Sadly, when I asked my cardiologist about a CIMT they laughed at me and brushed off my inquiry. I went ahead and got a CAC (not a great score). Oh, before going to the plummers, I went extreme low carb, no seed oils, and other LIFESTYLE changes to get ahead of the curve (if you will).
Actually, the correlation between plaque build-up in the carotid artery and the likelihood of heart attack is not great. That's why we obtain our CIMT measurements in the common carotid artery which tends to be free of plaque. It's the inflammation of the artery wall that correlates with heart attack (small vessel disease), not the development of plaque in the large arteries. The typical diabetic patient, for example, will have squeaky clean large vessels throughout their entire body, but severely calcified small vessels (medial calcinosis), leading to heart attack, limb loss, kidney failure, blindness, etc.
I just got the results of my Carotid test. Any idea how or where I can find out how to interpret the numbers? It will be weeks before I have an appt with the Primary M.D. and not even sure I trust their interpretation to be honest.
I'm in Taiwan. I flew to the capital, Taipei, to get a myocardial perfusion scan. But when I came back to my smaller town, all the cardiologist could tell me was that I had 50 percent blockage in one of my arteries and that I should now get a coronary angiography. How do I get the information about the soft plaque vs hard plaque? Do I now need to ask for a coronary angiogram with AI analysis? Also, I asked for a CIMT, but they gave me a Doppler (traditional, I guess) instead, just as Dr. Brewer describes.
I’m 67 yo male with no symptoms nor concerns with blood pressure , weight, smoking, triglycerides, or HDL. I have high LDL and cholesterol and due to my active lifestyle and low carb diet that’s clean with Whole Foods and no ultra processed foods and good sleep habits and low stress and good healthy social relationships and strong spiritual drive my concern is a slightly moderate calcium score ,100, and questionable blockage after a nuclear stress test. I also often have a pulse pressure around 60. It’s been recommended I have a CT Angiogram. I will want an AI generated one if I’m going to have it. What do u think?🤔
I’d like to get on a Lifestyle regimen and eat the right foods. Do you have a plan for that? I believe you’re on the right track I would just like to hear a plan to do so. I’ve had several stents put in. Is there anyway I could consult with you thank you for your work and exposing these things that are important.
i ve had renal denervation two years ago. i ve been feeling bad since. also my blood pressure device detects 170 mmhg in the wrist where before i sometimes had 120mmhg. will the renal arteries get back to normal with time? i am afraid of some cardiovascular event. i have lost weight though it is much harder to lose weight now. i am 87kg from 97 but still no big change in blood pressure
Summary Many people discover they have clogged arteries only after a heart attack. Understanding how to detect arterial plaque can lead to healthier lifestyles. Highlights 🚨 Clogged Arteries: Most people are unaware of their clogged arteries until it’s too late. 💔 Heart Attack Risk: Over 50% of heart attacks are sudden; knowing your risk is crucial. 🩻 CT Angiogram: This imaging test is the best way to detect arterial plaque but has limitations. 🔧 Stents Misconception: Stents may provide false security and don’t prevent heart attacks. 🌱 Lifestyle Matters: Addressing metabolic disease and lifestyle is key to preventing heart issues. 📉 CIMT Test: A non-invasive ultrasound test that assesses plaque risk without radiation. ⚠ Calcium Score Caveat: A calcium score can indicate plaque but doesn’t show soft plaque, which is more dangerous. Key Insights 🚑 Emergency Awareness: Most people are blindsided by heart attacks due to ignorance about arterial health. Proactive testing is essential for prevention. 🧰 Cardiology Perspective: The plumbing mindset of cardiologists may overlook the root causes of heart disease, emphasizing the need for a holistic approach. 🔍 Plaque Types: Understanding the different types of arterial plaque (soft, calcified, mixed) helps assess risk levels and tailor preventive strategies. 🏃♂ Healthy Lifestyle: Many heart issues stem from lifestyle choices, highlighting the importance of diet, exercise, and stress management in heart health. 🤖 AI in Healthcare: New technologies like Clearly AI provide detailed analyses of plaque types, but accessibility and interpretation remain challenges. 💰 Cost Considerations: Testing options vary in price and accessibility, stressing the need for affordable health assessments for everyone. 🔄 Reevaluation of Testing: Traditional tests like stress tests may not accurately predict heart attacks, urging a shift towards more reliable assessments like CIMT and CT angiograms.
Outstanding video, thanks for sharing.
Thank you very much.
Your videos have to be the best info .you have probably saved many people with all your knowledge.I believe lifestyle is the key.
Sadly, when I asked my cardiologist about a CIMT they laughed at me and brushed off my inquiry. I went ahead and got a CAC (not a great score). Oh, before going to the plummers, I went extreme low carb, no seed oils, and other LIFESTYLE changes to get ahead of the curve (if you will).
And that's why human doctors will be replaced by AGI before 2030😊
Nobody will remember them.
And that's why human doctors will be replaced by AGI before 2030😊
Nobody will remember them.
Actually, the correlation between plaque build-up in the carotid artery and the likelihood of heart attack is not great. That's why we obtain our CIMT measurements in the common carotid artery which tends to be free of plaque. It's the inflammation of the artery wall that correlates with heart attack (small vessel disease), not the development of plaque in the large arteries. The typical diabetic patient, for example, will have squeaky clean large vessels throughout their entire body, but severely calcified small vessels (medial calcinosis), leading to heart attack, limb loss, kidney failure, blindness, etc.
I just got the results of my Carotid test. Any idea how or where I can find out how to interpret the numbers? It will be weeks before I have an appt with the Primary M.D. and not even sure I trust their interpretation to be honest.
@@DN-rg9nj What test did you have? CIMT, carotid screening, carotid duplex?
@@merrieleiderman1885 Duplex. I asked the Primary Dr. to order a CIMT but she said she didn't know what is was, omg!
AWESOME INFORMATIVE MEDICAL DOCUMENTARY
I'm in Taiwan. I flew to the capital, Taipei, to get a myocardial perfusion scan. But when I came back to my smaller town, all the cardiologist could tell me was that I had 50 percent blockage in one of my arteries and that I should now get a coronary angiography. How do I get the information about the soft plaque vs hard plaque? Do I now need to ask for a coronary angiogram with AI analysis?
Also, I asked for a CIMT, but they gave me a Doppler (traditional, I guess) instead, just as Dr. Brewer describes.
Stress test nuclear did not catch my near death event.
What did catch it?
@@thewanderer1139 EKG. No symptoms. Then CABG. Never returned to normal.
outstanding presentation!
Dr Brewer besides the cereal you forgot to mention the pizza 😂
You are right!
And ice cream, although there is a reason I didn't mentioned Ice cream
@PrevMedHealth
Oh really Dr Brewer I can only imagine 😂
Ao you wanna tell me that home made pizza is not good?
@@sool10
It all comes down to the ingredients you're using.
Not heart healthy steel cut oatmeal? Does it?
I’m 67 yo male with no symptoms nor concerns with blood pressure , weight, smoking, triglycerides, or HDL. I have high LDL and cholesterol and due to my active lifestyle and low carb diet that’s clean with Whole Foods and no ultra processed foods and good sleep habits and low stress and good healthy social relationships and strong spiritual drive my concern is a slightly moderate calcium score ,100, and questionable blockage after a nuclear stress test. I also often have a pulse pressure around 60. It’s been recommended I have a CT Angiogram. I will want an AI generated one if I’m going to have it. What do u think?🤔
What about a coronary calcium scan?
We discuss Calcium Scan starting at 14:57.
On question would alcohol clear that through?😊😊
Stabilizing the plaque is key. All these tests don’t achieve that. Statins, healthy lifestyle, good sleep etc do. Great video.
Statins are biggest lie pharmacy ever created
@@sool10🤣🤣🤣
Statins eh?
@@robt8042 Absolutely
I’d like to get on a
Lifestyle regimen and eat the right foods. Do you have a plan for that? I believe you’re on the right track I would just like to hear a plan to do so. I’ve had several stents put in. Is there anyway I could consult with you thank you for your work and exposing these things that are important.
You are right, having a plan for a good lifestyle change Is critical.
Visit www.prevmedhealth.com or call 859-721-1414
i ve had renal denervation two years ago. i ve been feeling bad since. also my blood pressure device detects 170 mmhg in the wrist where before i sometimes had 120mmhg. will the renal arteries get back to normal with time? i am afraid of some cardiovascular event. i have lost weight though it is much harder to lose weight now. i am 87kg from 97 but still no big change in blood pressure
My father had a stress test, passed with flying colours.. went home and had a heart attack
I’m getting a CIMT through LifeLine screening next week. What should I ask to be sure I’m getting what I need?
We ask for CIMT measurement and plaque characterization, unfortunately, in our experience, lifeline sends flow reports as well, but, good luck
Why do you think the Cleveland Clinic no longer offers CIMT ?😅
They’re pill salesmen!
How do I clean my arteries if plaque ❤
Check out this video
ruclips.net/video/yYLym9PiJtA/видео.htmlsi=kAq-VMRRt_Ijwt-j
No sugar no carbs just meat and eggs
@@rayvac7743and throw in some fasting
Isn't a CT angiogram with contrast dye dangerous in itself? My doctor told me, years ago, someone can die just from taking that test!
It's a rare situation, some people might be allergic to the dye, is one of the downsides
@@PrevMedHealth Do you agree with the latest information on CT "dye" which states that there is NO such thing as a true IODINE allergy?
We haven't seen that, would love to Review the evidence
If you have late stage kidney disease I think it's possible. Kidney disease and contrast dye are a bad combination.
You need a creatinine test before hand to make sure your kidneys are ok
Good morning
there are 4 places within walking distance. the closest one is one block away. cimt.
How would one find a cardiologist that isnt the one that wants to go stent crazy and finding one that tskes more human biology into account
they couldn't do it to my mom that is 77 because she has too many arteries clogged😢
Yum creamie donuts
12:00!
🇺🇸"Awesome 👀 Video 👀Doc.🇺🇸
Thank You!
Summary
Many people discover they have clogged arteries only after a heart attack. Understanding how to detect arterial plaque can lead to healthier lifestyles.
Highlights
🚨 Clogged Arteries: Most people are unaware of their clogged arteries until it’s too late.
💔 Heart Attack Risk: Over 50% of heart attacks are sudden; knowing your risk is crucial.
🩻 CT Angiogram: This imaging test is the best way to detect arterial plaque but has limitations.
🔧 Stents Misconception: Stents may provide false security and don’t prevent heart attacks.
🌱 Lifestyle Matters: Addressing metabolic disease and lifestyle is key to preventing heart issues.
📉 CIMT Test: A non-invasive ultrasound test that assesses plaque risk without radiation.
⚠ Calcium Score Caveat: A calcium score can indicate plaque but doesn’t show soft plaque, which is more dangerous.
Key Insights
🚑 Emergency Awareness: Most people are blindsided by heart attacks due to ignorance about arterial health. Proactive testing is essential for prevention.
🧰 Cardiology Perspective: The plumbing mindset of cardiologists may overlook the root causes of heart disease, emphasizing the need for a holistic approach.
🔍 Plaque Types: Understanding the different types of arterial plaque (soft, calcified, mixed) helps assess risk levels and tailor preventive strategies.
🏃♂ Healthy Lifestyle: Many heart issues stem from lifestyle choices, highlighting the importance of diet, exercise, and stress management in heart health.
🤖 AI in Healthcare: New technologies like Clearly AI provide detailed analyses of plaque types, but accessibility and interpretation remain challenges.
💰 Cost Considerations: Testing options vary in price and accessibility, stressing the need for affordable health assessments for everyone.
🔄 Reevaluation of Testing: Traditional tests like stress tests may not accurately predict heart attacks, urging a shift towards more reliable assessments like CIMT and CT angiograms.