Hey LB--Can an EKG tell one anything about how clogged up you are?
You can have a blockage of 95% or more in one or more coronary arteries and have a perfect EKG as long as enough blood is flowing to keep the muscles from dieing.
Under stress, i.e. the treadmill stress test, you might end up showing irregularities on the EKG with blockages like that, but maybe not. That's why the better test is the nuclear stress test, where they image how much radioactively dyed blood is reaching all areas of the heart muscle.
BUT......using me as an example again:
Great cholesterol numbers, regular exerciser, non-smoker, low % body fat, nuclear stress test PERFECT every time (all areas of heart receiving full blood supply after extreme stress ...full incline of treadmill at high speed, well above predicted max heart rate....above 190 beats per minute) BUT a seperate high speed scan shows multiple areas of calcified plaque in the coronary arteries with an increase as the years go on. Always more clogged then 95% of men my age, and the older I get the worse that number means, since men with my blockages regularly die or survive heart attacks.
My heart receives adequate blood flow because I stay fit, and the statin possibly keeps inflamation of the vessles down. My daily 81 mg. aspirin prevents clots from forming in the calcified vessels.
I have NO INDICATIONS from any other tests to be on the statin or daily aspirin, the scan is the only clue.
Famous Detroit attorney Ken Cockrel senior died while *jogging* the morning after he past a routine stress EKG with a perfect result. He hadn't a clue how clogged up he was.
All of my physician buddies take a statin and an aspirin daily despite having any indication for it because the beneficial results are proving to be so dramatic.