RLR
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Okay, pre-eclampsia is quite common and since you don't indicate that you presently have hypertension, then it would be non-contributory at this point. While there can be some complications of pre-eclampsia, I would suggest it has proven to be limited in your case and would not have caused any type of cardiovascular damage, if that's your concern.
I'm uncertain why they would have drawn troponin levels unless you were complaining of angina. Realize that troponin levels can be elevated due to inflammation as well, which was far more likely the case for you at that time. I would not think your history in this regard to be contributory to any present concerns regarding risk factors.
As for concordance for heart disease, this is not necessarily derived through a genetic factor known as anticipation, which simply means that gene mutations are sometimes amplified in offspring to the extent that the subsequent complications are magnified. While rare cases are observed, this is not the case where you're concerned because your medical history would have demonstrasted markers for concern.
The total cholesterol/HDL ratio is more indicative of cardiovascular disease than TC (total cholesterol). The amount of HDL and LDL in the blood are added together, this number for all practical purposes, indicates the amount of total cholesterol. Therefore, if your HDL count is low the LDL count will account for the remainder of the total. For women, the ratio of TC/HDL is 4.0 or below.
Low HDL is not an absolute predictor of cardiovascular disease. I would say that a stress test and nuclear scan at 40 would be prudent, but I don't think family risk factors alone put you in the category you might think.
Familial hypoalphalipoproteinemia (low HDL) is genetic. I would simply view this as a risk factor, to be weighed against your efforts already described to combat it. It doesn't necessarily equate with cardiovascular disease. We find that other factors seem to be requsite for atherosclerosis to develop, so contiue good habits and although you don't mention smoking, if you're a smoker then we definitely see a link between this habit and both heart disease and hypertension.
You'll be fine. I believe what is happening here is that the unfortunate circumstances of your father are creating an albatross over your head and you're likely experiencing some form of constant ruminations and subsequent anxiety. Again, it's a risk factor, but does not tell the whole story and it would be suitable to visit your primary care physician or cardiologist every 2 years for follow-up.
Other than that, I would take a really deep breath and relax. You're in no danger. Go buy a new outfit using your husband's credit card and go out with the girls. You're going to be just fine. We'll talk more if you need to and sounds like you have a wonderful family and life ahead of you.
Best regards and Good Health
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