Aortic Atherosclerosis: Causes and Concerns at 34

Atherosclerosis of the aorta

Hello, doctor.
I recently underwent a health check-up, which included a chest X-ray.
The report indicated that I have atherosclerosis.
However, my blood pressure, blood lipids, blood sugar, and both high-density and low-density cholesterol levels are all normal, including my fasting blood sugar.
In terms of diet, I may consume a bit too much sugar, but I take in very little oil and salt, eat a normal amount of fruits, and not much vegetables.
I avoid fatty meats and primarily eat chicken breast, and I also drink plenty of water daily.
What could be the reason for my atherosclerosis? I am currently 34 years old, and I had a health check-up a year and a half ago, during which there were no signs of arterial hardening.
This has made me a bit anxious! Is this situation serious? Should I seek medical attention? Thank you, doctor.

A-Hsien, 30~39 year old female. Ask Date: 2023/03/26

Dr. He Dongjin reply Cardiology

Hello, observation may sometimes just be a descriptive term in the report and does not necessarily indicate a problem.
If you are concerned, I recommend visiting a cardiology clinic for further evaluation.
I believe everything should be fine.
Take care from Changhua Hospital.

Reply Date: 2023/03/26

More Info

Aortic atherosclerosis, commonly referred to as aortic atherosclerosis, is a condition characterized by the buildup of fatty deposits, cholesterol, and other substances in the walls of the aorta, which is the largest artery in the body. This condition can lead to various cardiovascular issues, including hypertension, heart attacks, and strokes. Understanding the causes and concerns associated with aortic atherosclerosis, especially at a relatively young age of 34, is crucial for managing your health effectively.

Causes of Aortic Atherosclerosis
1. Genetic Factors: Family history plays a significant role in the development of atherosclerosis. If you have relatives with cardiovascular diseases, you may be at a higher risk, even if other risk factors are controlled.

2. Lifestyle Choices: While you mentioned that you maintain a healthy diet with low intake of fats and salts, other lifestyle factors can contribute to atherosclerosis. For instance, high sugar intake can lead to insulin resistance and obesity, both of which are risk factors for atherosclerosis. Additionally, physical inactivity can exacerbate the condition.

3. Cholesterol Levels: Even if your cholesterol levels are currently normal, fluctuations can occur. LDL (low-density lipoprotein) cholesterol is often referred to as "bad" cholesterol, and elevated levels can lead to plaque buildup in arteries. Regular monitoring is essential.

4. Inflammation: Chronic inflammation in the body can contribute to the development of atherosclerosis. Conditions such as obesity, diabetes, and even chronic stress can lead to increased inflammatory markers.

5. Age and Gender: While 34 is relatively young for atherosclerosis, the risk increases with age. Men are generally at a higher risk than women until women reach menopause.

6. Other Medical Conditions: Conditions such as hypertension and diabetes can significantly increase the risk of developing atherosclerosis. Even if your blood pressure and blood sugar levels are currently normal, it’s essential to maintain regular check-ups.

Concerns and Recommendations
Given your recent diagnosis of aortic atherosclerosis, it is understandable to feel anxious, especially since you did not have this condition a year and a half ago. Here are some considerations and recommendations:
1. Consult a Cardiologist: It is advisable to schedule an appointment with a cardiologist. They can provide a thorough evaluation of your cardiovascular health, including additional tests such as an echocardiogram or a CT scan to assess the extent of atherosclerosis.

2. Lifestyle Modifications: Continue to focus on a balanced diet, but consider reducing sugar intake further and increasing your consumption of fruits and vegetables. Regular physical activity is crucial; aim for at least 150 minutes of moderate aerobic exercise per week.

3. Regular Monitoring: Keep track of your blood pressure, cholesterol levels, and blood sugar levels regularly. This will help in early detection of any changes that could indicate worsening atherosclerosis.

4. Stress Management: Chronic stress can contribute to cardiovascular issues. Engage in stress-reducing activities such as yoga, meditation, or other hobbies that you enjoy.

5. Avoid Smoking and Limit Alcohol: If you smoke, seek help to quit. Limiting alcohol intake can also help reduce cardiovascular risks.

6. Medication: Depending on your risk factors and the severity of your condition, your doctor may recommend medications to help manage cholesterol levels or blood pressure.

Conclusion
While the diagnosis of aortic atherosclerosis at the age of 34 can be concerning, it is essential to approach this condition with a proactive mindset. By consulting with a healthcare professional, making necessary lifestyle changes, and maintaining regular health check-ups, you can manage your risk effectively. Remember, early intervention is key to preventing further complications associated with atherosclerosis. Stay informed, stay healthy, and don’t hesitate to seek medical advice when needed.

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