CIMT Expert: This Test Predicts 98% of Heart Attacks
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- Опубликовано: 28 сен 2024
- I today's show we review the best Non-Invasive test for preventing heart attacks with our friend Registered Vascular Specialist and Certified CIMT Technician Ariana Feldberg.
Check Out how I reversed 20 years of arterial plaque:
• How I Cleaned Out My A...
Check out how I use aspirin to unclog arteries:
• How I Use Aspirin to U...
Clarification:
Free Inflammation course: send an email to info@prevmedhealthcom
Free Widget: It was offered to an specific viewer during the show, but stay tuned for when we have it accesible to the public, thank you for your patience.
Become a patient: prevmedhealth....
Visit Carotid Care to schedule a CIMT: carotidcare.com/
Research in this episode:
www.atheroscle...
pubmed.ncbi.nl...
getting a doc to first, Rx a CIMT and THEN actually finding a facility that performs them may be the bane of my existence.
Is a real problem, we are trying to create awareness to this test since we know makes a big difference
Contact Vasolabs in Utah for the scan
@@PrevMedHealthA directory of clinics providing the study would be great even if self-pay. Possibly work through the LifeLine Screening company to offer with their services. Thanks for the info!
@@PrevMedHealthIs a carotid and subclavian scan the same as a Carotid Artery Scan?
My cardiologist me do the Doppler. It was a COMPLETE waste of time and money. My results were clean on one side and "less than 50%" blockage on the other side. My Virta doctor said, "What good is that? Is it 2% or 40%" My cardiologist just said, you need a statin.
I had tonsil and tongue cancer 2 years ago and had to have radiation to my throat and tongue area. I survived the cancer but couldn’t swallow for 20 months, but finally got off the feeding tube. Last time I saw my Dr of Radiology he said we now need to check my carotid artery to see if it has been damaged. Wish they had discussed all this before treatment, I have no idea what I’m looking at now but I’m praying to God it hasn’t been damaged. Gotta love radiation, it’s the gift that keeps on giving. I think I’m going to ask them to do this test. Thanks for the info Doc.
You have been through a lot. You are one tough lady.
@@tomdehen it was rough Tom, but I had my “WHY’S” as to why I fought like the 3rd monkey getting on Noah’s Ark. I will admit there were times during radiation, chemo and not being able to eat by mouth for 20 months that I wished I hadn’t lived thru the surgery. But GOD, MY FAMILY & FRIENDS rallied around me and got me through the nightmare. I wouldn’t wish a head and neck cancer on anyone, it’s a BRUTAL JOURNEY to SURVIVE IT.
You had no choice but to get the radiation but it’s extremely damaging.
@@nettewilson5926 yeah well that’s why I took 300 mg of melatonin before each radiation treatment, yes I said 300 mg 2 hrs before each zap! It’s suppose to help protect your DNA and help the chemo and radiation work better. I ask my Dr at UTSW in Dallas could the body heal from chemo and radiation and he said “Yes, but it takes 7-10 years”. So I’m going to stay positive and keep BEING THE LOVE AND THE LIGHT in this dark world until my MISSIONS are completed down here and I’m called back home.
150 dollars in Canada Alberta. I’m a 62 year old with a vascular age of 98! I have made drastic diet changes! June was 207 pounds now 183 pounds targeting 170 pounds
Keep up the great work!! What are some of the changes you've made, ifyou don't mind me asking??
@@LilyOfTheTower
Started with a 5 day hot water fast. Zero carbs zero sugar. Drink hot water and intermittent fasting 16 hours-20 not eating then eat mostly meat, eggs, cheese lettuce and mixed salad. No dressing. Usually do a 2 day fast when I hit a resistance area. Stopped statin, still on one blood pressure pill. 81 mg aspirin daily.
Drink Zevia as a treat when eating.
Can you just book it without a cardiologist note or referral?
@@herc2120
Yes in Alberta just google… Glenwood radiology did ours. Edmonton, Spruce Grove, etc
@@johngalm2686
Look into a carnivore lifestyle. There are a couple of carnivore cardiac surgeons who have channels here on YT
Watching this i have a little discomfort on my 47% blockage left carotid.
Very informative video.
Thank you guys❤
Ariana, a great description on what triggers a heart attack and why most people, including cardiologists, have no clue of what useful in preventing a myocardial infarction..
Hawthorn herb
I recently had the CIMT and my arteries were clear/normal, I also had the Calcium Score Test weeks later with a score of 529, my Cholesterol and Triglycerides are all good, I am also a Type 2 Diabetic and have been on the Keto diet for the past 4 years and lift weights and walk 10,000 steps per day.
I love the interaction between Drs. Brewer & Vega! Great interview!
🥰💗💕
What a wonderful teaching!!! Thank you so much! I have been working hard at keto/carnivore diet for a few months, and I really appreciate what you suggest about the CIMT test. I have no insurance and am on a fixed income, but I think I can save up and have this test done in the next month. Also, my Mom and Grandma both had strokes, so I am pretty concerned about my arteries, especially because I have strange pains and pressure in my neck. So thank you!!!! I will return and watch this after I get the test done.
Thank You for sharing!
Since heart disease is the #1 killer in the US- 😅I think your channel can be the #1 channel on RUclips Tube! Myron does not know I’m recommending him but I think you can benefit from his coaching. I saw you for the first time today 9/22/24 but I see you have been on You Tube for at least 3 years. I will share your information.
Insurance doesn't pay for it because it works!!!
Hopefully that changes soon, even insurance companies will save a lot of money
Part of it is the insurance corporations can have board members that also set on other boards that are "healthcare" (sick are) related.
@@PrevMedHealth I'm scheduled to get the test next Thursday. I am forwarding this video to Direct Imaging LLC so that they'll know what I want. Humana Medicare does pay for it if ordered by a PCP with the right diagnostic and billing codes. With my plan, it will cost me $50 copay.
Good information. Thank u
Use an HSA account ... problem solved
That woman is a inspirational healer!
Great information on the scans. Then disappointed to hear the Privileged members get better information... and the rest left to figure it out, I guess. ???
Yeaaa, Me too….I’m just a regular subscriber!!!
@clararodas6243 I just did, but there's plenty of information. It's actually best get information from different sources to compare.
For anyone in the UK, you can get this done at a private clinic without referral from your GP. It costs around £150
Can you advise which clinic have been looking for it and couldn't find one thanks
@@dusty1299 Ultrasound Direct have clinics nationwide. Pick the carotid scan.
@@dusty1299 I don't know why but my reply keeps getting deleted. I used Ultrasound Direct
@@dusty1299
Look for a Spire hospital in your area - if they don't do them they'll direct you to somewhere that does
Super informative guest. Respect for knowing more about CV plaque, CT calcium score, risk than any doctor I've consulted with at my big name HMO, starts with a K. 😂
16:03 min mark: if there is plaque from the CIMT exam, there's no need to panic. It's all fixable. 100% of atherosclerotic events are fixable.
How?
@@versewriter8123if you drink a shot of olive oil a day and eat healthy, don’t smoke, exercise
@@versewriter8123 19:57 min mark she says the fixes are (1) diet and exercise--she stopped eating high carb items like pears, (2) taking a statin, but she recognizes that many people have issues with statins--Dr. Brewer notes at the 1:05:00 min mark that Livalo (Pitavastatin) has fewer side effects than most statins, and (3) surgical intervention for those with very bad plaque, i.e., 70% artery blocked.
❤❤❤You guys thank you so much!!! I listened to your podcasts and went for my CIMT test. Glad i did. I have plaque but at 67 years I think lots/most people my age might have plaque. At least I am informed.
As a 76 yo, I had a CIMT test last week and was told that my carotid’s were like a 17yo.
May you live to 120.
Awesomeness...!!! ❤
Live to 130.
@@betaylor5031 I have cervical spondylosis that is quite painful. The readings on both sides was 0 - 15%. Hopefully the physical therapy will work.
@@starbright1256 😃
I had surgery this year of my Carotid Gland, because they found a little mass, and they have to tested. What happened was they couldn’t go ahead with the biopsy, because of excess of calcification, thanks God…it was benign, but I am dealing with it!!! I’m a female 73 years old…
I'm 59 yo and I've been on Carnivore for a year now. I work out daily, walk and ride my dirtbike 2 times a week. My only vice is George Killian's beer at 15g of carbs per 12 oz bottle. I know they are bad for me, but they are damn tasty.
Is the CAC (coronary artery calcium) score test basically the same as CIMT? OK just googled it and ...."A CAC scan is better than a CIMT scan for predicting cardiovascular disease events. However, a CIMT scan may perform better in younger populations where CAC is less common."... So basically similar but done differently.
According to this channel that is not correct
Calcium score only tells plaque and does not break it down to hard or soft plaque Dr Brewer has many videos on this
this is amazing information . Ive learned so much from your videos , thank you Dr. Brewer!
Dr Brewer, PLEASE give us the CPT code for this test-- it is very difficult to get med office folks to distinguish between this and doppler test.
We use 93880
Thank you for this knowledgeable information. May God bless you doctor.
She also says you can reduce the inflammation with diet change and exercise, but what if you have inflammation in the arteries due to auto immune disease such as rheumatoid arthritis? What can you do about that type of chronic inflammation and the impact it has on the heart?
I was a carnivore for year and still had 89% plaque blockage. I also gave Lupus and RA.
look into mineral supplementation, especially lugols iodine
Oh wow I was just about to ask this question, how do you reverse cardiovascular inflammation. Thank you for talking about this.
Drinking a shot of olive oil a day, extra virgin and eat healthy, don’t smoke, exercise
So if I have been told (a few days ago) that I have a total CAT scan showing Calcium score of 118 I assume the CIMT would be a waste to do it. One of the arteries is 80 - one is 38 and three are 0"s. I wish I could hear from you.
Yes, a CIMT screening is only performed to estimate your risk of coronary artery disease. Since you already know you have plaque in the coronary arteries, the screening would be a waste of time and money. That being said, if you and/or your physician want to know if you are also developing carotid artery plaque (for stroke prevention), a carotid Doppler would be worthwhile and covered by insurance due to your known coronary artery disease.
Been following Dr. Brewer for years and he points out that CIMT has no ionizing radiation, unlike CAC's. So CIMTs can be repeated (to monitor results of your lifestyle improvements) and are low cost if you elect to get one without a doctor.
My 2019 CIMT showed low risk; then a CAC score of 0.51 in 2023 seemed OK; but a 2024 CIMT found a "1.5H in bulb" plaque on one side. Now that I have plaque at age 70, I plan on another one or two annual CIMTs to monitor progression of plaque, since aging typically drives rate of plaque progression and since I have been avoiding statins.
CIMT Tampa FL Cardiology ... they do it all...
So the how do you go about stabilizing the soft plaque. I know about the diet aspect but she mentions statins can stabilize plaque. Is this true, because so many things I have heard lately say that statins don’t really reduce the risk of cardiac events?
They don’t but they do cause a gambit of other terrible problems. Dementia, extreme muscle deterioration and your heart is a muscle. I use 1/8 of a tsp cayenne pepper in a little milk to keep optimum flow in my arteries.
Dr Brewer, have you explored these for their potential in removing arterial plaque? (1) palmitoleic acid (2) sodium thiosulfate (3) EVOO + Vit K2-D3?
Hi is this for soft plaque or calcified one? Thank you
@@clararodas6243 either
If the soft plaque is the most dangerous , would estrogen replacement therapy for women over 60, be contraindicated ?
Great video
I did a lifeline screening. Wondering if it was a doppler.
On our experience it usually is
Great video, cheers!
I need to go abroad in order to have this test done...really considering doing it even when I can't really afford it.
CIMT vs ABI? Did I get it wrong? I thought you wrote that CIMT technicians aren't all equally adept.
I am in Houston. Where can I get this CIMT from a good place please ? Thank You
Check with cardiorisk
cardiorisk.com/
I'm happy to see western doctors being proactive not reactive with their patients
I thought Dr Brewer said statins have no bearing on heart attack/stroke
He actually recommends low dose statins in certain cases and took them himself.
There are no studies that support that statins prevent heart attack.
Jesus it would be great if we could make a one time donation for particularly important info....
You can, during the liveshow, there is an option called superchat, that's another option too
Regardless, we try to answer questions from non-members and suscribers whenever we can
I've already had the blood flow checked
Should you take a CIMT test just to check where your'e at if you're already a heart patient for 4 years
I want to access it. I saw a life line screening add it said, "need a CMIT" . It was a four part screen but all they measured was blood flow. Not the thickness. I'm in Olympia wa . Where do I get one.
I am an advocate of CIMT because it is a better option than everything else in that medical device space, but to say it predicts 98% of heart events is just misleading. The test has a high sensitivity only because it has a poor specificity. The pie chart at 14:14 demonstrates this, 85% of the people she has tested score as elevated risk, only a tiny fraction of those with an elevated risk are going to have a cardiac event in the next 10 years. Using her math a test which categorized everyone as elevated risk would have had a 100% predictive accuracy. eta: I suspect the manufacturers of the CIMT software arbitrarily categorize so many people as elevated risk because such a diagnosis drives repeated testing.
Thank you for the info! Are these available in Canada ? If so where please?
So what can be done about a bad scan?
The lady explained she started a statin and dropped the carbs
Aspirin, blood thinners, you can ad a low dose statin for its antinflammitory properties. Years working in the industry, I did a B-mode carotid ultra sound and saw a shadow which meant a plaque. I have been taking aspirin ever since, 30 years
D only thing that may not be accurated is that those test dont see they inner carotide it is a Y shape the second part is in the head part?..
You'll be surprised how much the CIMT can get, even in an small portion of the artery bed
Thank you sir💪.
How can u fix it? Im doing everything i can toprevent heart disease. Have heavy family history of genetic heart disease
Unfortunately, I have the same thing family history and heart problems w soft blockages, I'm only 41, thought I would be able to avoid it since I was always healthy and eat healthy, and exercise 6 days a week, walk every single day too at least 10000 steps. It was disappointing to say the least when my angiogram wasn't all clear. Far from it, and that they wanted me on a statin and beta blocker. Sometimes if it's familial we can't avoid it completely, I'm sure if I was not following a healthy lifestyle I might of already had a heart attack. Doing my best, at the end of the day that's all we can do!!
@@havegrace9111I had a HA 8 years ago and have 5 stents now and shortly due to go in for a bit of ‘maintenance’. My HA was big but damage luckily minimal (I was very fit which helped ironically). Yes , family history here too- I am very fit still- run 5k’s, cycle, lift weights, do body weight exercise, walk more than 10k a day… good diet, very little alcohol- perfect bmi. I’m nearly 50 now. The preamble is to say I agree… it is what it is. Maybe I could reduce carbs/ sugar more and that will help- but everything else is near as advised Med diet etc ; so I get on with living and know that it will maybe get me one day… but a long way off I think; so perhaps you will have a long life too and it will get you EVENTUALLY when you are in your 90’s after a great life… we all have to go.
Looking for knowledgeable CIMT testing near Mobile, Al - Can y’all make a recommendation!
Please tell me the cardiologist at the low carb conference wasn’t Dr Ovadia. I want to believe he knows about this too. 😢
May have missed…how can this be “ fixed”?!
What is the cost of the CIMT test?
$150-400
I’ve followed keto, lowcarb and carnivore for 35 years.
I have been extremely active and do cardio/sprints and lift heavy weights. I am a personal trainer, lean, ripped.
I take all the supplements suggested by PrevMed for heart disease.
I’m 65…My CIMT clear view says I have the arterial health of an 80+ year old. Plaque burden 9.5, right CCA Bulb 3.2 H, Internal Carotid 3.0 E
Why? Homozygous Apo E4?
Is there any help for me to reverse or stop the plaque build up? Please help!
CardioRisk Scan results show a 9.5 plaque burden. Internal carotid 3.0E
Sorry to hear that. 🙏
I'll give an uneducated guess.....maybe your arteries are damaged from too much stress due to working out too intensely.Let them rest.
What I have read is vit c is important to keep artery supple like they were when we were young. They stiffen with age therefore slowing down the flow. Quick flow is better. I take 1/8 of a tsp cayenne pepper in a little milk. It has the capability of flushing arteries and improving flow and high doses of vit C
Did I hear wrong call you Dr Berg?
Ariana, how did you find out you were allergic to the contrast dye? Would assume it is from a previous test you had? Reason I ask, is I am scheduled for venogram with IVUS in October, never had contrast dye in my system before. I have two autoimmune diseases and also fear I might have allergic reaction. I am not allergic to iodine, as in Lugols or betadine, but think contrast dye is different type of iodine? They prescribed 40 mg prednisone night before and morning of. Never had prednisone before either - not looking to any of it.
Called multiple mri/radiology facilities and no one knew what a cimt is…is there another name for it? Is a carotid doppler better?
Exhausting talk; just forward to time 31:50 to see (pictures) what they are talking about by using CIMT Ultrasound inspection. The next step up is CCTA or Cleery scan, which gives you a more detailed 3D gist.
Is the CIMT what the Life Line Screening service offers? My wife and I (57 and 65) got the carotid artery ultrasound done earlier this year, along with ultrasounds for abdominal aortic aneurysm, atrial fibrillation and peripheral arterial disease. All good, no plaque or things to worry about.
No, it's different. The screenings you had are good because they give direct information about the arteries in question. Since there is no non-invasive way to screen the coronary arteries, they use a measurement of the carotid artery thickness to indirectly estimate the risk of coronary artery disease. It's not a measurement of plaque, but of inflammation that studies have found correlate to coronary artery disease risk.
@@merrieleiderman1885 Thanks, good to know.
Lifeline is not nearly as effective
I have had lifeline said i was great then had calcium score which stated i had 170 score
Then had cmit which should i had 170 but was all hard plaque
Wow, CIMT,i am from paraguay
May need this test. ^o-o^
A bit off subject so sorry for this. Is it still worth taking niacin ? Tried to take it, and the flushing was so severe that many parts of my body developed tiny tiny tiny pimples with serious itching for many days after stopping. Statins had too many side effects. So now what ? Thanks.
Wonderful 👍
😢I HAVE " MIXTURE" of soft and hard now what?😢😢😢😢
Check out the video on how I reversed my plaque, 90% or the effort is lifestyle changes, 10% medications and supplements
ruclips.net/video/yYLym9PiJtA/видео.htmlsi=nKmgyqQvDy5RUQcd
We all have a mixture. The goal is to minimize the soft.
Hope you can help clarify my understanding:
(1) carotid artery is the artery on the neck region. This means these are blood flowing to the brain. Won't it be logical to say that if there is a clot, it is more likely to create a stroke on the brain than a heart attack? How does the clot cause a heart attack if blood is flowing towards the brain?
(2) when a weak plague breaks on the artery, it was described that blood flow out. Would that be serum from the vasa vasorum? If not from the vasa vasorum, then I would assume that a damage to the endothelium would result in blood flowing into the artery walls instead right?
Thanks for reading this.
Thank your for such a geeky question!
So we are talking about plaque build up in arteries of the heart, so, what has been shown is that if you develop plaque in your carotids, your are very, very likely developing plaque in your coronary arteries, that doesn't mean that significant plaque in your carotids is not a risk for stroke, it is as well, a clot in there will go to the brain directly, but we are focusing on heart disease assessment for now.
So if you have plque in your carotids, we know you have plaque in your coronaries, and is very likely you have similar type of plaques, if unstable, it can rupture and cause a heart attack
Now the plaque is in the endothelium, the inner layer of the artery wall, damage there causes inflammation that builds up with other substances including some cholesterol but also coagulation factors and platelets,
Not so much issue with vasa vasorum, those are smaller vessels that provide blood to the artery itself
I hope this helps
A CIMT screening is not done to evaluate plaque in the carotid artery or to determine the risk of stroke. It measures the thickness of the walls of the artery in a segment that is actually free of plaque, to estimate the risk of disease in the coronary arteries. It is an indirect non-invasive screening of arterial wall inflammation that has been found to correlate to the risk of coronary artery disease and stroke.
@@merrieleiderman1885 The pictures of CIMT in the video clearly showed plaque in the walls that were being measured. What do you mean they measure "in a segment that is actually free of plaque"???
@@ExtaTer Those are images and measurements of plaque, the IMT measurement would not be taken in that segment. The standard site we use to obtain the IMT measurement is the distal common carotid artery, and that is specifically because it is usually free of plaque. If the test had been designed to measure the largest plaque, the measurement would be taken in the carotid bulb or proximal internal carotid artery, but that is not the purpose of the screening.
@@merrieleiderman1885 The standard CIMT test is measuring exactly at the bulb - the thickness at the bulb is shown on the actual report in the video. If you don't measure there, it's another story.
I am schedulded to get a VASCULAR ULTRASOUND CAROTID BILATERAL. Is it a good test? OR waste of time?
Does it need to take so long to tell us ?
Will insurance cover the CIMT test?
Why does this feel like one of those timeshare seminars… I can't take the harsh audio but it strikes me this is a marketing sales pitch? When someone talks this fast and denigrates everything else but what they are pitching, I always wonder.. A check what William Davis says on this.
So if I understand correctly, we need to turn our soft plaque into hard plaque . As far as I know , only statins can accomplish this , so should we all take statins until our plaque has calcified .
Is there anywhere in the Orlando Florida area where I can get the scan?
Check cardiorisk, I'm pretty sure they have options in Florida
cardiorisk.com/
I live in Ocala and every other year do the Lifeline screening. Am quite sure they do this in Orlando as well, but not sure on the timing. A google search would show you, easy sign up, fairly low out of pocket cost. Dr Brewer commented to one asking the question if Lifeline screening used US, and he said in his experience, they did.
Also wondering if vascular surgeon offices who do ultrasounds of veins/arteries, offer CIMT.
@@karensuarez2113 thanks I will look into it.
Are they called CIMT TECHS when finding them in the phonebook (internet) Do you exclusively only do this one test or is it combined with more tests that might be more popular for the layman searching. Good program & info. Im moving to Las Vegas next month and hope to find a CIMT tech anyone have any knowledge in town there?
Dr Brewer will fasting help if we have that problem?
Would taking calcium channel blockers for bp stop the plaque from calcifying and stabilising?
Why is everyone wanting everything for free? A few hundred dollars... if not covered, just pay for it yourself and skip a few dinners eating out.
I asked for it a month or so ago at VA Palo Alto .. I haven't seem the pictures yet .. 'said it was a 1 out of 5.. I will have to ask if it is Doppler or not ..
so I have a high CAC score, did a stress test and CIMT that was positive for soft plaque on left side
Cardiologist just kept talking about statins
I walk 3 - 5 miles a day with my dog, do strength traing 2x and VO2 sprints 3x /week and saunoa (20 min 180 F) 5 days a week.
BP is 120/80 or lower
what else can I do?
I'm listening to whole replay to learn more
They said vite K2
They said hi cac was good.......
Read Good Energy by Dr. Casey Means. Amazing! The diet and lifestyle points there agree with Dr. Brewer’s advice. Or ask for my 9 page summary of her Good Energy book.
She joined us for a show weeks ago:
ruclips.net/user/liveu-TphZadhJg?si=VvdA4a8Cxw97vVgQ
Please qualify the statements. "Based on what we currently understand..." As soon as you say "no risk; safe for everyone," the unknown "cross impacting" variable will reveal itself. If it's "too good to be true..."
have you had a cmit
So if statuns are the solution to make soft go hard and you have been on statins, watch your carbs, why do this test?
I get cramps in my feet and lower legs usually when I am laying in bed. Is this a concern?
Consider increasing your salt intake depending on your circumstances.
Possibly low magnesium.
Electrolytes should help.
What is the code for this test? I just called our local imaging company and they have no idea what I’m talking about 😳😳
I used Life Line Screening to do a CIMT, but I’m a little disappointed (Aug 2, 2024). Not very much detail. It says my risk is Mild, both left and right says PSV: 11 - 125 cm/s. It seems they are reporting flow obstruction rather than an analysis of the type of plaque. My earlier CAC score is 518 (December 2023). Do you recommend where or who we can use to do a more detailed CIMT?
Lifeline is not cimt
@@d-man6509 I guess I had to learn the hard way. They advertise it as a CIMT.
I am having the ultra sound, cardio gram, and mri can I ask for the cimt
I have calcium pl
Actually, it's not true it's only 2%. I know lot of cardiologists that know this. Actually, they've known this for decades.
I know cardiologists that use it.
@@PrevMedHealth They do use it, there is no doubt. I was lot overseas and doctors there use it as well. I don't mean only cardiologists, but primary care physicians as well know about it. The only thing is that it's not first choice when they need to test for cardiovascular disease. It's still stress test and EKG. CIMT is kind of similar to Calcium CT scan, not first choice.
That's the exact problem, thanks for explaining further
I have had that done before they said it wasn't that bad yet i have severe migraines heart racing palpitations and my jugular veins feel like they are ripping and my heart cramps during exertion. So what do i do next?
Sorry to read this, thank you for sharing, we can provide medical advice through youtube, we can only say that symptoms like palpitations, and chest pain during exertion require specific assessments
lol, it sooo funny to watch Dr Brewer and Jesus texting each other! 😂
I have to text because he never listens to me
@@PrevMedHealth Haha, thanks for the banter! It cracks me up as I watch your videos. Time for me to schedule a CIMT! 😊
She thinks a low dose statin will stop her having a heart attack.
We know for a fact she is doing lifestyle changes too
🌹
Hi, Doctor could you post? Maybe a list that says where you can get CIMT done. I can't find an office
Try this link
cardiorisk.com/
They have providers in multiple states, hopefully there is one near you
Please look up LIfe Line screening or any diagnostic imaging centers and preventive health clinics
@@quattr03 Lifeline does the semi-worthless doppler test
Should folks just assume they have soft plaque and eat accordingly and not wait for a CIMT test? But I would like to know the same way I wanted to know my fasting glucose and blood pressure which gave me inspiration/purpose to seek improvement.
If we r high risk. W/c preventative tx is better, baby aspirin or statins?
She said she was taking statins.
I am on Medicare and correct they do not pay for the CIMT test. I am resolute, and convinced my doc this test is important to my treatment, (already had CAC of 167). I had to step up, insist on this test, and manage up to make it happen. The only lab I could find quoted $800, all out of pocket, and I am living on $30k a year. Thats a lot of money, but I guess its a lot cheaper than a grave plot. In the mean time, focused on more discipline diet and exercise, and taking low dose aspirin. I am 68 Years old.
LMFAO YOU DEFINITELY DON'T NEED IT
Carotid Dopplers do not just evaluate flow. They evaluate the plaque and plaque morphology, and use velocities within a stenosis to determine the degree of stenosis that does correlate with direct risk of stroke. They also absolutely do differentiate between calcified and non-calcified, soft plaques. CIMT studies are not even intended to look at plaque. They simply obtain an average thickness of the carotid artery wall in a segment of the artery that is essentially free of visible plaque, and plug it in to a formula, along with the age and sex of the patient, that indirectly estimates the risk of coronary artery disease and heart attack. Two very different exams with different indications.
Very good analogy.
@@mikepeek5655 Only if the analogy is correct.
So the Doppler has a risk assessment?
I had the life screening and it was Doppler. The gave my no score.
You have a very different perspective than these doctors , are you a medical professional, or just especially knowledgeable on this subject ?
65% as high risk. So, is there any way to see, during the last 6 years, how many actually experienced a cardiac event?
CIMT is NOT the ONLY method of detecting soft plaque . CT angiograms can do this in the coronary arteries according to Dr. Google. Search results show that there are many studies and papers showing that this is possible with CT angiograms. I am not sure of the accuracy of each method in quantifying the amount of soft plaque?? CIMT is more desirable due to lower cost, being non- invasive and with no radiation. Any comment on the accuracy of each procedure??
As I've told you before - I am not taking ANY pharmaceutical drugs. I'm taking several supplements, trying to control blood pressure, and cholesterol.
What natural supplement would be best for trying to stabilize the soft plaque? Calcium?
Good question!
It might seem like calcium makes sense but that's not the case, some help like nattokinase, vitamin k2, vitamin D3, even berberine, but, none of them are as effective as a healthy lifestyle
I have it I was told k2mk7 helpsb
@PrevMedHealth I'm active and am trying to eat right, but it's so confusing to know what diet menu to follow,, one says this, another says that - I'm going to try the low carb diet, but understand that some of the items on that list are not something that's good for cholesterol,, i.e. shrimp. My health store professional says shrimp is nothing BUT cholesterol and not to eat it (she watches you too!)
That's a clear missconception, dietary cholesterol, like the present on shrimp and Eggs are not a problem, unless You are allergic, almost any diet works, except for the SAD (standard american diet) is about finding what works for You, (You can do the diet long term and improves your biomarkers)
I just had surgery (endarterectomy) to remove 89% blockage from my right carotid artery. I have had previous TIA. The left carotid has a 69-70% blockage. My heart cath shows normal arteries. What am I to make of this? If you could answer my question I sure would appreciate it. Thank you.
This is actually a very common scenario. Often those with disease in large arteries such as the carotid, iliac, and femoral arteries do not develop problems in the smaller arteries such as the coronary, renal/mesenteric, and tibial arteries. The reverse is also true.
Is this the same as a Carotid Artery Evaluation screening?
It concerns me that folks in the study were told "not to intervene" if the CIMT found something. That seems questionably ethical though from a scientific standpoint it is understandable.
Does CIMT identify plaque only at the neck area or at the entire arteries?
Just the neck, but it is usually a reflection of other arteries including coronary, Cleerly CTA Scan is more specific but more invasive
Unfortunately I can't get a CIMT test here in Australia. Hopefully one day we will have this available . My cardiologist says that it is not clinically approved/significant. I've tried locating a clinic that does this test but have drawn a blank so it looks like no-one has cimt available in Aus?.
Hi,I am in Australia. I just find the clinic on the Gold coast ,no referral need it and cost $86.00 out of pocket.👍 I would like to go get done this test
@@ivetasvatt4946 Can you advise the name of the clinic on the gold coast?
@@ivetasvatt4946 I have searched again and can find no one in Australia (including the gold coast) that does CIMT testing.
@@davidbarnes774 I googled up and find medical centre smart clinic at Merrimack. I called them and they said yes. You do not need referral,just give them call
Are you going to tell us what the proper treatment is? The Fix you said is possible…
Drink a shot of olive oil extra virgin if you want to do it naturally and eat healthy, don’t smoke, exercise or you can have surgery to remove it or have a stent placed if needed