I have two heart docs one is cardo and the other is surgeon. I 63 4.3-4.5 depending on test. Other than proper breathing when lifting live a normal life. Not saying it is ok to be power lifter but exercise diet and keep BP low. If you must ask doc for statin and b pressure med start low doses. This is the best you can do…..maybe it grows maybe not. My doc told me I may never need surgery.