Original status as of February 2009 - 50% stenosis in carotid artery; treadmill revealed 142 BPM, 10.5 mintues, asymptomatic,  ST depression at about -3.8 (V3); Total choloesterol at ~258, HDL at 54 and LDL at 185, triglycerides at 96; angioography revealed LAD diffusley narrow in mid and distal regions of about 2mm in diameter; Proximal LAD has 50-60% stenosis, first diagonal with the ostium observed at about 90% stenosis and more distal stenosis of 75%; Right coronory artery was dominant and had a short discrete stenosis of 75%.  Prescribed simvastatin and two heart medications to prevent arrythmia and slow heart as well as blood pressure reducing medication.

Current status as of May 2009 - exercising daily 40-90 minutes; diet changed dramatically, at rest systolic blood pressure in the 105 to 135 range; treadmill revealed 136 BPM, 12+ minutes, asymptomatic, ST depression at about -1.0 (V4 and V5); Cholesterol at 139, HDL at 60, LDL at 72, triglycerides at 36, no new angiography.

Assuming that I maintain and or increase my level of exercise and keep my cholesterol levels at the current levels or improve them, can I expect that my treadmill performance will continue to improve?  If I get to a negative treadmill, what metric can I use to determine if I am continuing to improve?  What is my best prognosis as far as CVD?  At what point can I begin to think about going off of the heart medications?