Had a Heart Attack today at age ~30. Be safe guys.

[taco33150]

Do have a family history of This going on ?

 

[lilhawk]

Brilanta must be the new Plavix aka Clopidigrel hmm

No, totally different drug. Both are used depending on the situation and the doctor prescribing it.

 

[Zc7219]

Damn man. Glad you’re okay and you made it through it.

Me reading this at 30 when I was just considering running another cycle has me thinkin TRT+ might be fine for a bit longer lol.

Do you have a family history of heart attacks/heart disease?

 

[lilhawk]

Im having a hard time with this statement… how is this?? U mean ima die soon? Hdl of 55 toal cholesterol of 250… ldl of 177 for 20 yrs… should i be expecting imminent death??

No, you're fine. I work in a cardiac cath lab and we deal with this stuff daily. Number 1 determining factor is genetics, and whether or not someone in your family has had a cardiac event. We see people all the time with high triglycerides, high cholesterol, high BP, smoke, obese, diabetic, etc and they are fine. Often times they will have a clean angiogram. Then we will see a perfectly healthy person that does everything right, but has a bad family history and they need stents or open heart surgery. Genetics are huge and most doctors will tell you genetics are the most important thing, and obviously the one thing you cannot control.

 

[Wizbang]

Stent club represent.

 

[RockyP]

No, you're fine. I work in a cardiac cath lab and we deal with this stuff daily. Number 1 determining factor is genetics, and whether or not someone in your family has had a cardiac event. We see people all the time with high triglycerides, high cholesterol, high BP, smoke, obese, diabetic, etc and they are fine. Often times they will have a clean angiogram. Then we will see a perfectly healthy person that does everything right, but has a bad family history and they need stents or open heart surgery. Genetics are huge and most doctors will tell you genetics are the most important thing, and obviously the one thing you cannot control.

Yup. We hyper focus on the things we can control. It’s not a bad thing but it’s the only thing.

 

[taco33150]

No, you're fine. I work in a cardiac cath lab and we deal with this stuff daily. Number 1 determining factor is genetics, and whether or not someone in your family has had a cardiac event. We see people all the time with high triglycerides, high cholesterol, high BP, smoke, obese, diabetic, etc and they are fine. Often times they will have a clean angiogram. Then we will see a perfectly healthy person that does everything right, but has a bad family history and they need stents or open heart surgery. Genetics are huge and most doctors will tell you genetics are the most important thing, and obviously the one thing you cannot control.

I know who I’m talking to after this ..

 

[taco33150]

I know who I’m talking to after this ..

No, you're fine. I work in a cardiac cath lab and we deal with this stuff daily. Number 1 determining factor is genetics, and whether or not someone in your family has had a cardiac event. We see people all the time with high triglycerides, high cholesterol, high BP, smoke, obese, diabetic, etc and they are fine. Often times they will have a clean angiogram. Then we will see a perfectly healthy person that does everything right, but has a bad family history and they need stents or open heart surgery. Genetics are huge and most doctors will tell you genetics are the most important thing, and obviously the one thing you cannot control.

I have no history like this.. but it’s always gonna be in my head .. do everything right and hope for the best

 

[Lilpiggy]

@Ghoul my PCP has me on 10mg atorvastatin (Lipitor) how should I approach him about switching to pitavastatin?

 

[Wizbang]

@Ghoul my PCP has me on 10mg atorvastatin (Lipitor) how should I approach him about switching to pitavastatin?

I am sure he will weigh in but pita is basically superior acting in all ways, less side effects, more beneficial additional effects.

 

[ChemBB]

Not sure if you already mentioned it but would you share your gear history. I know it is person dependent but have you run multiple gram cycles for years? Not come off for extended periods? Moderate usage? Just curious how that has factored in.

Yes, I was somewhat notorious in a few online communities ~10 years ago for the blasts I ran.

I started lifting at 14, and started using gear at 17. Have been blasting/cruising for +10 years nonstop, minus 1yr in jail and a couple years where I fell off the wagon.


View: https://reddit.com/r/steroids/comments/33hj0p/bloods_after_8_months_of_permablasting_and/



View: https://reddit.com/r/steroids/comments/3555fb/rsteroids_favorite_yolotard_teen_takes_2mg_of/

Do have a family history of This going on ?

Yes, I have TERRIBLE cardiovascular health genetics.

Everyone on my mother's side of the family has had at least one heart attack and/or died from cardiovascular/metabolic disease.

Hypertension, hyperlipidemia, metabolic syndrome/Type-2 diabetes.

I have my DNA sequenced and have a ton of markers for these things. Plus a ton of hereditary cancer-causing disposition.

I am almost certainly going to die of either a cardiovascular event, or cancer, lol.

One of these markers is actually for PCSK9 interestingly enough @Wizbang

 

[Wizbang]

Yes, I was somewhat notorious in a few online communities ~10 years ago for the blasts I ran.

I started lifting at 14, and started using gear at 17. Have been blasting/cruising for +10 years nonstop, minus 1yr in jail and a couple years where I fell off the wagon.


View: https://reddit.com/r/steroids/comments/33hj0p/bloods_after_8_months_of_permablasting_and/



View: https://reddit.com/r/steroids/comments/3555fb/rsteroids_favorite_yolotard_teen_takes_2mg_of/


Yes, I have TERRIBLE cardiovascular health genetics.

Everyone on my mother's side of the family has had at least one heart attack and/or died from cardiovascular/metabolic disease.

Hypertension, hyperlipidemia, metabolic syndrome/Type-2 diabetes.

I have my DNA sequenced and have a ton of markers for these things. Plus a ton of hereditary cancer-causing disposition.

I am almost certainly going to die of either a cardiovascular event, or cancer, lol.

One of these markers is actually for PCSK9 interestingly enough @Wizbang

View attachment 349600

View attachment 349601

Repatha or Praluent stat!

 

[RockyP]

Yes, I was somewhat notorious in a few online communities ~10 years ago for the blasts I ran.

I started lifting at 14, and started using gear at 17. Have been blasting/cruising for +10 years nonstop, minus 1yr in jail and a couple years where I fell off the wagon.


View: https://reddit.com/r/steroids/comments/33hj0p/bloods_after_8_months_of_permablasting_and/



View: https://reddit.com/r/steroids/comments/3555fb/rsteroids_favorite_yolotard_teen_takes_2mg_of/


Yes, I have TERRIBLE cardiovascular health genetics.

Everyone on my mother's side of the family has had at least one heart attack and/or died from cardiovascular/metabolic disease.

Hypertension, hyperlipidemia, metabolic syndrome/Type-2 diabetes.

I have my DNA sequenced and have a ton of markers for these things. Plus a ton of hereditary cancer-causing disposition.

I am almost certainly going to die of either a cardiovascular event, or cancer, lol.

One of these markers is actually for PCSK9 interestingly enough @Wizbang

View attachment 349600

View attachment 349601

Just glad to hear you are ok and were open enough to share this with us. Hopefully we can all collectively benefit / learn from this and stay as healthy as possible, within what we can control.

 

[ChemBB]

Repatha or Praluent stat!

When I talked to the doctor at the hospital today, he said he didn't think Repatha was immediately necessary, that the combination therapy should likely be fine.

I'm not sure I like that answer though, will see what I can do about getting on one.

My cardiologist is probably not going to like me asking to switch so many meds lol

Atorvastatin -> Pita
Lorsartan -> Telmisartan
Metoprolol -> Nebivolol

+ PCSK9 inhibitor

Also need to look into that "Icosapent ethyl (IPE)" you mentioned earlier...

 

[Photon]

When I talked to the doctor at the hospital today, he said he didn't think Repatha was immediately necessary

Change doctors.

 

[Wizbang]

When I talked to the doctor at the hospital today, he said he didn't think Repatha was immediately necessary, that the combination therapy should likely be fine.

I'm not sure I like that answer though, will see what I can do about getting on one.

My cardiologist is probably not going to like me asking to switch so many meds lol

Atorvastatin -> Pita
Lorsartan -> Telmisartan
Metoprolol -> Nebivolol

+ PCSK9 inhibitor

Also need to look into that "Icosapent ethyl (IPE)" you mentioned earlier...

They put you on what my cardiologist refers to as the MI first aid kit, insert statin, insert arb or ace, insert beta blocker, mix in some antiplatelet and some aspirin and baby you got yourself a soup. over time you can have them adjusted, I wouldn't just walk in with a list of demands haha

 

[Banana Joe]

Repatha or Praluent stat!

I don't know how it works in the US, but in the EU I can't just tell my doctor that I want Repatha and then get it prescribed. The bar, to actually get a prescription for it, seems to be set pretty high, as I had just mentioned here:

Post in thread 'Reta Microdosing (<1.5mg) to improve lipids?'

Sep 21, 2025

My cardiogolist prescribes anyone with LDL higher than 70 Ezemtibe right away, anything above 100 for him is already critical and thats where he throws Bempoic Acid on top it.

Currently trying to get Repatha through him too as my family history is fucked genetically speaking in the regards to LDL with markers over 300 running in the family and extremely low HDL (usually around 20-25)

I just checked how to get a prescription for Evolocumab where I live. I don't think I will be able to qualify. I know someone in the medical field, that mentioned a cardiologist who is apparently...

• Banana Joe

 

[Photon]

Change doctors.

Book appointments with 4-5 cardiologists, each few days apart.
Go in, tell them what u want, fire them if they say no.
If you get it, cancel the other appointments.

Pick younger doctors.

 

[RockyP]

Change doctors.

Yea. The average (even the way above average) docs are way behind the curve on this. You can search for cardiologists who specialize in lipids (they call themselves lipidologists). You'd think that managing a post-MI person was within their wheelhouse. It is, but they are all just prescribing what they are familiar / comfortable with. As i've mentioned before, I have a great cardiologist and he knew what Pita was but he had never prescribed it before. He wrote me the Rx without question but it was telling that someone with his level of experience and expertise had never prescribed it.

 

[Wizbang]

I don't know how it works in the US, but in the EU I can't just tell my doctor that I want Repatha and then get it prescribed. The bar, to actually get a prescription for it, seems to be set pretty high, as I had just mentioned here:

Post in thread 'Reta Microdosing (<1.5mg) to improve lipids?'

Sep 21, 2025

My cardiogolist prescribes anyone with LDL higher than 70 Ezemtibe right away, anything above 100 for him is already critical and thats where he throws Bempoic Acid on top it.

Currently trying to get Repatha through him too as my family history is fucked genetically speaking in the regards to LDL with markers over 300 running in the family and extremely low HDL (usually around 20-25)

I just checked how to get a prescription for Evolocumab where I live. I don't think I will be able to qualify. I know someone in the medical field, that mentioned a cardiologist who is apparently...

• Banana Joe

US it isn't that hard.