What did this part mean doc? _ Carotid Bulbs/ICAs Mild to moderate echogenic plaque in the right carotid bulb and mild plaque in the left bulb. Conclusions: _ CCAs/IMT Mean Carotid IMT in this patient is low (less than 25th percentile of the population value adjusted for age and gender).
Thank you for another interesting video. I think it would be prudent for anyone with weight issues and/or over the age of fifty to assume the corrective lifestyle changes that accompany prevention with the most important one being monitoring blood glucose and insulin levels regardless of the results of the test. Enjoy your videos as always.
Got my results and says 25 percentile what does that mean? I don’t have an arterial age on mine. I don’t see where it shows soft plaque 🤷🏼♀️. I’m not understanding this. And what’s a bulb?
Really appreciate your vids, Doc. Seems I'm following your protocol, as far as I can tell. I had an U/S of my carotids about 15 years ago, and was told I had a about 30% blockage on one side, and 25% on the other. After going completely psycho with worry, (got addicted to Ativan, thought I was going to die any second) I read about the HATS study and instantly started on B3, been taking 2 grams of IR Niacin and 10mg of Lipitor. My HDL to LDL ratio (and TGL) weren't great at the time. Now, they are almost 1 to 1. HDL 65 to LDL 75, TGL almost not measurable. Last U/S showed no increase in blockage, maybe a little shrinkage. Trying to stay LC, which keeps my BP very low, had to cut down on my BP meds. (Giving me bad Orthostatic Hypotension during my morning workouts. I'm considerably less worried these days. SO . . . without asking for medical advice (not why I'm here), I wonder if you would recommend getting a CIMT report? I'm not sure who can do that for me here in Kiev, Ukraine. For that matter, I haven't found my German doctors to really be up on this, either. I'm thinking seriously of finding the best Cardio guy I can in the country for an evaluation. I'm sure not planning to fly to the states, or anywhere else for that matter, at 66 years old. One other thing: I followed your video for computing my ABR with the same tester you used. I hope I did it wrong, because I came up with 1 ratio of over 1.3. Maybe I should have lying completely prone without a pillow? Perhaps incorrectly positioned the cuff on my ankle?
I asked for a CIMT test after watching your videos but not sure that it was actually done by the radiologist in my country. The report says Intimal thickening in the bulb 1.5mm in right and 1.2mm in left but both noted as NO plaque. Am I in the clear or not? There are no ranges measured in my report. I am 54 yo female post menopause. What do my results mean? inflammation only but no plaque(yet)?
Dr. Brewer, help me understand a little better. The Heterogeneous indication means it could be a combination of both soft and hard plaque? Normally this would be H plaque that is turning from soft to hard (E)? In my CIMT of Nov 2019 my Left CCA showed Internal Carotid of 3.0 E. In my last CIMT Feb 2020, my Left CCA showed Internal Carotid of 1.4 H. I was told that that couldn't happen the E doesn't ever turn back to H. What are your thoughts on this. OAG
Someone told you that hard plaque never softens and gets inflamed? That’s not right. Why do you think we recommend statins for people with hard plaque?
Great video as I had my CIMT (Performed by CardioRisk) results out as you were going through the data. I found it interesting you and I have the exact same Alert Values yet your Plaque Burden is 1.6 and mine is 7.8. I assume mine is higher because my Right side Bulb is 3.1H and Internal Carotid is also 3.1H compared to your 1.6H and 1.1. Another question: Of the "S", "H", and "E" types of plaque ratings, is H the better of the three? Per my test plaque was rated Heterogeneous showing signs of calcification. I'll be curious to see if my statin use and K2+D3 is going to lower my risk. I'm literally following in your footsteps. Right CCA .7; Bulb 3.1H; Internal Carotid 3.1H Left CCA 1.0; Bulb 1.6H; Internat Carotid 1.0
Thanks for the video. I have a question please: My right CCA intimal thickening measured UP TO 0.8mm. Left UP TO 0.6mm. How do I interpreter that comparing with AVERAGE results that you have here. UP TO vs. AVERAGE measurement. Thank you!
Ford Brewer MD MPH I live in Canada and did my CIMT in the local hospital. How much UP TO 0.8 would be in AVERAGE measurement? Can that even be “calculated” somehow? Thanks a lot!
Hi Dr Brewer, if Carotid Artery is 90% blocked does that mean that over time rupture has taken place repeatedly on that same plaque? Appreciate your help 💯
What did this part mean doc? _ Carotid Bulbs/ICAs Mild to moderate echogenic plaque in the right carotid bulb and mild plaque in the left bulb. Conclusions: _ CCAs/IMT Mean Carotid IMT in this patient is low (less than 25th percentile of the population value adjusted for age and gender).
I just got my CIMT results back….and this video was fabulous! Thank-you so much!
I’m very glad to hear that!
Great educational piece. Looking forward to my !st CIMT at the Dallas PrevMed Conference.
Thanks - Did you read my mind, just got my CIMT. This will help greatly!
Thanks!
What did this part mean doc? _ Carotid Bulbs/ICAs
Mild to moderate echogenic plaque in the right carotid bulb and mild plaque in
the left bulb.
Conclusions:
_ CCAs/IMT
Mean Carotid IMT in this patient is low (less than 25th percentile of the
population value adjusted for age and gender).
What did this part mean doc? _ Carotid Bulbs/ICAs
Mild to moderate echogenic plaque in the right carotid bulb and mild plaque in
the left bulb.
Please tell us more about what to do to remedy premature arterial aging?
Thanks. Have you seen the lifestyle, supplement and medication videos on this channel?
Ford Brewer MD MPH no, just the recent ones about plaque and testing. Will follow up, thank you.
THANK YOU Dr. Brewer for this explanation. Got mine at your Tampa conference which was a great event to attend. John M.
Thanks for sharing that!
Thank you for another interesting video. I think it would be prudent for anyone with weight issues and/or over the age of fifty to assume the corrective lifestyle changes that accompany prevention with the most important one being monitoring blood glucose and insulin levels regardless of the results of the test. Enjoy your videos as always.
Thanks. I agree.
Got my results and says 25 percentile what does that mean? I don’t have an arterial age on mine. I don’t see where it shows soft plaque 🤷🏼♀️. I’m not understanding this. And what’s a bulb?
Regardless of the thickness soft plaque is an alarm
Really appreciate your vids, Doc. Seems I'm following your protocol, as far as I can tell. I had an U/S of my carotids about 15 years ago, and was told I had a about 30% blockage on one side, and 25% on the other. After going completely psycho with worry, (got addicted to Ativan, thought I was going to die any second) I read about the HATS study and instantly started on B3, been taking 2 grams of IR Niacin and 10mg of Lipitor. My HDL to LDL ratio (and TGL) weren't great at the time. Now, they are almost 1 to 1. HDL 65 to LDL 75, TGL almost not measurable. Last U/S showed no increase in blockage, maybe a little shrinkage. Trying to stay LC, which keeps my BP very low, had to cut down on my BP meds. (Giving me bad Orthostatic Hypotension during my morning workouts. I'm considerably less worried these days.
SO . . . without asking for medical advice (not why I'm here), I wonder if you would recommend getting a CIMT report? I'm not sure who can do that for me here in Kiev, Ukraine. For that matter, I haven't found my German doctors to really be up on this, either. I'm thinking seriously of finding the best Cardio guy I can in the country for an evaluation. I'm sure not planning to fly to the states, or anywhere else for that matter, at 66 years old.
One other thing: I followed your video for computing my ABR with the same tester you used. I hope I did it wrong, because I came up with 1 ratio of over 1.3. Maybe I should have lying completely prone without a pillow? Perhaps incorrectly positioned the cuff on my ankle?
We have patients all over the world. Why not see me? Call 859-721-1414, or email MyHealth@PrevMedHeartRisk.com
Dr Brewer change of subject what do you think regarding Lancet and BMJ linking ACE inhibitors with CONORVIRUS ?
It’s obviously a very interesting article. I don’t think, though, that treatment implications are clear yet.
The European Council of Cardiology is recommending no changes at this point, based on insufficient evidence. I am as well.
I asked for a CIMT test after watching your videos but not sure that it was actually done by the radiologist in my country. The report says Intimal thickening in the bulb 1.5mm in right and 1.2mm in left but both noted as NO plaque. Am I in the clear or not? There are no ranges measured in my report. I am 54 yo female post menopause. What do my results mean? inflammation only but no plaque(yet)?
Sorry that the radiologist was unclear. Call 859-721-1414 to arrange an interpretation.
I just got mine back from CardoRisk. Thanks so much for explaining it. I am "down out of the tree" now. :)
Thanks so much for your interest.
Dr. Brewer, help me understand a little better. The Heterogeneous indication means it could be a combination of both soft and hard plaque? Normally this would be H plaque that is turning from soft to hard (E)? In my CIMT of Nov 2019 my Left CCA showed Internal Carotid of 3.0 E. In my last CIMT Feb 2020, my Left CCA showed Internal Carotid of 1.4 H. I was told that that couldn't happen the E doesn't ever turn back to H. What are your thoughts on this.
OAG
Someone told you that hard plaque never softens and gets inflamed? That’s not right. Why do you think we recommend statins for people with hard plaque?
Great video as I had my CIMT (Performed by CardioRisk) results out as you were going through the data. I found it interesting you and I have the exact same Alert Values yet your Plaque Burden is 1.6 and mine is 7.8. I assume mine is higher because my Right side Bulb is 3.1H and Internal Carotid is also 3.1H compared to your 1.6H and 1.1. Another question: Of the "S", "H", and "E" types of plaque ratings, is H the better of the three? Per my test plaque was rated Heterogeneous showing signs of calcification. I'll be curious to see if my statin use and K2+D3 is going to lower my risk. I'm literally following in your footsteps.
Right CCA .7; Bulb 3.1H; Internal Carotid 3.1H
Left CCA 1.0; Bulb 1.6H; Internat Carotid 1.0
Thanks for sharing those details. Echogenic (E) is calcified, the most stable. But Heterogeneous (H) isn’t bad at all.
Thanks for the video. I have a question please:
My right CCA intimal thickening measured UP TO 0.8mm. Left UP TO 0.6mm. How do I interpreter that comparing with AVERAGE results that you have here. UP TO vs. AVERAGE measurement. Thank you!
Thanks. UP TO is not an average. Who did your study?
Ford Brewer MD MPH I live in Canada and did my CIMT in the local hospital.
How much UP TO 0.8 would be in AVERAGE measurement? Can that even be “calculated” somehow?
Thanks a lot!
@@teslastepanovic90802:12
Hi Dr Brewer, if Carotid Artery is 90% blocked does that mean that over time rupture has taken place repeatedly on that same plaque?
Appreciate your help 💯
Thanks. But it doesn’t mean that. Why do you ask.
@@PrevMedHealth
I heard from another Dr that said multiple plaque ruptures from the same plaque increases stenosis. Thanks for your response ✌
@@PrevMedHealth
If the body's healing response to soft plaque is to calcify it then why would stenosis reach 90% at the exact same plaque location?
Another question. I had my first CIMT done in September of last year. When is a good time for a second test?
We usually have an annual cadence.
@@PrevMedHealth Thank you! I hope I have as good of results as you did.
I had the Lifetime screening one and it just said normal?
Unfortunately the quality of those studies is suspect.
What did this part mean doc? _ Carotid Bulbs/ICAs
Mild to moderate echogenic plaque in the right carotid bulb and mild plaque in
the left bulb.
Conclusions:
_ CCAs/IMT
Mean Carotid IMT in this patient is low (less than 25th percentile of the
population value adjusted for age and gender).