Had a stress test (Bruce protocol) this past April due to risk factors (age (65), moderate kidney disease, stress, etc.) and although I went 10.5 minutes on the treadmill, a 2mm ST depression showed up under stress...which resolved at rest. I was immediately told that I need to see a cardiologist, and when I did, she sent me straight to the cath lab for an angiogram and possible stent. I was scared to death, especially of the possibility of contrast induced kidney injury because my kidneys are only at half function. I then had an echocardiogram which turned out normal. So I decided to go for a second opinion. Fast forward several months, and a different cardiologist said he'd like to do the next least invasive test....a stress echo. On the treadmill, I went a minute longer than the first stress test and the report came back totally normal. The second cardiologist said I'm fine, there's no reason to investigate further, go out and celebrate. It's amazing how two cardiologists can have two completely different takes on an issue. What are we patients supposed to do? From all the reading I've done, it seems to me that the first cardiologist should have taken into account how I actually performed on the treadmill before sending me off to the cath lab. What were my original symptoms? Being winded after only a few minutes of jogging.
@@Bhatmann Yes can I ask you, my cardiologist said he wants me to take a CT after passing a stress test without pain, do you think he just wants profit?
My heart breathing breathlessness difficulties seem to have started after having a life changing Pfizer Booster Vaccination Jab in my opinion. I was initially diagnosed with irregular heart beat, then afib and recently Congestive Heart Failure. I had a echocardiogram which the Cardiologist said it was too difficult to see clearly. Now I have just recently had a MRI scan and awaiting results. So it really has me confused what my condition is.
True. Even I started having irregular heart beat after the second dose of covid vaccine. Now things seems to be settling down. But vaccine causes more damage than good.
I had both procedures done. My CAC at 59 yrs old showed zero. I do my carotid and PAD tests every 2 yrs which also came back "normal." The CAC test only cost me 71 dollars. The other yearly tests cost me 129 through a company called Life Screening. They are located all over the US including here in San Jose California. Worth the money. Peace of mind. Cant trust the medical people. They just want help you when you're already screwed up and put you on meds.
I’m wanting screening bc my terrible diet from my youth has caught up to me and heart has felt very weak but I have no insurance and am wondering what’s best to buy for the heart tests I want. I’m afraid I won’t get covered for them because I’m only 28.
In my case, a 64-Slice CT angiogram in July 2010 revealed extensive heart disease with a high CAC (Coronary Artery Calcification) score of 479. You could probably say I had the arteries of an 80-year-old man. Then I had a carotid ultrasound 6 months later that showed very healthy carotid arteries. I was told my cardiovascular age based on this test was 48, much lower than my actual age at the time, which was 61. In other words, there was no correlation between my Carotid Ultrasound and my CT Coronary Angiography.
Thank you for your very illuminating comments. I hope you are well. You story demonstrates the critical need for clinical interpretation and multi-modality investigation as a means to detect coronary disease. The VipViza trial does not suggest diagnostic accuracy in my view. What it suggests is that in those people in whom we see early evidence of carotid disease, simply telling about it results in improved Framingham risk score presumably as a result of increased medical and lifestyle compliance. Lots we still don’t know about heart disease!
@@Thekeyholeheartclinic Correct me if I am wrong, but isn't a cimt (carotid intima-media thickness test) more informative of arterial plaque than a typical carotid duplex?
@@bostonjackson9384 I may be wrong, but my understanding is that a CIMT and a "carotid duplex" can both reveal plaque, but a "true" CIMT uses certain software to assess a person's cardiovascular age based on wall-thickening that is detected. If you got a basic carotid duplex ultrasound and asked them what your cardiovascular age is based on that test, they wouldn't know. But with a CIMT, you would receive an "age score." I'm not saying this score is absolutely reliable - it certainly wasn't in my case.
High Calcium scan score is not a death sentence. The calcium plaque needs to be stabilized. Change diet, lifestyle, meds to reduce inflammation. Check out Dr. Ford Brewer (Prevmed?) reverse high CT score videos.
I heard a class by head of radiology department of Medical College saying that MRI is the best test for detecting blood vessels clots.Why is it not in practice ?.
Luckily I started learning about real health 20yrs ago and stopped listening to Medical Institutions. Now at 57yrs of age I can still out sprint the average 35yr old. Perfect blood pressure and no aging issues what so ever. Its all lies, the whole aging thing is not aging, its getting sicker and sicker due to the rubbish food everyone eats. Mainly carbs and sugar. But the Medical Institutions won't tell you that because if you are healthy, you are not a cash cow for them. Instead of "Health System" it should be called "Sickness Management System".
@@Emily-gx6dd I'm in Australia. No I just get my produce from the general grocery store. All food is laced with small amounts of toxic chemicals so you cant avoid that. Its also in the tap water. The main reason these chemicals start to breakdown the body after 20yrs isn't so much the toxins cos the body can get rid of them. The main damage is done by carbohydrates which weakens the body systems and causes inflammation and then the body can't fight all of the other attacks. Best diet is red meat, eggs, dairy and some veggies on top with 1 pc of fruit max a day. Also get your eyes exposed to sunlight without sunglasses for 10min per day, this is the best way to get vitamin D. Oh and of course I don't take any medication and never will.
If your doppler test shows stenosis and abnormal reduced blood flow, most likely, you will have coronary artery plaque about 70% or more probability, but if the doppler test shows normal results your are not out of the wood , the probability of coronary artery plaque is reduced to anout 30 %
Recent studies found that berberine could inhibit both the proliferation and apoptosis of VSMCs induced by mechanical stretch stress simultaneously, which suggests that berberine might be an excellent drug to treat atherosclerosis. This review will focus on the recent progress of the effect of berberine on vascular cells, especially VSMCs, to provide important data and a new perspective for the application of berberine in anti-atherosclerosis.
I was injected with dye and scanned after a high calcium score after a CT scan. It showed 60 percent blockage in one artery and 40 percent in another. I then underwent a cardio catheter. I fully expected the doctor to come in and tell me that I needed an angioplasty or bypass surgery. Instead, he told me that my arteries looked fine. “I’m not sure what we were seeing on those scans”, he said, maybe I had buildup on the outside of the artificial walls. But the inside looked great. I find this extremely confusing.
my score went up to 1043.3 from 909 in one year. my left main went from 278 to 0, left anterior 405 to 704, left circumflex 100 to 133.9, right coronary 132 to 204. I am a 55 year old carnivore for two years now. Have you seen a calcification clear up like that?
Increased vitamin K2 intake may reduce arterial stiffness, slow progression of vascular and valvular calcification, lower the incidence of diabetes and coronary artery disease, and decrease cardiovascular mortality.
@@Thekeyholeheartclinic I was using calcium and vitamin d supplements from one year now I feel pain in my right head flanks arms and legs may this is due to calcification or for calcification takes many years Tu build up
My age is 41 Bp is 160/90 when walk very normally or evn sitting But when lie dow and rest for 10 it drops to 130/85 Is it beacuse of blockage? Pls reply
Compared with BBR, dhBBR and Di-MeBBR significantly reduced EMMPRIN expression, which was associated with a greater inhibition of p-p38, p-JNK, nuclear NFκB p65 and phospho-p65 induced by oxLDL in macrophages. dhBBR and Di-MeBBR, but not BBR, reduced atherosclerotic plaque size and improved plaque stability indicated by increased α-smooth muscle actin and collagen content, and thicker fibrous caps. dhBBR and Di-MeBBR reduced expression of EMMPRIN, CD68, and NFκB p65, and Di-MeBBR also reduced expression of matrix metalloproteinase-9, intercellular adhesion molecule-1, and vascular cell adhesion molecule-1 in aortic plaques.
Had a stress test (Bruce protocol) this past April due to risk factors (age (65), moderate kidney disease, stress, etc.) and although I went 10.5 minutes on the treadmill, a 2mm ST depression showed up under stress...which resolved at rest. I was immediately told that I need to see a cardiologist, and when I did, she sent me straight to the cath lab for an angiogram and possible stent. I was scared to death, especially of the possibility of contrast induced kidney injury because my kidneys are only at half function. I then had an echocardiogram which turned out normal. So I decided to go for a second opinion. Fast forward several months, and a different cardiologist said he'd like to do the next least invasive test....a stress echo. On the treadmill, I went a minute longer than the first stress test and the report came back totally normal. The second cardiologist said I'm fine, there's no reason to investigate further, go out and celebrate. It's amazing how two cardiologists can have two completely different takes on an issue. What are we patients supposed to do? From all the reading I've done, it seems to me that the first cardiologist should have taken into account how I actually performed on the treadmill before sending me off to the cath lab. What were my original symptoms? Being winded after only a few minutes of jogging.
Hospitals like cath labs because they are very profitable.
That's for damned sure. @@Bhatmann
@@Bhatmann Yes can I ask you, my cardiologist said he wants me to take a CT after passing a stress test without pain, do you think he just wants profit?
Treadmill test can have false positives
What where the results of the cath lab ?
Thank you for the nuanced explanation that in people with cvd and plaque, calcification may be playing a beneficial role
very good explanation!!
My heart breathing breathlessness difficulties seem to have started after having a life changing Pfizer Booster Vaccination Jab in my opinion.
I was initially diagnosed with irregular heart beat, then afib and recently Congestive Heart Failure.
I had a echocardiogram which the Cardiologist said it was too difficult to see clearly.
Now I have just recently had a MRI scan and awaiting results.
So it really has me confused what my condition is.
Be carefull with MRI if they used gadolinium contrast agent you can have problems with your Heart
True. Even I started having irregular heart beat after the second dose of covid vaccine. Now things seems to be settling down. But vaccine causes more damage than good.
We have seen myocarditis, inflammation of the heart muscle, very frequently in this setting
Z@@Thekeyholeheartclinic
Covid vaccin was made exactly for this purpose unfortunately
I want this guy to read me bedtime stories. Great voice
😂
Get a room you two
@@Anthony-TesticaliHeyyyy don’t go there lol
I had both procedures done. My CAC at 59 yrs old showed zero. I do my carotid and PAD tests every 2 yrs which also came back "normal." The CAC test only cost me 71 dollars. The other yearly tests cost me 129 through a company called Life Screening. They are located all over the US including here in San Jose California. Worth the money. Peace of mind. Cant trust the medical people. They just want help you when you're already screwed up and put you on meds.
Life Line Screening ! They travel and set up mobile test centers in churches and community centers ! Tests are non evaisive !
Where did you get $71 CAC test?
@@safoostar SimonONE imaging here in California. They are located in other states too.
I’m wanting screening bc my terrible diet from my youth has caught up to me and heart has felt very weak but I have no insurance and am wondering what’s best to buy for the heart tests I want. I’m afraid I won’t get covered for them because I’m only 28.
What a simple technique to look at the blood vessel walls.
CT angiography
In my case, a 64-Slice CT angiogram in July 2010 revealed extensive heart disease with a high CAC (Coronary Artery Calcification) score of 479. You could probably say I had the arteries of an 80-year-old man. Then I had a carotid ultrasound 6 months later that showed very healthy carotid arteries. I was told my cardiovascular age based on this test was 48, much lower than my actual age at the time, which was 61. In other words, there was no correlation between my Carotid Ultrasound and my CT Coronary Angiography.
Thank you for your very illuminating comments. I hope you are well.
You story demonstrates the critical need for clinical interpretation and multi-modality investigation as a means to detect coronary disease. The VipViza trial does not suggest diagnostic accuracy in my view. What it suggests is that in those people in whom we see early evidence of carotid disease, simply telling about it results in improved Framingham risk score presumably as a result of increased medical and lifestyle compliance. Lots we still don’t know about heart disease!
@@Thekeyholeheartclinic Correct me if I am wrong, but isn't a cimt (carotid intima-media thickness test) more informative of arterial plaque than a typical carotid duplex?
@@bostonjackson9384 I may be wrong, but my understanding is that a CIMT and a "carotid duplex" can both reveal plaque, but a "true" CIMT uses certain software to assess a person's cardiovascular age based on wall-thickening that is detected. If you got a basic carotid duplex ultrasound and asked them what your cardiovascular age is based on that test, they wouldn't know. But with a CIMT, you would receive an "age score." I'm not saying this score is absolutely reliable - it certainly wasn't in my case.
High Calcium scan score is not a death sentence. The calcium plaque needs to be stabilized. Change diet, lifestyle, meds to reduce inflammation. Check out Dr. Ford Brewer (Prevmed?) reverse high CT score videos.
Would you say CT angiogram is a good test to take? The radiation exposure is quite high.
I heard a class by head of radiology department of Medical College saying that MRI is the best test for detecting blood vessels clots.Why is it not in practice ?.
Probably because of the cost. My doctor requested one but the insurance doesn't want to pay.
Luckily I started learning about real health 20yrs ago and stopped listening to Medical Institutions. Now at 57yrs of age I can still out sprint the average 35yr old. Perfect blood pressure and no aging issues what so ever. Its all lies, the whole aging thing is not aging, its getting sicker and sicker due to the rubbish food everyone eats. Mainly carbs and sugar. But the Medical Institutions won't tell you that because if you are healthy, you are not a cash cow for them. Instead of "Health System" it should be called "Sickness Management System".
How do you get your food? Grocery store produce? And are you in the USA?
@@Emily-gx6dd I'm in Australia. No I just get my produce from the general grocery store. All food is laced with small amounts of toxic chemicals so you cant avoid that. Its also in the tap water. The main reason these chemicals start to breakdown the body after 20yrs isn't so much the toxins cos the body can get rid of them. The main damage is done by carbohydrates which weakens the body systems and causes inflammation and then the body can't fight all of the other attacks. Best diet is red meat, eggs, dairy and some veggies on top with 1 pc of fruit max a day. Also get your eyes exposed to sunlight without sunglasses for 10min per day, this is the best way to get vitamin D. Oh and of course I don't take any medication and never will.
Allahumma baarik, I'm happy for you.
Any idea why red meat can cause chest pain? @@zchannel5973
is there manual way to do this, with no advance tools?
If your doppler test shows stenosis and abnormal reduced blood flow, most likely, you will have coronary artery plaque about 70% or more probability, but if the doppler test shows normal results your are not out of the wood , the probability of coronary artery plaque is reduced to anout 30 %
Recent studies found that berberine could inhibit both the proliferation and apoptosis of VSMCs induced by mechanical stretch stress simultaneously, which suggests that berberine might be an excellent drug to treat atherosclerosis. This review will focus on the recent progress of the effect of berberine on vascular cells, especially VSMCs, to provide important data and a new perspective for the application of berberine in anti-atherosclerosis.
but its horrible for the heart...
@@UsYoungAgain no it isnt, its the opposite
@@p.mrtynjy yep, i know what’s pushed and on the surface. In reality it’s bad for the heart.
My ears perked up when he said "Thickening of the heart is the earliest manifestation of arteriosclerosis. EVEN BEFORE PLAQUE FORMATION"
😂 not thickening of heart but arteries
I was injected with dye and scanned after a high calcium score after a CT scan. It showed 60 percent blockage in one artery and 40 percent in another. I then underwent a cardio catheter. I fully expected the doctor to come in and tell me that I needed an angioplasty or bypass surgery. Instead, he told me that my arteries looked fine. “I’m not sure what we were seeing on those scans”, he said, maybe I had buildup on the outside of the artificial walls. But the inside looked great. I find this extremely confusing.
CT scans can be indicative of disease and will sometimes need corroboration by invasive angiography. Your doctors explanation was indeed accurate.
What exactly was your CAC score? Because CACS is a screening test and not a diagnosis test.
my score went up to 1043.3 from 909 in one year. my left main went from 278 to 0, left anterior 405 to 704, left circumflex 100 to 133.9, right coronary 132 to 204. I am a 55 year old carnivore for two years now. Have you seen a calcification clear up like that?
Do you only eat meat or do you incorporate any other foods or supplementation in your diet? I hope I can achieve results like yours.
@Duke Furst
Yes, only bacon, eggs, and meat every day. The ultimate elimination diet.
Rarely. You need to take your coronary atheroma seriously. Risk factor control will slow things. High plant based diets are helpful.
@@Thekeyholeheartclinic Yes they are. I did this eating no plants. 6 months until my next score.
Very interesting, keep up the good work!
Are calcifications elsewhere in the body linked to heart problems/artery issues?
Yes, they are related.
It would be useful to call the second exam a Calcium Score test, and not a CT of the coronaries which is something different.
How much each one coast on average??
Hi I am from Pakistan I want to ask you vitamin K2 remove old plaque or only prevent new plaque
Increased vitamin K2 intake may reduce arterial stiffness, slow progression of vascular and valvular calcification, lower the incidence of diabetes and coronary artery disease, and decrease cardiovascular mortality.
@@Thekeyholeheartclinic I was using calcium and vitamin d supplements from one year now I feel pain in my right head flanks arms and legs may this is due to calcification or for calcification takes many years Tu build up
Aflab , stop calcium;
take vit D 3 , 5000i.u.
plus K2 90-180 mcg
Yes, is retro active
@@Thekeyholeheartcliniccan K2 help with aortic root aneurysm?
Thank you 🙏
@@LadyBug1967and magnesium. All 3 work together
Not very many HCP are going to order tests, unless the px is in grave condition.
That’s my fear, as someone age 28 :/
What about CAT Scan of arteries?
Radiation free test - Ultrasound
What dr does this test
We certainly do but not sure who else is performing the service. Apologies
A cardiologist
US & CT
CAC scoring and carotid ultrasound.
My age is 41
Bp is 160/90 when walk very normally or evn sitting
But when lie dow and rest for 10 it drops to 130/85
Is it beacuse of blockage?
Pls reply
You have arterial hardening
@ASAskyTV
Thanks for your reply 🙏
How to recover from it
I'm definitely dying early.
@A guy Awful diet, not that I'm bothered as I've got nothing to live for.
@@susanguy925You’re here for a purpose❤️
Don't matter when just make sure you are on the right path. The right faith/belief
@@zayd7282 lol so which of the 400+ faiths is the right one?
@@PeterL-np5jj I know..I should have specified but I forgot...oh well let em figure it out on their own.
CIMT
Compared with BBR, dhBBR and Di-MeBBR significantly reduced EMMPRIN expression, which was associated with a greater inhibition of p-p38, p-JNK, nuclear NFκB p65 and phospho-p65 induced by oxLDL in macrophages. dhBBR and Di-MeBBR, but not BBR, reduced atherosclerotic plaque size and improved plaque stability indicated by increased α-smooth muscle actin and collagen content, and thicker fibrous caps. dhBBR and Di-MeBBR reduced expression of EMMPRIN, CD68, and NFκB p65, and Di-MeBBR also reduced expression of matrix metalloproteinase-9, intercellular adhesion molecule-1, and vascular cell adhesion molecule-1 in aortic plaques.
1 is insurance and the other is no insurance
Hard to understand with that thick accent.
that’s true but if you listen closely you will find that the information he presents is very insightful 😊
I understood him very well. Volume button?
slow it to .75x speed and you should have no problem
Just use the closed caption (CC) button
@Kernica1 He had an accent, but he pronounced everything clearly. I don’t get it.
cant understand his english
Bullshit.