As a result of a hectic genetic marker and some very bad lifestyle choices I am now a 40 year old owner of three stents. This first was at 32 after a MI in the LAD. At the time I was a smoker and generally sedentary for probably 10 years. After the episode I slipped into a rather nasty cycle (excuse the pun) of depression and despite some early changes soon slipped back into the pattern if not worse than before. Fast forward 7 years. I literally reached the end. It was either up or down and I kicked the habit, bought a bicycle and rode it like i stole it, 20kgs later and in arguably the best shape I have been in years I was making remarkably progress moving in 7 months form a indoor trainer to doing the work commute 35km (one way) several times a week as well as exploiting the best the cape peninsula offers on the weekends. About two weeks ago I suddenly hit a wall. My performance slipped sharply and suspecting a touch of overtraining I tapped off in anticipation of my first stage race. That went badly and I decided it best to consult my cardiologist as well as my GP. Long story ... as it already is ... short, turns out I was severely dehydrated (GP tests) on the day but also that there were some significant narrowing in my right artery (courtesy of my cardio) They were in fact present in 2006 but had deteriorated some and my cardiologist a keen cyclist himself suggested that although if i was older he would leave it alone, given my age and cycling interest it would be better to have them opened. So that brings me to today. All the plumbing is clean (courtesy of two more springs) I have a life threatening chronic condition and a deep desire to live my life to the full including cycling. According to the doc there is no evidence either way of whether intense exercise has any impact on outcomes in my situation. His advice is go for it. The benefits he reckons outweigh the negatives. So in two weeks (to allow the femoral arteries to heal) I climb on my bike and head off. The point of the post other than being a tale of woe is to: 1. Share my story with others. If you have been through this you will know how lonely it is, if you are going through it you will know how debilitating scary it is. I don't profess to have all or even many of the answers but I have learnt some and if you would like to I would be happy to chat 2. I am facing an interesting challenge in improving my fitness and general skills in the face of little or no conclusive evidence. I would love a referral to a sports doctor / fitness coach that gets it. I am not looking for cardio rehad but rather a performance coach that is cardio aware. I drive myself to hard and need a counterbalance to slow me down.my FIL @ 59 did the Trans Baviaans in 13 odd hours and I want to celebrate i His 60th next year with him. Before anyone gets excited i will do this within my limits and with advice! If you have been through this i would appreciate you experince. 3. If any of you have had early onset CAD - I would be interested in your views re preventative or reversal claims by guys like Dr Ornish. I have young kids and a wife still far to hot to give up to some other guy and I need to stack some chips in my favour. I have a non negotiable goal of 60, would love to make 70 and it would give me a semi (probably all I would manage at that stage) to make 80 and flip the bird at the odds.