the lower carbs lately. From what I read 3's are so different from 4's. This is the only health forum I spend time on and I know there are so many smart people here. I don't want take up a lot of anyone's time, but if we're missing something kinda big, please share. Thanks. (Edited to add he's a very active athlete, works hard, plays hard and has had maybe 8 surgeries in the past few years for structural stuff: knees, shoulders, cervical spine, wrists, etc., don't know if that has contributed...).