Targeting Stroke in the At-Risk Patient

Case #356: Pheromones, Macrophages and the Rumblings of Mount St. Helens

I recently saw “Leah,” a 67-year-old female. She had a history of hypertension, dyslipidemia and impaired fasting glucose. Her blood pressure and cholesterol issues were fairly well-controlled on ramipril 10 mg and simvastatin 20 mg.

At just over five feet in height, Leah weighed 141 lbs, had a BMI 26.6 and blood pressure of 136/82. A non-smoker and non-drinker, Leah walks three miles per day, takes fish oil and vitamin D supplements and daily ASA 81 mg.

Leah was in fairly good health overall with good lipids and recently lost 40 lbs through lifestyle management counseling and support. Her Lp(a), however, was very high at 28, and her LpPLA2 at 214.22 (high) along with GlycoMark at 15 (low, which is bad) were of concern. Also of some concern is her family history: her mom suffered a stroke, and her father died during bypass surgery at age 65.

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Summertime Heart-Healthy Nuggets

Hope everyone is enjoying summertime and BBQs. Have you noticed that even though it’s “swimsuit season” more people are contributing to our nation’s ever-growing waistlines?

ABC’s “Good Morning America” asks: Is the fight against obesity really working? Their story below explains why restaurant menus — even those with calorie counts — aren’t helping the U.S. battle the bulge.



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