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  • HDL Cholesterol Level

    Hello! I go every 3 mos. to have my labs drawn for my cholesterol levels and all the other good stuff. My questions is all of my numbers are good except for my HDL cholesterol level. It is always low. Is this common for people w/ heart disease? My pcp said if I would exercise more it would come up but that doesn't seem to effect it much. Although, I don't exercise much, I do walk 3-4 times a week. How can I get this number up? It's usually 28-30 with a normal being 40+. I just hate going and everything being great, BUT.......that one little number. Thanks!
    Heather, 43, non-obstructive HCM, dx'd at age 14, AICD implanted 11-02, PVAI ablation done for a-fib and a-flutter 5-2010. 2nd PVAI done for a-flutter and a-tach 3-2014. 3rd PVAI for a-flutter June 2015, dr forgot to reset ICD settings and I went into vt and almost died, July 2015, July 2015-started tx work up, October 2015, put on list in Dallas and tx'd on November 14, 2015.

  • #2
    Re: HDL Cholesterol Level

    "Heart disease" could cover dozens of different conditions. In people with blocked arteries, it's quite likely the HDL will be poor. But in a condition like HCM I can't think of any reason why there would be a relationship with HDL levels, other than any connection with the amount of exercise you can do.

    I'm not really sure why you need your cholesterol levels checking so frequently - do you have ischemia? Generally it's not really the overall levels that are so important, but the difference between your LDL and HDL.

    The usual advice (other than prescribing statins) is to exercise and eat a sensible diet.

    Comment


    • #3
      Re: HDL Cholesterol Level

      Hi Heather,

      I don't know what HCM meds you are on but certain beta-blockers are known to throw cholesterol levels out of whack. Specifically they tend to lower HDL and raise triglycerides. This is well-documented by a number of studies and I believe atenolol and metoprolol especially are known for doing this. That's why it is listed as a potential side-effect for these meds. If everything else is good but your HDL is inexplicably low, that may well be the culprit. I wouldn't worry about it too much though. The benefits we recieve from the beta-bockers outweigh any small impact on cholesterol.

      My HDL is low also (34), and my LDL and triglycerides are borderline-high. I just had these checked last month for the first time in several years and to be honest my doctor and I were expecting the numbers to be much worse. We were pleasantly surprised that they were only moderately out of line. I'm on beta-blockers myself and occasionally diuretics for heart failure, so for the moment we're not overly concerned about the cholesterol issue.

      Jim
      Last edited by mtlieb; 08-01-2007, 08:26 AM.
      "Some days you're the dog... some days you're the hydrant."

      Comment


      • #4
        Re: HDL Cholesterol Level

        I didn't know beta blockers could play a role in this. That may be it. I do take Toprol XL 50mg and Sotalol 120mg twice a day. My dr. put me on Vytorin a cholesterol med. a few years ago. I'm thinking about stopping it and seeing what happens. I've lost almost 25 lbs. and have changed my eating habits, so I'm thinking I might could do w/out it. One less pill to take!! Also, he put me on glucophage which I'm considering weaning off of. I think now that I've lost weight and almost all my numbers are in the right place I don't need these extra meds. Before my triglycerides were really high and my cholesterol #'s were bad, but he never mentioned my BB's might be a culprit, for that matter my cardiologist didn't either. I will mention this to them at my next appt!! Thanks!

        Heather
        Heather, 43, non-obstructive HCM, dx'd at age 14, AICD implanted 11-02, PVAI ablation done for a-fib and a-flutter 5-2010. 2nd PVAI done for a-flutter and a-tach 3-2014. 3rd PVAI for a-flutter June 2015, dr forgot to reset ICD settings and I went into vt and almost died, July 2015, July 2015-started tx work up, October 2015, put on list in Dallas and tx'd on November 14, 2015.

        Comment


        • #5
          Re: HDL Cholesterol Level

          I took toprol xl 50 for better than a decade, which i recently quit because they were not making any difference and I really dont need them. Anyway back to my post ....The relationship to bad and good is what is important. My bad was 60 and my good was 110,,pretty much the whole time I was on toprol....Tri's were normal range.

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          • #6
            Re: HDL Cholesterol Level

            Well I'm learning something new today, I take metoprolol 200mg a day and my hdl is also low and my triglycerides are high they have me on zetia and tricor and zocor and I'm also having trouble with my weight having trouble losing it and I have never had trouble losing weight in the past and I'm told it could be causing me to hold on to the weight has anyone heard this before?

            Live and Learn

            Shirley
            Diagnosed 2003
            Myectomy 2-23-2004
            Husband: Ken
            Son: John diagnosed 2004
            Daughter: Janet (free of HCM)

            Grandchildren: Drew 15,Aaron 13,Karen 9,Connor 9

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            • #7
              Re: HDL Cholesterol Level

              Hi Shirley,

              I've been doing quite a bit of research on this in recent months since I've been wanting to trade-in my atenolol for a different med for some time. In the studies I've read where atenolol or metoprolol were prescribed alone, both resulted in lowered HDL, increased triglycerides, decreased insulin sensitivity, increased blood glucose levels, and weight gain.

              Of course a lot depends on dosage and genetics, and nobody's going to recommend stopping our beta-blocker treatment. However I am seriously looking into Coreg (carvedilol) because it appears to not have the adverse effects that other beta-blockers do.

              Here's some interesting info I've found (links provided to source material):

              "ß-blockers may selectively promote the accumulation of abdominal fat, which is more sensitive to catecholamines than peripheral fat.[38] Thus, relatively small absolute changes in body weight may be associated with marked relative changes in abdominal fat depots, thereby contributing to the abnormalities related to carbohydrate and lipid metabolism. The propensity of ß-blockers to interfere with carbohydrate metabolism and increase triglyceride concentrations while reducing HDL cholesterol is well known and has been discussed extensively elsewhere.[5][6]"

              http://hyper.ahajournals.org/cgi/content/full/37/2/250

              It is interesting to note that as of June, 2006 the British National Health Service (NHS) no longer recommends beta-blockers in hypertensive patients because "...there is increasing evidence that the most frequently used beta-blockers at usual doses carry an unacceptable risk of provoking type 2 diabetes."

              http://www.nelm.nhs.uk/Record%20View...aspx?id=567178

              And an interesting study on Coreg:

              "The metabolic characteristics of carvedilol have been compared with both atenolol and metoprolol in hypertensive patients. In a study of 72 nondiabetic hypertensive subjects, insulin sensitivity increased by 8.5%, as compared with a 14% decrease with metoprolol. HDL cholesterol and triglyceride levels were worsened by metoprolol but were unchanged with carvedilol.[38] Compared with atenolol treatment in 45 hypertensive diabetic patients, carvedilol treatment improved insulin sensitivity by 27%, whereas atenolol decreased it by 24%. Whereas carvedilol increased HDL cholesterol and decreased plasma triglyceride levels in this study, atenolol produced the opposite effects.[37] In a study of 250 hypertensive patients with baseline dyslipidemia, carvedilol increased HDL cholesterol by 11% and lowered plasma triglycerides by 13%.[39] In a randomized, placebo-controlled trial, patients with HF and an insulin-resistant state experienced no decrease in insulin sensitivity with carvedilol.[40]"

              http://www.medscape.com/viewarticle/497722_2

              All of these studies deal with beta-blockers as prescribed for hypertension, because that is where they are normally used. In patients with HCM, our dosages often greatly exceed normal dosages, so I wonder if the negative side-effects for us are even greater magnified.

              Jim
              "Some days you're the dog... some days you're the hydrant."

              Comment


              • #8
                Re: HDL Cholesterol Level

                What a bummer! I took Niaspan and had terrible reactions to it just to try raise my HDL. I wish one of my doctors had picked up on this info. I take 150 mg of ToprolXL twice a day.

                Rhoda

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                • #9
                  Re: HDL Cholesterol Level

                  You know my dad is a diabetic and no one knew where he got this, but that makes sense being he took metoprolol for years and could never get rid of his belly no matter what he did and the biggest part of me is my stomach, Jim thank you for posting this because my husband has been riding me for a few years now saying I'm eating too much I need to cut my portions down and if I cut them back anymore then I may as well not eat and I've never had trouble losing before I went on these pills, the doctors won't even talk to me about it when I ask about the possibility of it being the pills causing alot of these problems he just says you need these pills and I said I did fine without them before they found the disease, Personally I think the pills are causing more problems then they are helping, I never had problems with my HDL or my triglycerides being over weight to me could kill you too it has to be hard on the heart it has to make it work harder thanks again and I hope you are well

                  Shirley
                  Diagnosed 2003
                  Myectomy 2-23-2004
                  Husband: Ken
                  Son: John diagnosed 2004
                  Daughter: Janet (free of HCM)

                  Grandchildren: Drew 15,Aaron 13,Karen 9,Connor 9

                  Comment


                  • #10
                    Re: HDL Cholesterol Level

                    All medicines have side effects, the same medicine can affect 2 people in totally different ways. Remember in HCM patients it is hard to get the heart rate real high due to the beta blockers etc. Heart rate plays an important role in HDL levels. Just remember do not go off any of your medicines without first consulting your Dr. Some medicines cannot be quit cold turkey.
                    Midge

                    Diagnosed in 1977, Myectomy in 1981 @ Mayo Rochester
                    ICD&Pacemaker 1996
                    Heart transplant March 19, 2004 @ Mayo Rochester
                    Mom of Kaye.

                    Comment


                    • #11
                      Re: HDL Cholesterol Level

                      Exactly right Midge.

                      Like I said previously, there are a lot of different factors, and nobody's gonna recommend going off your beta-blockers. My research has been for the purposes of working with my cardiologist to switch me to a new med and there are other reasons I want to switch as well. Just thought I'd share my research as it pertains to the topic at hand since it's kinda interesting.

                      Jim
                      "Some days you're the dog... some days you're the hydrant."

                      Comment


                      • #12
                        Re: HDL Cholesterol Level

                        I remember being given 2 boxes of pills - a beta blocker (along the lines of atenelol. If memory serves, I think it was actually propranolol HCL) and amiodarone. I was 19 at the time and was not told why I should take them or what the side effects could be. So I did my own research, looked them up and decided that at 19 and no symptoms, I could live without the potential side effects and I refused to take the pills I'd been prescribed.

                        I started seeing a cardiologist again when I was 30. Not because I had any trouble - he was just a guy I came across at work and we got on well, so he booked me into his clinic. He also tried to get me to take beta blockers. I told him I'd rather not, and after carrying out an exercise test on me he accepted my decision (but only after double-checking by referring me to a specialist).

                        I'm 39 this month and really quite glad I stood my ground. I'm not saying beta blockers are necessarily bad. And I'm sure they benefit most of the people who they are prescribed to. However I do think they're prescribed a little too readily and I'm convinced my continuing good health is in part down to my decision 20 years ago not to start popping pills.

                        Having said that, I keep having annual reviews and if I get any symptoms down the line I expect I'll take whatever medication is recommended.

                        Comment


                        • #13
                          Re: HDL Cholesterol Level

                          This topic has been so helpful and timely for me. I have been totally frustrated with my ability to lose weight lately. Five months ago this week I joined Weight Watchers and have lost just over 15 pounds. About ten years ago - pre beta blockers I lost 25 pounds in 8 weeks without starving myself. On Monday I went to my GP because I have been having a nasty cough and been very hoarse and could hear crackles in the lungs. I told him that I had never really gotten over the last bout about a month ago, which is typical of the lung condition that I have. I told him that my lung specialist thought that taking prednisone would help, as it had helped me a month ago. So he put me on a strong antibiotic and prednisone. But he said that he should check my blood sugar because prednisone has such a negative effect on blood sugars. Well I got a message yesterday on my cell phone saying that my test showed that my sugar levels are sometimes elevated and that I need to lose weight and stop eating sugar - no mention of what to do about the prednisone. No doctor has even noticed that I have lost some weight, although not what I would like, and no one asked whether I eat sugar, which I rarely do. I am supposed to call the doctor on Monday, so I will try to bring up the beta blocker and prednisone mix. I tried backing off 50 mg of Toprol XL a few months ago because I felt that it was really slowing me down. But I began having arrhythmias after a few days and decided that I cannot get by without it.

                          Oh, well. I never figured that having HCM would make life easier, but the complications are definitely frustrating.

                          Rhoda

                          Comment


                          • #14
                            Hello. Guys, my cholesterol level in my blood is too high. The doctor prescribed this medication https://crestoronlineinfo.net for me, but I would like to know how effective it is and is it possible to lower the cholesterol level? I know that high cholesterol is bad for me. However, far from this substance is an important component of metabolism, without which the normal functioning of the human body is impossible. Cholesterol is a threat if its values are outside the normal range and I have just such a case. Any ideas?
                            Last edited by fiieika; 05-26-2021, 10:22 AM.

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