At-home Arterial Plaque and Health Assessment
HTML-код
- Опубликовано: 15 сен 2024
- At Home Arterial Plaque and Health Assessment
Today I want to discuss a cheap and easy way to assess your arterial health. Ankle Brachial Index (ABI) and Carotid Intima Media Thickness Test (CIMT) can be combined with the ABI to have a great understanding of your vascular health. ABI helps identify narrowing or stiffness of the arteries. Let's look at the process of testing yourself at home.
Want to get access to DrBeen at low price of $4.99/month? Click here: www.drbeen.com...
Want to support this work?:
Buy me a coffee :-) www.buymeacoff...
Become my patron: www.patreon.co...
PayPal: paypal.me/mobe...
My substack: mobeensyedmd.s...
#drbeen #HeartDisease #Labs
Disclaimer:
This video is not intended to provide assessment, diagnosis, treatment, or medical advice; it also does not constitute provision of healthcare services. The content provided in this video is for informational and educational purposes only.
Please consult with a physician or healthcare professional regarding any medical or mental health related diagnosis or treatment. No information in this video should ever be considered as a substitute for advice from a healthcare professional.
URL list from Thursday, Aug. 15 2024 13:15 PM
Sensitivity and Specificity of the Ankle-Brachial Index to Predict Future Cardiovascular Outcomes | Arteriosclerosis, Thrombosis, and Vascular Biology
www.ahajournal....
Predictive Value of Abnormal and Borderline Ankle-Brachial Index for Coronary Re-Intervention and Mortality in Patients with Coronary Artery Disease: An Observational Cohort Study - PMC
www.ncbi.nlm.n...
Diagnostic accuracy of carotid intima media thickness by B-mode ultrasonography in coronary artery disease patients - PMC
www.ncbi.nlm.n...
The one thing about blood pressure that always confuses me is when we take BP, we are told to breath, be calm, etc. Then the numbers generally calm down. But, so many people are on high alert all day, that even if you can get good readings by calming down, there is probably more time during the day that it is high that you don't know about.
Take your blood pressure when you are upset. Then, take it repeatedly to see how long it takes for it to become normal. The resilience is a sign that your arteries are healthy. But tell your doctor, of course.
Thanks Dr. Been, my husband, 66, an avid runner, fit, slim, healthy, no contraindications, just had cardiac bypass surgery. Of course before the surgery, they looked at his carotid artery, leg/arm veins - using the latest technology. It was all beautiful, clean. Blood pressure, excellent. Heart was fine, no evidence of prior heart attack. Shocked, he and I were that he required this surgery. (They could not stent because there was blockage at point where two vessels merged) They say heart issues in healthy seniors, men, is not uncommon. Must be genetics they say. I’m confident these tests are helpful but in my husband’s case, not predictive at all. There must be an “unknown”.
I'm wondering what Covid jab he had. And how many times?
@@billbaldwin9544
None. Neither one of us. Haven’t been to docs since before Covid. Until this. That’s the mystery. No family had shots. We tried to avoid jabbed but in our age category so difficult.
Thank you for sharing this. Wish doctors knew about and did this.
It's a common test in certain specialties. I think it should be common in general practice.
I am 72 yes old with non diabetic neuropathy. Caused by sciatic nerve and degen spinal in L4L5. My PC does BP of my neuropathic ankles, but I don't see a calculation or measure. I will now see how I stand and I shared this with their office.
Thank you for caring about us and teaching us
Thank you, Dr. Been. This is highly relevant information for all of us. 😊
My pleasure!
GENIUS INSIGHT... SUBLIME OBSERVATIONS...PROFOUND WISDOM...WELL DONE...THANKS GRATEFULLY... PRAY CONTINUOUSLY
Thank you for great info. I am on the road at this time and will do the test when I get home. I am 78 yo and just returning from 50 days in Iceland. Climbed to the top of 2 glaciers, kayaked on a glacier bay for 3 hours times two. Most days hiked more that 4 miles and some days more than 7 miles. At home I play pickle ball 5 or 6 days a week. I credit my health to over 20 years in the US Army. PT test twice a year keep me in Shape for all those years and continued to be active after retirement. Again thank you for your video. Maj. Retired.
Thank you for sharing about your wonderful health. I wish to have health like yours at this age. Activity is a great healer!
Amazing video!! We need more doctors like this. Thankyou!
You are welcome.
Thank you, Dr. Been.
You are welcome!
Super interesting! Thanks for sharing how to do this at home!
Your are welcome.
Liking-in with a hello to @Drbeen Medical Lectures and all KoolBeens!
Thank you Cynthia!
This is great information and explained very clearly and easy to understand. Thank you Dr.
This was a great video/lecture. Thank you very much for this Dr, Been.
You're very welcome!
Food choices are eminently researchable online (including RUclips).A low carb, high saturated fat diet seems like a crazy choice but you may be surprised. Go look!
I disagree with this. The science points to low-fat plant-based eating. I recommend the Plant Chompers RUclips channel for those who are science minded. He goes into deep dives on the scientific evidence for each kind of diet.
@@carl13579 How is Chris MacAskill after his recent stroke?
As I read and research for you, I find that the diet choice is a contentious area. All diet type champions offer evidence for why they like one diet over another. I find that reducing carbs do wonders for me. And, a few weeks ago I was in a conference for the plant based diet. For a few days we only ate this diet and my body responded to it wonderfully.
Thank you for the lecture Dr Bean!
You are welcome.
Yep...gold right here...my fountain of knowledge....
Excellent and thought provoking information/ lecture. TY very much... Of course you are one of my hero's!!!
you have a very healthy blood pressure! Thanks for this video!
Thank you!
This was a great one Dr. Mobeen. Thank you
Thank you!
Awesome idea
True
Thanks Dr Mobeen for this information.
You are welcome!
Note: This test is done when lying down, not sitting or standing up...
Thx. I measured when sitting and my ankle pressure was quite a shock 😅
Correct to lying down.
@@DrBeenMedicalLectures Thx, I will 💗
@@natasad9266 I was just going to ask this! I did it sitting down and went into a panic!
Thank you very much Dr. Been!
You are welcome!
The ankle and BP should be done with the same level ideally the level of the heart. When done in vascular labs, abi and anti are measured with the patient supine with arms and legs both at approx level of the heart.
Thank you!
You're welcome!
You're welcome!
Very good recommendations!
Thank you!
Are these values in laying position or sitting position???
Lying position.
Great lesson!
Glad you liked it!
Excelent! It is clear a useful info
Thank you
Merci beaucoup.
Tres bien!
Thanks!
Thank you!
Hi drBeen: This test is mainly on the leg, should it be done with the person sitting, standing, with the feet horizontal?
Lying down.
Actually measured sites should be a heart height. Each 10 cm height difference lower / higher of the measured site does add / subtract some 7.8 mmHg hydrostatic pressure - which is rather a lot.
Thanks drBeen
DrBeen, could you look into and discuss the odd thing happening in LC or injection injured patients where various, seemingly random, veins are "collapsing" or becoming "compressed" or closed or blocked or spasmed (constricted or dilated) or scared/thickened/stiff or ???. My daughter is 20 now, and recently showed very odd thing happening in the veins of her calves (found during ultrasound). She was also diagnosed a while ago with lilac vein compression. Other young people with significant complex LC are developing the same tyoe of thing including apparent eagle syndrom, thorasic outlet syndrom, nutcracker syndrome, and other strange vascular issues. All were previously very active, very healthy youth.
🙏 Thank you, Dr Syed, I'm watching now, I personally asked and had my carotid arteries checked a few months ago being now 71 but here in the UK they seem to consider anything below 50% of stenosis as good, which was my case . . . I'm not sure how to interpret that but it's all I have
Generally we should continue to make an effort to keep arterial narrowing slow or stalled, even, reverse. Healthcare system is tuned to accept the vascular narrowing and stiffness with age as more atherosclerosis takes hold. I feel that we should continue to try to reduce and reverse this situation.
@@DrBeenMedicalLectures ❤🙏
Brilliant. Will do it tonight on both of us. Have been checking BP, oxygen level in blood and urine test already. Good as a test for covid plaque check?.
Vascular health in general. As I discuss in the video sensitivity of this test for CAD is low. That means if this test says all is normal, then that is not a reliable result. On the other hand specificity is high, that means if this test says there is an issue then there is a fairly high confidence that there is an issue that should be discussed with your doctor.
Is there a way to remove plaque from arteries?
I believe that allopathic and non-allopathic interventions are able to help slow the progress or reduce the plaque.
IV Chelation; Red Yeast Rice?
Doesn't eating natokinnase remove plaque in veins & arteries? Also, haven't you talked about vit. K2 also helping that, @Dr.Beanmedicallectures ?
There are some pubmed studies showing aged garlic working
@@barbarawarren9443red yeast rise is the same mechanism as a statin
Are the BP measurements for both arms and both legs to be taken while lying down horizontal on your back? supine position?
If the leg pressure with patient standing or sitting, there may werll be inaccuracy in an abi so determined
Hi bonjour,
do you measure BP in the morning before eating, what is the best times ? ALso, Do you take this while seated or upward or lying down... When I was in hospital BP for other concerns was normal, but they took it like just when I was waking up no walking before. At home BP, almost higher than hospital, and yes am nervous with white jackets of MD and nurses. So, they gave HBP meds as they seem not taking account of the nervousness of the moment when we try to get a good result, tryning to be calm, resulting in BP increasing at that moment !! Thanks for these equations, a piicture illustrating how to take BP from ankle would be appreciated !
Lying down. It's good to relax before taking the blood pressure. Whatever time of the day is most relaxing for you.
Who are "selected individuals" that should be tested? Would that be people who 1) have certain physical signs/symptoms or 2) "bad lab results". It seems like doctors might not want to "waste" time on this for people who don't have an obvious risk factor since it is not sensitive. What do you think? Disagree/Agree? Why? This possibly looks like a useful tool. Thanks!
Agree. We first need studies on a general population before primary practice doctors will be willing to do it. It is time-intensive, and right now, most won't even do the arm BP with the patient lying down.
Studies have to provide a message within their context. And, @carl's message that most won't even do a an arm BP is just bad medical practice. Can't be used as a reason to not understand a patient more thoroughly, easily, and cheaply.
I might have missed it by What position should one be in making these tests. Lying flat on a bed?
I am 1.4
The Covid vax caused my ability to go from 1.0to 0.7, and I had clots to various abdominal organs. My organs recovered but my ABI remained at 0.7….
Ihave a question from a laymen: what if you have high bloodpressure...so your arms have high bloodpressure and in relation to that also your ankle. But the ABI is within the range?
True.
If ABI is within the range then at least this test can't find a problem. It's a low sensitivity test for CAD. I explain in the video.
@@DrBeenMedicalLectures But High BP is in itself an indicator for stroke and heart disease, so you shouldn't remain complacent if you have high BP. If you have high BP you should listen to your doctor.
???? Dr Mobeen, please explain vaccine derived Polio..thank you.
Do you have a study that I can refer to for this discussion?
I knew a lady who's baby had a 1 degree temp and they fave him the polio vax anyway. He wound up paralyzed. Sad thing is she adopted him healthy and had no idea of the temp being a danger.
Dr. I have a problem when you say what ever herbal or other products you feel is better for you. Thats how people get in trouble. I'm interested like the other person mentioned is there a way to lower the plaque? Are there specific supplements that can help? Thank you 😊
Diet modification is the gold standard, not supplements. Look up cardiologist Dr. Caldwell Esselstyn on RUclips.
Many interventions both allopathic, non-allopathic can help with the plaque control.
For a while my blood pressure was high and heart rate normal. Then after taking 1 clonodine it remained low . Both bp and hr. Then it was time for my yearly. My dr makes me nervous badly and takes little time very cold. So my blood pressure went up very high for a month waiting for the twp appts. First blood work then to see him. My hr went up as well. Got the visits done and a week a d a half later my bp is med high but my hr is low and i need anxiety meds and pain meds for chronic arthritis but have had to skip several dises a day between the two. Im wondering if this is heart failure.
Why don't you go to a walk in clinic and tell them your chest feels weird and your blood pressure has been finicky and get a scan? Painless, take a few minutes at most, and you'll get answers and quell the anxiety a bit.
From the ups and downs of anxiety and medication changes I doubt you have "heart failure." If your primary care doc didn't say anything they you probably shouldn't worry about it. You've been "seen" and he probably ran his stethoscope over your heart and listened to it. If you are still concerned make an appointment and ask your primary about it. I think your anxiety has a lot more to do with triggering elevated bp and hr than heart failure in your case. What ever you can do with calming yourself AND weaning yourself off anxiety meds (with doctor supervision) is probably going to give you the most benefit.
I didnt know you can use a blood pressure cuff on your ankles!
:-)
How does one have to orient the measuring cuff at the ankle? Inside or outside ankle?
Modern devices don't need orientation. I keep it outwards though. In a professional setting they will find the pulse and then orient it.
@@DrBeenMedicalLectures Thank you kindly, Dr. Been!
Can regular exercise promote calcified plaque and is it possible for soft plaque to develop on top of it? Thanks
It sounds like you already know this, but for those who don't know, calcified plaque is "old" plaque. It rarely is the culprit in causing heart attacks. It is the "new" soft plaque that ruptures that causes most heart attacks. We know this because people who have had CAD for a long time often have bad CAC scores, yet the subset of those who go on a whole food plant-based diet no oil have minimal incidence of new coronary events. As for exercise specifically causing calcification, I am not aware of studies that show this. Exercise is helpful for those with CAD but not as helpful as the diet modification described above.
@gtm, calcified plaques are when inflammation was long standing and caused enough damage that calcium depositions occurred. Soft plaques are currently ongoing inflammation. These can both be located near each other.
@@DrBeenMedicalLectures
Is it possible for a new soft plaque to develop on top of calcified plaque?
Thanks again
If you blur your eyes, the thumbnail looks like Amungus.
What is amungus?
@@DrBeenMedicalLectures maybe referring to fungus...
Makes you question why all the covid doom and gloom vaccine people are not saying this.spread this information to everyone you can.
After COVID we all need to baseline ourselves for cardiovascular health (I will suggest psychological health as well.) COVID was not a trivial impact on our health.
Just done the test.i do suffer from hypertension, but generally in good health. Result was 1.28. Many thanks.
But you did not present studies on otherwise healthy people. We don't know the sensitivity or specificity in this case. You may end up worrying a lot of healthy people unnecessarily. I disagree with your recommendations, especially the ultrasound, as it is not free and insurance will not cover it for healthy people. What is really needed are studies in otherwise healthy people that look at combining the ABI data with blood pressure and cholesterol data. This may help to reduce the prescription of statins so that only people who actually benefit take these medications. (At present statins don't really show benefit when all you use is cholesterol data to prescribe them. They do help people who have had heart attacks, though.) Of course, lifestyle changes - especially in diet - is far superior to statins. For anyone diagnosed with CAD, I highly recommend "Prevent and Reverse Heart Disease" by cardiologist Dr. Caldwell Esselstyn, who shows the astounding benefits of an oil-free whole food plant-based diet for advanced CAD patients.
I like the plant-based diet. Having said that, this is an important measure for the ease with which it can be done. For the carotid artery thickness, yes, there is funds involved. Anyone worried about their vascular health should talk with their doctor to see if it is appropriate. If one can afford it then one or twice yearly is a wise approach.