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Can I still live a long healthy life?

Im a white male, 27 years old, 5ft 11inches tall and weigh 295lbs. I have history of benign pvcs after 2 echos, a stress test, countless ekgs and labwork, x ray etc

I have been between 250pounds to my current weight most of my adult life and have always been overwieght.

With better diet, exercise, better sleep and losing over 100+ pounds,  can i reverse any potential damages and live a long, old healthy life? Am I likely to have much damage to begin with at my young age?
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Why did you have the work up?
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Palpitations, diagnosed as PVCs and was reassured several times that they are benign and completely harmless. The doctors all saw nothing else of concern. Vitals are all good, tests showed nothing else besides pvcs.
I'm a little confused, did they say you have cad?
No, they did not. I dont show any signs of anything based on the above tests. I just didnt know if this amount of obesity at my age and length without any signs of heart disease(s) leaves any kind of irreversible damage should I drop over 100lbs
Most likely yes, some but we all get worn and torn, so don't get to down on yourself.

In terms of the physiology I'm assuming your bp is on the higher side.  That would mean that your afterload on your right ventricle is higher than normal.

Also, there may be some amount of plaque build it up in your systemic and coronary vasculature.

In systemica it can cause a stroke, in coronary myocardial ischemia and/ or infarct.

However, gentics play a major role in your bodies development and responses.

So, if many of your family members are overweight, eat poorly, live sedentary lifestyles and are fine than your probably less likely to have any issues.

With all that said, the body is pretty amazing at repairing itself.  So, if you start taking appropriate actions the likely hood of these events happening drop significantly!!!  

At the end of the day, everyone will die from something.

The best advice is to start implementing a healthy life style TODAY!

If you need help bc your unsure of how to start feel free to message me;).

But I'm sure you'll be fine!
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