I was hoping that I could reverse my plaque scores but after reading a medical journal, I will now be happy with status quo.This is what it states:
Coronary artery bypass grafts (CABG) have been proposed to accelerate native coronary atherosclerosis. In patients with established coronary artery disease, we quantified the whole-vessel 18F-sodium fluoride positron emission tomography (18F-NaF PET) coronary microcalcification activity (CMA) and change in calcium scores to compare disease activity and progression in those with and without CABG surgery. Despite a similar coronary plaque burden, bypassed native coronary arteries had 3-times higher CMA values and greater progression of one-year calcium scores compared to those who that had not undergone CABG. Bypassed native coronary arteries demonstrate increased disease activity and faster disease progression than non-bypassed arteries.
During my scan I was told by my Cardiologist that all 3 areas of calcification were still open and that the widowmaker was still open and that was 90% blocked last year.
So I am still hopefully I will get good feedback.
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davebal67
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Just back from the Cardiologist. The two vessels that were bypassed (LAD @90%) and the right coronary artery (70 %) still show the same percentage so no further calcification and blood is still flowing through these vessels. I had another blockage on the LAD but it was at the very bottom of the chamber and my surgeon decided against bypassing as it could compromise the flow at the top of the LAD on the first graft. So the blockage that was not grafted has shown evidence of a reduction all be it being very small. My Cardiologist was very excited about this and did agree that my diet and lifestyle were the drivers.
This is a big commit from a NHS doctor to commit to a Keto lifestyle which goes against everything they were taught. The reason for this is because all my speciality bloods were in the optimum range and that I am metabolicly healthy.
The bloods I got done were
Glucose and Insulinine Tolerance Test
Apollipoprotein A
Apollipoprotein B
LIPOPROTEIN (a) which is hereditary marker
Full Lipid Particulate test which gives a score on large buyout LDL and Small dense LDL.
It's 8 months since my operation and my chest bone is around 90% healed. I am waiting on exact numbers from the radiographer.
Thank you for your kind words. The early part of my recovery, I would say, was pretty brutal. Up to around 10 weeks, but there is light at the end of the long dark tunnel.
Just back from the Cardiologist. The two vessels that were bypassed (LAD @90%) and the right coronary artery (70 %) still show the same percentage so no further calcification and blood is still flowing through these vessels. I had another blockage on the LAD but it was at the very bottom of the chamber and my surgeon decided against bypassing as it could compromise the flow at the top of the LAD on the first graft. So the blockage that was not grafted has shown evidence of a reduction all be it being very small. My Cardiologist was very excited about this and did agree that my diet and lifestyle were the drivers.
This is a big commit from a NHS doctor to commit to a Keto lifestyle which goes against everything they were taught. The reason for this is because all my speciality bloods were in the optimum range and that I am metabolicly healthy.
The bloods I got done were
Glucose and Insulinine Tolerance Test
Apollipoprotein A
Apollipoprotein B
LIPOPROTEIN (a) which is hereditary marker
Full Lipid Particulate test which gives a score on large buyout LDL and Small dense LDL.
It's 8 months since my operation and my chest bone is around 90% healed. I am waiting on exact numbers from the radiographer.
Have you followed the keto diet prior to surgery or since? My lad was 95% blocked & am struggling with diet tbh. I'm 8 month's post cabg too. No app till December though. Glad your results were good! 😀
Hi I was interested in the results of your lad 95%, I had a full blockage and my right ventricle is working fine, I read that the right ventricle has moved and its taking the blood that is not purified from the blocked left and purifying it. I was trying to find someone to clarify this I found one person who'd the full blockage and he said his surgeon said ti just leave the blockage as it could have been doing that for years. He said he is on his 9 year just leaving it.
I must say I am not to up on stuff like this and I am going seeing a surgeon end of this month so should. know something then. I walk every day weather permitting doing between 2 to 5 miles. I have stable Angina and it hardly ever bothers me.
Any advice will help , I consider myself fit for my age, and all medication is very low doses.
Thank you in advance if you can help but if not thank you for reading my message.
Last Feb I weighed 105kg my diet was too much sugar biscuits etc. I went Keto no fruit other than a strawberry and banana frozen smoothie at the weekend. I cycled 40miles per day. I dropped 5kg per month. While out cycling I struggled to get up a hill. I measured my bp and it was 190/105. I went to GP end of March and was put on amlodopine. Still followed Keto and in April went to see a cardiologist and got echo which was clear and then I got a CT which diagnosed 3 vessel disease. 2 weeks later I went to the cath lab and was told my blockage was too severe. I had a double bypass in July 28th 2023. All through it I have eaten meat, protein and nuts. I don't eat anything ultra processed and stat away from biscuits, cakes and sweets. I do eat fruits and for a treat I have hagen daz chocolate ice cream. Today I weigh 79kg and have sustained that for 12 months.
My recovery has been good but first 3 months it was brutal. I have had problems with the graft in the leg swelling up.
Today the pain is subsiding, my CT has showed my Sternum is at 90% healed, don't listen to the NHS around 8 to 12 weeks which just doesn't happen.
The older you are the less the surgery impacts you due to less nerve endings.
As for walking it's always best to walk after eating this then reduces the amount of insulin your body releases to control blood sugar
I don't really follow Keto strictly, I do excercise a lot. For breakfast I eat 5 eggs, nuts for lunch, dinner, I eat real food including veg. Before I was diagnosed I weighed 104kg, I now weigh 79kg.
I bought a cgm and my diet keeps my bs flat, today my average was 5mmol/l.
When I was losing weight I did restrict carbs including fruit. I eat bananas, apples and oranges now.
My treat is popcorn that doesn't spike blood sugar.
I take apple cider vinegar every day that flattens blood sugar.
I do make Keto chips which is cutting up a potatoes then putting it in a zip log bag and pour a little olive oil and shake them and then use an air fryer.
I eat sausages, bacon, steak, chicken, cream and cheese. I do eat cruciferous legs.
Remember we are all unique, so what works for me may not work for you.
I would definitely try a cgm and see what food works for you. Abott freestyle do give the first one for free when you register on their website.
Insulin is a hormone that not only removes glucose from the blood, it also tells the body to store excess energy as fat and its also known as the fat storage hormone.
The best time to excercise is walking shortly after eating this will reduce the amount of insulin that your body creates to deal with blood glucose.
I never eat cereals, takeaway food but do have an Indian once in a while. I do not eat biscuits , chocolate or sweets or drink alchohol.
I have two siblings to heart disease so I have all the motivation I need.
Remember sugar is very addictive just like nicotine.
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CT angiogram how long to get results 
Ct cardiac gated with contrast
CT scan results huge difference to Angiogram
Are my arteries getting blocked?
So had my CCTA and results back
