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Member Forum >> Heart Health Forum >> Recent Cardiac Event / 2 more stents / very high C-reactive protein and homocysteine
 Recent Cardiac Event / 2 more stents / very high C-reactive protein and homocysteine
lpajeans

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Posted: 5/29/2019 8:41:34 PM
Edited: 5/29/2019 9:01:11 PM (1)
 

My name is Gary.  

I am former patient of Dr Davis.

I had a cardiac event on Friday.  The on-duty intervention cardiologist placed 2 more stents in my RCA.

I am running very high C-Reactive Protein (5.48 taken Tuesday, May 28th) and Homocysteine (33.3
umol/L taken Tuesday, May 28th) levels.

 

I did ask for a copy of my medical records when I was in the hospital related to the procedure and all tests.  This information will be available to me by late this week or early next week.

Here are my previous levels for C-Reactive Protein and Homocysteine:

C-Reactive Protein

Name

Standard Range

3/31/06

8/29/16

5/17/18

5/28/19

hsCRP

0.00 - 10.00 mg/L

<0.20

0.29

0.25

5.48





Homocysteine

Standard Range

7/24/18

9/18/18

11/6/18

5/28/19

Homocysteine

0.0 - 14.9 umol/L

8.8

10.2

7.7

33.3



Here are some of my other blood tests results from Tuesday, May 28th:

Cholesterol

Component

Your Value

Standard Range

Total Cholesterol

227mg/dL

mg/dL

Guideline: < 170 mg/dl, Optimal (Not to be construed as a target for drug therapy.)

Triglycerides

52mg/dL

mg/dL

Guideline: < 100 mg/dl, Optimal (Not to be construed as a target for drug therapy.)
> 499 mg/dl, Highly abnormal (Please review with your medical team.)

HDL Cholesterol

54mg/dL

mg/dL

Guideline: > 50 mg/dl, Optimal (Not to be construed as a target for drug therapy.)

LDL Cholesterol

163mg/dL

mg/dL

Guideline: < 100 mg/dl, Optimal (Not to be construed as a target for drug therapy.)
> 189mg/dl, Highly abnormal (Please review with your medical team.)

Non-HDL Cholesterol

173mg/dL

mg/dL

Guideline: < 120 mg/dl, Optimal (Not to be construed as a target for drug therapy.)
> 219 mg/dl, Highly abnormal (Please review with your medical team.)


COMP METABOLIC PANEL

Component

Your Value

Standard Range

Sodium

138mEq/L

133 - 146 mEq/L

Potassium

4.0mEq/L

3.5 - 5.1 mEq/L

Chloride

104mEq/L

98 - 109 mEq/L

CO2

24mEq/L

21 - 31 mEq/L

Calcium

9.7mg/dL

8.3 - 10.5 mg/dL

Anion Gap

10

5 - 16

Albumin

4.6g/dL

3.5 - 5.7 g/dL

Urea Nitrogen

16mg/dL

2 - 25 mg/dL

Creatinine

0.68mg/dL

0.60 - 1.30 mg/dL

Glucose

70mg/dL

65 - 100 mg/dL

Total Protein

7.2g/dL

6.4 - 8.9 g/dL

ALT (SGPT)

46Unit/L

0 - 52 Unit/L

Alkaline Phos

79Unit/L

34 - 104 Unit/L

AST (SGOT)

27Unit/L

0 - 39 Unit/L

Total Bilirubin

0.5mg/dL

0.0 - 1.0 mg/dL

GFR(African American)

>60mL/min/1.73m2

>=60 mL/min/1.73m2

GFR(Others)

>60

mL/min/1.73m2




>=60 mL/min/1.73m2

 

 

HbA1C

Component

Your Value

Standard Range

Hemoglobin A1C

5.1%

4.0 - 5.6 %


Thyroid

Component

Your Value

Standard Range

Free T3

3.4pg/mL

2.5 - 4.5 pg/mL

Component

Your Value

Standard Range

Free T4

0.7ng/dL

0.7 - 1.5 ng/dL

Component

Your Value

Standard Range

TSH

0.83uIU/ML

0.40 - 4.00 uIU/ML

 

 

CBC Detail

Component

Your Value

Standard Range

White Cell Count

5.3K/UL

3.5 - 10.5 K/UL

Red Cell Count

5.09M/UL

4.30 - 5.80 M/UL

Hemoglobin

14.8g/dL

13.0 - 17.5 g/dL

Hematocrit

44.1%

38.0 - 50.0 %

MCV

87FL

80 - 99 FL

MCH

29.1pg

27.0 - 34.0 pg

MCHC

33.6%

32.0 - 35.5 %

RDW

12.2%

11.0 - 15.0 %

Platelet Count

214K/UL

140 - 390 K/UL

MPV

10.3fL

8.8 - 12.1 fL

Differential Type

Auto

Reflex Morphology

No

 

Vitamin D Level

Component

Your Value

Standard Range

Vitamin D, 25-Hydroxy, Total

84.6ng/mL

30.0 - 100.0 ng/mL



 

 

Medication List:

  • Brilinta 90 mg Twice a day for stents.I was on ½ a Plavix through 5/25
  • Metoprolol Tartrate 25 mg (12.5 mg Twice a day) – Given after stents
  • Pantoprazole 40 mg
  • Liothyronine 20 mg
  • Amlodipine Besylate 5mg

 

Supplement List:

  • Fish Oil 6000 mg EPA/DHA-I have been on this for years
  • Ubiquinol – 400 mg
  • Magnesium Water (Twice a day) and Magnesium Malate 4000 mg
  • Vitamin D3 7200 IU
  • Methyl Folate 800 micrograms (taken for the last 1 year to reduce homocysteine)
  • Potassium 99mg X 5 tablets twice a day
  • PQQ 20 mg
  • HMB 1g
  • DHEA 10 milligrams
  • Balanced B-100 Complex
  • Astaxanthin 12 mg
  • Vitamin K2 MK-7 90 mg
  • NAC – N-Acetyl-L-Cysteine 600 mg – Twice a day (Liver) – Just Started
  • Milk Thistle 500 mg – Twice a day – Just Started
  • Taurine 1 – 1.5 grams twice a day
  • AKG 1.5 grams once a day (started recently)

 

 

 

 

 

Cardiac Event Observations and Notes:

Cardiac Event occurred on Friday, May 25th 2019 in the morning at the train station.   I came back home and took an aspirin and an additional ½ 37.5 mg of Plavix which gave no relief from left shoulder, arm, upper back, and upper chest discomfort.  My wife called an ambulance. After the ambulance arrived, the EMTs stated that my EKG showed ST Elevation.  I was transported to the hospital.

I was told by the intervention cardiologist that my RCA had a 99% blockage and a 70% blockage.  He placed a stent for both occlusions.

I did find out via my conversation with the cardiologist during my hospital stay that my troponin levels were not elevated.  


 


C-reactive protein and homocysteine Observations / Notes:

I have very elevated C-reactive protein and homocysteine even though my supplements have not changed.

I do not know the C-reactive protein levels in the hospital on Friday, Saturday, or Sunday because I do not have those medical records yet.

My C-reactive protein and homocysteine have never been elevated like this before. My C-reactive protein levels have always been low since 2006.

Many of the supplements that I take should keep C-reactive protein and homocysteine in check.

I do not have arthritis.

 

Liver Observations and Notes:

High levels of C-reactive protein and homocysteine are consistent with NASH.

I do not take statins or niacin due to multiple elevated liver enzymes in the past.  In fact, once my liver enzymes(AST/ALT) elevated above 1,000

I tried Niacin at a low dose a few years ago and my liver enzymes(AST/ALT) elevated to approximately 80.  I stopped taking the Niacin right away.

On several instances (2 or 3 times), my urine has been dark and cloudy over the last few weeks. My urine has been clear since Friday, May 25th.

I went to my Primary Care Physician on Tuesday.  I had him complete the above blood work. There are a few blood tests that I am still awaiting.

I have made an appointment with GI Specialist to get a fatty liver test done.  This was scheduled for July 1st, 2019.

Questions to the group:


What would cause my C-reactive protein and homocysteine levels to be so high?

What medical assistance / care should I be asking for?



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Bob Niland

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Posted: 5/31/2019 6:32:32 PM
 
I agree about the carbs.  Plant based, low net carb, not necessarily vegetarian, but use of lean meats/fish ...  paleo...Mediterranean  
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LCL:

How does one go about checking their "CYP450" genetics?
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Posted: 6/1/2019 1:45:58 PM
 
Linda & Mike:

Thank you for your research.

I’m going to try to find some of this stuff as I am using Promethease.

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Posted: 6/3/2019 10:37:36 AM
 
Is it worth getting my Fibrinogen, and Ferritin levels tested?
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Posted: 6/23/2019 11:10:46 AM
 
Bob -That’s what interests me too.


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