Atherosclerosis: Can Active Lifestyles Still Lead to Plaque Formation? - Neurology

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Atherosclerosis


Findings: Shallow plaque formation with mild stenosis of bilateral common carotid arteries (CCA).
Mild resistant flow of the left vertebral artery (VA).
No flow abnormality of bilateral internal carotid arteries (ICA) and subclavian arteries (SA).

Impression: Shallow plaque formation with mild stenosis of bilateral common carotid arteries.
Mild resistant flow of the left vertebral artery.
No flow abnormality of bilateral common carotid arteries.
I suddenly fainted without any apparent reason, and the results of my carotid artery examination are as above.
The doctor said I have atherosclerosis.
I don't quite understand the meaning of these values in Chinese.
May I ask if having a long history of exercising and dancing since childhood can still lead to atherosclerosis? Thank you.

Mandy, 30~39 year old female. Ask Date: 2016/03/25

Dr. Gao Chunde reply Neurology


You can discuss your concerns with your attending physician during your consultation.
The report does not include any values, and I am also not aware of your other related risk factors.
Long-term exercise does not guarantee that you will not develop cardiovascular diseases.
Genetic predisposition, hypertension, diabetes, smoking, hyperlipidemia, and other factors should all be taken into consideration.

Reply Date: 2016/03/25

More Info


Atherosclerosis is a complex condition characterized by the buildup of plaques in the arteries, which can lead to various cardiovascular diseases. Your inquiry about whether an active lifestyle can still lead to plaque formation is quite pertinent, especially considering your background of regular physical activity and dance training.

Firstly, it is essential to understand that while a healthy lifestyle, including regular exercise, can significantly reduce the risk of developing atherosclerosis, it does not entirely eliminate the possibility. Atherosclerosis is influenced by a multitude of factors, including genetics, diet, and other lifestyle choices. Even individuals who maintain an active lifestyle can develop atherosclerosis due to factors beyond their control.

In your case, the findings of shallow plaque formation with mild stenosis in the carotid arteries suggest that there is some degree of atherosclerosis present. The term "stenosis" refers to the narrowing of the arteries, which can impede blood flow. Mild stenosis indicates that while there is some narrowing, it is not severe enough to cause significant symptoms or complications at this stage. The presence of "mild resistant flow" in the left vertebral artery (VA) also suggests that there may be some changes in blood flow dynamics, but again, these are not necessarily alarming at this point.

Several risk factors contribute to the development of atherosclerosis, and they can include:
1. Genetics: Family history of cardiovascular diseases can predispose individuals to a higher risk of atherosclerosis, regardless of lifestyle.

2. Diet: A diet high in saturated fats, trans fats, and cholesterol can contribute to plaque buildup.

3. Smoking: Tobacco use is a significant risk factor for atherosclerosis and cardiovascular diseases.

4. Hypertension: High blood pressure can damage the arteries over time, making them more susceptible to plaque formation.

5. Diabetes: Diabetes can accelerate the development of atherosclerosis due to elevated blood sugar levels affecting blood vessel health.

6. Age: As individuals age, the risk of atherosclerosis increases due to cumulative effects of the above factors.

Even with a commitment to physical activity, if you have any of the above risk factors, it is possible to develop atherosclerosis. Regular exercise is beneficial as it helps maintain a healthy weight, lowers blood pressure, improves cholesterol levels, and enhances overall cardiovascular health. However, it is not a foolproof method against the development of arterial plaque.

In terms of managing your health, it is crucial to maintain regular check-ups with your healthcare provider. They can monitor your cardiovascular health and recommend lifestyle modifications or treatments as necessary. Additionally, focusing on a balanced diet rich in fruits, vegetables, whole grains, and healthy fats, while avoiding processed foods and excessive sugars, can further support your cardiovascular health.

In conclusion, while an active lifestyle significantly reduces the risk of atherosclerosis, it does not completely prevent it. Regular monitoring and a comprehensive approach to health, including diet, exercise, and management of any existing risk factors, are essential in mitigating the risk of plaque formation and maintaining overall cardiovascular health. If you have specific concerns or symptoms, discussing them with your healthcare provider is always advisable.

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