How to Avoid a Wheelchair - Stroke & Atrial Fib
HTML-код
- Опубликовано: 2 авг 2024
- Click this link for more Videos!
/ @prevmedhealth
The Demonization of Statins:
lnkd.in/g-TsVw9
📖Early Bird Book Launch:
lnkd.in/gZzdatC
Alabama Project:
www.jubilee.health/
--
ABOUT THIS VIDEO:
Strokes are the #1 cause of significant long-term disability, the #5 (or #3) cause of death. 55,000 more women have strokes each year. It's decreasing due to better management of blood pressure - the biggest risk factor.
But the new challenge in stroke prevention in atrial fibrillation. Paroxysmal (occasional, undiagnosed) atrial fib is becoming recognized as one of the new leading causes of stroke. So, it is becoming far more important to look for atrial fib.
Now, it has become clear that there are better ways to prevent a stroke if medication is needed. Aspirin does help. But Plavix is better. Warfarin or Coumadin is even better. But Elliquis, Xarelto, dabigatran--the NOACs (new oral antiCoagulants)--are even far more effective at preventing a stroke.
--
Read more about stroke/AFib here: prevmedhealth.com/how-to-prev....
--
🩺ABOUT DR. BREWER
Dr. Brewer started as an Emergency Doctor. After seeing too many preventable heart attacks, he went to Johns Hopkins to learn Preventive Medicine. While there, he went on the run the post-graduate training program (residency) in Preventive Medicine. From there, he made a career of practicing and managing preventive medicine and primary care clinics. His later role in this area was Chief Medical Officer for Premise, which has close to 1,000 primary care/prevention clinics. He was also the Chief Medical Officer for MDLIVE, the second largest telemedicine company. More recently, he founded PrevMed, a heart attack, and stroke prevention clinic.
At PrevMed, we focus on heart attack, stroke, and cognitive decline. We serve patients who have already experienced an event as well as those who have not developed a diagnosis or event. Dr. Brewer provides services via telemedicine to individuals all over the world. We find a lot of undiagnosed prediabetes or insulin resistance. Treating unrecognized risk factors like prediabetes allows reduction of risk and prevention of disease.
If you are interested in becoming a patient, please visit our website:
🧬prevmedhealth.com
Social
🎧Podcasts:
Simplecast prevmed.simplecast.com/episodes
Apple Podcasts podcasts.apple.com/us/podcast...
Google Podcasts care.prevmedheartrisk.com/goo...
Spotify open.spotify.com/show/45Grdk4...
Amazon care.prevmedheartrisk.com/ama...
☎️ prevmedhealth.com/contact-us/
👨🏼⚕️Facebook: bit.ly/PrevMedFB
📸Instagram: / fordbrewermd
🐦Twitter: bit.ly/PrevMedDocFordTwitter
🧬LinkedIn: bit.ly/PrevMedLinkedIn
💊Supplements/Health Shop: bit.ly/PrevMedStore
--
Get a High-Quality CIMT in a city near you! Register at CardioRisk.US/Ford (bit.ly/CardioRisk_Ford).
🤙🏼TRANSLATIONS *** Please help by providing a translation of video captions for those that speak your language. Not everyone understands English, especially with my Southern US drawl. Click this link to provide translation services - help save lives!! bit.ly/PrevMedTranslationServ... 
Наука
ohhh THANK YOU sooooo
MUCH Dr Brewer. you are God Sent for doing these videos. it helps me to understand and Not Fear Drs as the bearer of Bad news. MAY GOD give you Very Long Life for teaching the public that wishes to know how to avoid this
Thanks so much for the comments!
Don’t apologize for a long video. Subject is worth listening to. Thanks
Thanks
I have soft plaque in Carotid arteries but no diagnosed atrial Fibrillation. My maternal grandmither died mid 50's of one stroke ., over and out. I am 68 next year and would like to start one of the newer anti-coagulants. Which one should I ask for ans at what dosage? I would be be very appreciative of your help. I gave been following you daily for as long as you've been on utube. Thank you for what you are achieving in helping
Individuals and re-educating Docs on the better practice of preventative medicine.
I am 53 old male with atherosclerosis due to a life full of bad habits (smoking, bad diet, no exercise) and i had a hand full of strokes and TIAs in the last years.
This is how i try to prevent the next stroke:
intermittent fasting (16/8)
high intensity exercise 3 x/week
low carb diet / ketogenic
no grains, sugar, starch
no dairy
daily green smoothies
organic food (if possible)
apple cider vinegar
healthy fats (coconut, olive)
no prescription drugs
daily cold showers
Supplements:
fish oil
Vitamin Bs
Vitamin C (oral & weekly infusion)
Vitamin D
Vitamin K2
OPC (grape seed extract)
Curcumin
Ginko extract
Citrullin
Taurin
NATTOKINASE
SERRAPEPTASE
Magnesium
Iodine (Lugols Solution)
Selenium
Thanks. It’s sounds like a lot of the right things for lifestyle. How about sleep, stress, blood pressure and management of existing cv inflammation?
good for you charlie... how are you doing now?
Don’t forget l-arginine and I think it needs to be partnered with choline. RUclips that.
Thank you so much for sharing your knowledge.
It’s my pleasure. Thanks.
Love this channel and the preventive perspective. We don't really have preventive medical practices where I live, so this channel gives me hope that good health can be attained without a big medical bill. Thank you Dr. Brewer!
Thank you very much
appreciated dr. very informative
Thanks
Just found your channel Dr Brewer, love your detailed approach, keep it up! 👍
Thanks so much!
Good video Doc !!!!
Thanks
Thanks again.
Great info on AFib in general Doc! I've had it for over 40 years (HF also 11 yrs. ago so had an ICD for a decade but my doc agreed to take it out last year since it only shocked me once and it was not an appropriate shock). My Dad had AFib for about 60 years till death at age 90 from pancreatic cancer so he tolerated it better than I have. Will look for your video on AFib genetics since I want more info in this area. I actually worked at Baylor College of Med. for a year on Hypertrophic CM and Dr. Robert Roberts got blood from my family for a genetic AFib study which he later published! Sure wish it were reversible like atherosclerosis but I have been living the healthy lifestyle but no luck so far. Even got cellular Mg checked recently and it was OK (after taking supplemental Mg for the last year).
+Dennis Fink Very interesting. Thank you very much.
thank you doctor can you present some on the application of magnesium supplementation and its affect on atrial fibrillation?
Any update?
On strokes? A fib?
@@PrevMedHealth
Both Doc
Dear Dr.
First thank you for your videos. I appreciate your "humane" medical ethics.
Not too many like you out there. We appreciate you. I would ask about myself and my high cholesterol later but today I'm concerned about my mom. She has and elevated blood pressure of 170 over 11 , sometimes more . and extensive varicocele veins in her legs. I wish I can send her to your clinic to be seen but she is overseas ...can you please suggest a plan of action that makes sense because just putting her on a high blood pressure medication it's not the answer as I understand, or not the only answer. Please help
Many thanks
I think I would be pretty scared if my blood pressure was that high and I think I would take a blood pressure medication.
I think without a doubt if somebody's blood pressure is beyond 160 / 100 that they need blood pressure medication.
Some people may think there's a little bit of a gray area up to that point but definitely after that point you need blood pressure medication.
The indication until recently was actually three measurements of 140 over 90 or greater.
The requirements are now stricter than that.
Donating blood can't hurt. Thinning the blood might help reduce the pressure some .
You can try things like magnesium arginine citrulline niacin...
Some people say hawthorn berry...
it's been my experience though that when your blood pressure is that high none of those things are going to bring it down to normal... Drugs are pretty powerful it's probably going to take a drug...
You might pull blood pressure down 5 or 10 points if you're lucky without a drug...
More than 10 points it's going to take a drug...
I wish it weren't the case but that's what I've seen believe me I tried a lot of things...
The other thing that you can do is lose a tremendous amount of weight... like 40 lb.. that will also lower your blood pressure pretty substantially
Sometimes it may not take that much weight it depends on how close you are to the tipping point....
it appears at least for me that the relationship between blood pressure and weight is not always perfectly linear....
specifically once your BMI starts to get below 29 or 30 if you're above that you will start to see a reduction in blood pressure.
Below 25 BMI should be REALLY helpful if you can get there .
If you were thin in high school your ideal BMI is usually close to whatever that weight was ....
We all need to be high school skinny.....
That's what I saw when I lost 35 pounds.bp reduction... But it takes that much .... A lot ....
If you take CALM supplement (on an empty stomach ) and boil water and then put the powder in... Let it REALLY dissolve for 3 minutes or so . Drink that . It will reduce your blood pressure for a few hours ... Nothing crazy but maybe 5 points. It does work .... It is not a drug though.... Drugs are SO powerful....
Q = If lowering blood pressure prevents a stroke, Why then is the treatment to increase your blood pressure, when you go in the hospital if you have Had a Stroke??
Do you agree drink half weight ounces water everyday as batmanglehidj m.d. said with pinch real salt? 160lbs= 90 ounces water so maybe 20ounces over hour wait 2-3 hours drink 20 ounces over hour something like that? Anything over 15-20 ounces water over hourmight be too much water at once?
Great videos Dr Brewer! Will regular blood donation have an effect on thinning the blood for decreasing risk of stroke in lieu of medication, or at least to supplement the medication? I have high LPOa (240) and was hoping it would take the place of aforesis as well. Your thoughts would be greatly appreciated!
James Williamson
It’s a good question. I have been skeptical- until I investigated. There is evidence that it helps. I don’t know if it’s conclusive, though. I suspect it is not. I’ve never heard of it as a standard recommendation.
www.ncbi.nlm.nih.gov/pmc/articles/PMC3663474/
Great video again.
It appears if one eats much raw garlic, or ginger or cinnamon, or a couple of the others high antioxidant spices our blood gets really thinned out, so much that I’ll bruise and bleed easily. So I have 2 questions:
1 is this just me?
2. if it’s not just me, would it be a good alternative to eat those as a part of a healthy diet compared to aspirin, warfarin and such? Especially if we can’t see the Dr on a regular basis, due to cost prohibition?
Yes. You’ve mentioned several natural source blood thinners. The original aspirin was, too - willow bark. But more is not necessarily better. And there are other things: like how much cv inflammation- if any- you have; and what are the root cause(s)?
Also, I think many people would Not use the spices daily, as they would a "Dr's Rx". I prefer ginger, dark leafy greens and blood donations.
This is the second time I've commented on your videos I believe. This one makes my mind go ding ding ding! I developed AFib about 2 years ago. Twice I went to the ER for what they called tachycardia. This past July I had a small stroke. I've had high blood pressure for 40 years since the birth of my son when I had toxemia. So now I'm on two blood pressure meds, an aspirin a day, Crestor low dose, and I take on my own 50 mg of nattokinase every 12 hours. I can feel when my heart goes out of rhythm. I'm a thin person I feel it easily. It doesn't happen very much anymore. Actually Carvedilol seems to be handling it. Your thoughts? Thank you!
Thanks. I cannot give you personal medical advice on the web. But I can say a couple of things about a fib. It greatly increases your risk for stroke. Aspirin doesn’t help. The NOACs ((like Eliquis) do. The vast majority of A fib is undiagnosed, like the 90% of IR (prediabetes). If you’d like to have the 1 on 1 & evaluation, call Cliede at (859) 721-1414
@@PrevMedHealth thanks for the reply.
10:22 I’m not sure I follow your reasoning. So on the one hand you admit that blood clots forming in the turbulent atrium is kind of a silly concept, that even the atrial appendage isn’t a source of clots (which would have been a more reasonable assumption - and probably was the assumption for assuming this could only be a problem in persistent afib, not paroxysmal), but then you go on to say clotting is the problem, but why would it be related to afib? At this point if there is a correlation between persistent afib, it sounds more like an age related correlation since strokes simply are quite common in old age, and so is afib.
Ie if you accounted for age, there would be no residual correlation.
Correlating cryptogenic stroke with afib is just saying all the strokes we didn’t know the cause of before we now assign afib as cause. Seems like one of these attempts to demonize afib again now that the atrium ‘fixes’ maybe have fallen out of favor.
Given that anxiety can trigger psvt and afib - in normal physiology - sounds like a easily identifiable bogeyman.
Anticoagulation is effective at reducing clot stroke risk, but it raises hemorrhagic stroke risk, which is highly correlated with high blood pressure. In old age clot stroke risk seems to increase vs hemmorrhagic, so that’s the best justification why they all prescribe blood thinners for everyone (blaming afib or not), even though this is tailored for geriatrics (as usual).
15:46 ischemic (clot) stroke makes up 85% of all strokes in geriatrics. By that alone, your anti platelet approach obviously will reduce stroke risk in that age group, and any graph that uses afib but not age will show same.
16:47 women have lower stroke risk than men before old age.
Stroke, obesity and gender: A review of the literature, 2011
what do think about spirulina for hypertension?
Thank you for this, doctor, this explains the benefit of Warfarin, many are unaware (I was). What will help prevent a-fib in the first place, before its established and we need Warfarin or other meds? Plant-based whole food diet? Is it true this is the only diet shown to reverse heart disease? Have the others (paleo, keto) been given controlled trials and shown to be ineffective, or have they not been studied (with well-designed studies)? Also, can a-fib happen independently, in the absence of, plaque/heart disease? Can you have clear arteries but your heart just starts signalling wrong? Iow, can clear or stable-plaqued arteries (achieved via anti-inflammatory diet and other anti-inflammatory strategies) alone prevent a stroke - strokes are 80% preventable, what causes the 20% unpreventable strokes?
I am to get an ablation for afib, I am trying to talk myself in to it. I am currently on 3 different meds which has helped me . I havent had an episode in 2 months. They were every day and lasted 8 to 12 hours. What would you suggest I do at this time and do I need to contact you? I live in Texas.
Thanks. After researching it thoroughly, I elected not to get an ablation. Instead, I lost 5 pounds & improved my BP & sleep. I haven’t had an episode in 2 years.
I just had a tia. Healthier than I've ever been. Ben doing keto for 2 and a half months and down to 173 from 196. My heart will beat irregularly very early. Or maybe my body is breaking up plague and caused it. Thoughts?
Irregular heartbeat & stroke? Have you been checked for Afib?
Paternal family history has the men routinely having a hemorrhagic stroke at age 93, with debilitation for last 7 years of life. The good news is that they worked until age 93 in manually taxing jobs. 120/80 BP into 90s. No heart attacks.... Possibly, looking at same 7 year fate, I am wondering what I can do over next 4.5 decades to prevent this.. My general interest in Atherosclerosis is more for my mother and father... But I am realizing now that insulinemia is the back door to my veins, of which my male ancestors were more immune than myself.
Also, the new model just fits every study, life experience, and news bit...
Why not just consume Vit C for vascular integrity, niacin to "remove the plaques", fish oil to thin the blood out, magnesium taurate and potassium to help decrease fibrillation events, Vitamin K2 to transport calcium to bones, and low dose aspirin to decrease inflammation? And exercise.
+acjitsu Why not? Sounds like an acceptable plan. But there are other considerations, like pre-existing plaque inflammation, diabetes, high blood pressure, apo(e)4... There must be a plan for these things.
How about a 3 pronged, well balanced approach? Traditional western medicine to reduce blood pressure, and "smush" the pre-existing plaque occlusions against the arterial wall and get other pre-exiting conditions (diabetes, etc.) under control. Once under control, patient must adhere to a sensible diet (Paleo, primal, keto etc.) and exercise to decrease inflammation, reduce weight and obtain proper nutrition. Then when that has been established, use the appropriate supplementation to wean off of medicines as much as possible.
+acjitsu Sounds good. I used to be far more concerned about chronic meds; like so many others in my generation. After getting more experience, it's not so much. It's true. You can retrain, reconfigure and get off many meds that we used to think were "permanent". At this point, however, living a healthy life without disability seems far more important.
acjitsu was
Have you ever tried niacin? I take thompson niacin 500 mg, every other day, mon then wed, Fact is I get itchy all over, scratch behind my knees, till I bleed from tiny bleeding 5 or 6 spots. I'm hoping it does some good.
If I take stasis (nicotamine riboside ) for cellular health.....can I take niacin (extended release) as well?
I’m not aware of contra-indications. But I also doubt there has been enough use of the former to have a good safety record yet.
Doc , I heard that a bad tooth can cause heart issues , any truth to it ??
Thanks. Yes. Some think it’s conclusively proven. I think it’s pretty close. Here is a playlist on that.
ruclips.net/p/PL0TLaocCMc9y8Z95pbDqF5Fx_j00ij2qh
thanks Doc , I sent an email to your office .
I've watched a few of these videos. Aren't you missing some of the data, it seems that patient lifestyle is not discussed which is probably the single most important factor.
Thanks for sharing that. But you haven’t seen many of my videos. Have you ever heard my mantra, “ you cannot supplement, medicate, stent or bypass your way out of a lifestyle problem. “
Could it be b12 book Sally pocholok says b12 400-900 picograms optimal? RUclips doctor klaper b12
He says 2500 micrograms once week says b12 needs be atleast 600 picograms or more?
Mercola says impossible overdose b12 ?
Any idea how long take if dangerous low b12 70-150 to get 600 picograms taking b12 methylcobalmine 2500 micrograms once week? Others say 2500 micrograms b12 methylcobalmine once day fine since it's water soluble?
Dont eat meat