A coronary calcium scan saved my husband’s life. I have them every few years to keep off statins, and I asked my husband to get a scan for a baseline. The very skilled dr reading his scan called us immediately to come in because he spotted an aortic aneurysm. It was at the max. It could have exploded (?) at any minute. He had open heart surgery as soon as the dr could get him in. I’m SO thankful for that incidental finding. As for me, my score is always zero, even though I have slightly high LDL. I’m so grateful these scans help me keep the statins away.
I am a CT Technologist and used to score these Heart Calcium CTs. I know the coronary arteries real well. Been able to save a lot of people with these that were asymptomatic who scores were in the 1000s bad news. Hopefully we helped them before they had a heart attack that threatened there life.
@@cho7707 That's a risky procedure only to find 20% blockage. I'm assuming they saw something on a nuclear stress test. 20% not going to put stents in.
@@Mike-01234 I didn't get stents, I got one because my brother had a fatal heart attack on the job. He had been complaining of chest pains but because he was only 46, his GP chalked it up to acid reflux. Good call, huh? I'd get one again if I feel the need. Btw my brother had 70-90% blockage in his arteries. Heart disease runs in my mom's family. His wife should have sued the pants off of that "GP."
I’m a female, 72 years, not overweight or sedentary. However there is a family history of cardio vascular disease that has resulted in many on my mom’s side of the family and has impacted my siblings as well. Calcium score saved my life. Plus a cholesterol score of 300 … got some attention and received the medical treatments I needed. GP wouldn’t listen to my requests because I looked fine! The GP even wrote a nasty note about me to my cardiologist, he was a little miffed that I wouldn’t take his advice. But hey, a girl’s got to do what a girl’s got to do. Speak up for yourself. ❤
@dominiquegianni-embrey2552. Thank you for sharing. I am from India. My calcium score was 1030 in July 2023 with a very high risk of events. So far I have been free of any symptoms. I have a positive family history (my mother had a stroke and died 30 years ago when I was a child), and my father was free of any cardiovascular symptoms and died in 2020. You write that the calcium score saved your life and you received the medical treatment. What kind of medical treatment did you receive?
I had a CAC score of 18. Doctor thought that was ok. I insisted on a non- invasive Angigram to double check. Results 50-70% blockages in some arteries. The Lesson is,and as pointed out, CAC only picks up the hard, calcified plaque not the more dangerous soft plaque.If in doubt do both tests. My doctor says he now tells his other patients about my experience. Consequently, I made some serious lifestyle changes to reduce the inflammation in my body that will cause the soft plaques to possibly rupture and lead to a heart attack. The lifestyle changes have led to me feeling better. Great video as always. Thanks.
A CT Angiogram is basically a CT scan that is done with a contrast dye that shows if there are any blockages in the arteries of the heart. It gives a clear picture of the arteries without inserting anything into the arteries.
Good Day, This was the first time I had heard of C.A.C., and if required one can be tested and react accordingly. This discussion was presented with really in depth detail. Again, thank you to all three of you for taking time out of your day to keep all of us up to date on today’s findings & technology. Larry PS, your presentations, intermixed with your exceptional humor is very much appreciated.
My cardiologist asked me to consider a CAC scoring since my father died at 51 from a heart attack. I scored over 1700. Within 2 years I noticed a breathing issue while walking fast. I normally could walk very fast with no issues. I contacted my doctor who sent me for an Angiogram test. They found severe plaque build up and scheduled surgery. I had 6 way bypass. I was blocked 85%-95% in all 6 areas including my Widow Maker. They harvested a vessel from my left leg and pulled a vessel from my right chest mammary. This surgery was 2018. This test alerted me to watch for signs of heart issues and doing cholesterol medication for reducing plaque build up. My Cardiologist has been very happy with my blood work ever since. ❤️
@@GiveThanksAndPraiseI got very short of breathe. I did not have higher blood pressure than usually do. I checked with a Pulmonology Specialist first who told me it was my heart.
Cardiologist wants me to go for a C.A.C. , and I know he means well, but he never explained all of that about the different types of calcification and the relevance of the cac test. This video is it fantastic! For the first time I understand what's happening to my arteries!!! Thank you doctors, so much!
Another brilliant, informative and funny video. Thanks to you two great communicators, and a very special thanks to Dr Heffernan for so clearly explaining CAC, a crucial test for some, but not, I think, generally known, and positive ways of dealing with the problem of arterial calcification
68 yr old female. I and a CAC done and it was 0. I do NOT eat anything low fat. I do NOT avoid fatty meats. I have been low carb for years and do NOT eat processed foods or eat foods with seed oils. Not exactly keto, but close to it. I usually keep my carbs around 50 gm/ day. The human liver reabsorbs LDL in the absence of high insulin.
Great job Pam but unfortunately the healthcare community does not like you…or me! Shhhhh!! I eat very similarly and have great lipid panels except LDL levels are high. Triglycerides are very low. 4.8 A1C and my cardiologist insisted on a CAC. It came back .74. Yes, he INSISTED I start statins. We still argue about it as I say NO. I need a new cardiologist.
For those who have yet to have a CAC, it should be noted that this is a very quick test. After you lie down and are in position, it takes about 2-3-4 minutes. It is very fast.
My husband had his CAC at age 69, insulin dependent diabetic for 30 yrs and already on anti colesterol meds for decades. His score was 1800 total in the 3 major arteries. He had a stress rest and passed it easily. We both walk about 2+ miles daily at a gym. The next year he had another stress rest and did fine. I keep worrying about him having a heart attack, but he feels well. His cardiologist says he may have had the plaques for many years.
I don't think he had plaque before he started statin (cholestrol med). Statin is known to increase CAC score although DOCs say that statin helps to stabalize by calcifying soft plaques to make them more stable. So, taking CAC test once you start STATIN is useless. Your DOC should have known this.
@@bscsmscs1578 The CAC tests don't pick up on any soft plaques. Only picks up the solidified calcium plaque. It's the soft plaques that are the most dangerous so this test doesn't tell you the whole story!
@@johnallen7367Yes, but people on carnivore diet may have soft plaque that can’t be detected by the CAC scan. And it’s guaranteed that if you’re on a carnivore diet, you’re cholesterol will be high.
@@BW-kv9wj thanks for responding. Yes, ldl can be higher on Carnivore. Ldl cholesterol as a cause of cardiovascular disease has been debunked many times. Cholesterol was said to cause cardiovascular disease by ansell keyes, using skewed data, and unscientific methodology. Big food paid science to point the blame away from sugar and processed foods. Cardiovascular disease is driven by insulin resistance, caused by sugar and carbs. I went carnivore at 63, 120kg, fat, sick. In 6mths I have lost 32kg, cured every chronic illness I had. I dont know what else to say to you. 6mths ago if you asked me what i thought was the best human diet, i would have said something from the just juice shop. It made sense, it seemed, but apparently it was wrong. My physical and mental health has blossomed beyond any expectations. If the medical profession and pharmaceutical industry were correct in their recommendations, we would all be amazingly healthy. Yet, westerners are the fattest, sickest, mentally unhealthy, miserable people on the planet. Clearly, the advice has been wrong, and the emphasis is no longer on healing, just eternal treating of conditions. This diet is entirely sustainable. Inuit indians and many other cultures have been living on diets of meat and fat for their entire lives. They have no incidence of cardiovascular disease, diabetes, alzheimers etc etc.
As of writing this I saw a cardiologist today. Had a bunch of tests done and he said my heart looked fine. My concern heart disease and strokes run in my family, and I have had a stroke as well. When he started talking about plaque I ask if there was a test for that and he said there wasn't. After a quick search here I am and feel I need a new Dr.
I am 70 years old. I thought was pretty healthy and no heart risks. I had my annual physical on Feb 8th and found my LDL was 117. I went on a WFPB diet, walked 10,000 steps per day, no sugar. May 8th dropped my LDL down to 35. March 8th I did a CAC and my LAD score was 148 and my total CAC score was 246. I am staying on a WFPB diet, walking 10,000 steps per day but I decided to start taking 40 mg Lipitor daily. Really didn’t want to do medication …. Let alone a statin drug but I decided since my LAD artery had a score of 148 that taking a statin was a great idea but continuing my WFPB eating and daily activity and I’m working to lose 50 lbs. I’m hoping there is a light at the end that I can eventually go off the statin medication and just maintain my health through diet and exercise.
My calcium score was 192, chloestrol was very low, and I had a small heart heart blockage of the LAD. Now I have a stent. Didn't know I felt bad. Now I have more energy. So numbers are important but listen to body signals.
this is good to know. if you have low energy and you sleep well, eat halfway decent and have normal sleeping hours, be sure to not pass it off as "I'm just old".
I’ve been a cardiac RN for over 25 years. One of my responsibilities was to call CAC results to outpatients. I learned (1) any score above ZERO means you have coronary artery disease. (2) You can have a normal stress test & a CAC score of ZERO & still need bypass surgery. Cardiac cath is the gold standard. (3) You can have a CAC score of over 3500, with LOTS of calcified plaque, but NO significant BLOCKAGES on cardiac cath, if you have huge coronary arteries. (4) If you have many CAD risk factors, do not depend on a low CAC score to gauge your risk prior to major surgery. See a cardiologist & get a stress test. We have a 75yo male in cardiac rehab right now, who coded during knee surgery. He went for bypass surgery & is lucky to be alive, but his short term memory is not good.
Re: (2) My brother had a "normal" stress test. His complaints of chest pain were blown off as acid reflux, the go-to ailment to get people out of the office. He had a fatal heart attack on the job, autopsy showed 70-90% blockage in all 4 arteries. He was 46. Doctors are only worried about getting the next patient in. Herded like cattle.
@@cho7707 #OMG. Did he have just a regular stress test. That's IT? That's ALL that his doctor ordered?? I Can't imagine how a doctor would make a frigging 'acid reflux' call without doing some extensive testing!? Wow. Just WOW. So sorry for the loss of ypur brother. Our health care system is truly broken.
With chest pain, your brother should have had a nuclear stress test, not a regular stress test. I was having chest pain in my 30's. My dad's side of the family has a history of sudden cardiac deaths. I went to a cardiologist & she said we are going to do a stress test but I am considering a possible nuclear stress test but you are young & chances are you are ok. I told her flat out to please give me the nuclear stress test bc I don't want to drop dead like my 3 uncles did. We did the nuclear & everything turned out fine. It turned out to be gastric reflux. I am very sorry to hear about your brother.🙏
@@cho7707 May I ask your brothers age at the time of his fatal heart attack? My sister just lost her middle son to a massive heart attack. He had just turned 50 years old.💔
Love this video. Never heard of the test, so I learned so much today!!! Guess I'll be asking my cardiologist about it after I get my echocardiogram done at the end of May. Really appreciated how far it went into detail.
I told my general md I wanted it done - I didn't ask. A lot of md's don't suggest this test for some reason - maybe because insurance may not pay for it. I am on Medicare and it cost me $89.00 two months ago in NJ....I thought the fee was very reasonable-all things considered. I had it done years ago when it first came out & it was $50.00 not covered by insurance.
Another great video! I'm having my 3rd Calcium Sorce test next week. So many folks have no idea how great this test is! I'd say the #1 test of all tests for your heart! Thank you for letting everyone know about this!
My Cardiac Calcium Score went from 48 to 350 in a few years. My primary care Dr thought it didn’t mean anything but I went to a cardiologist who put me through all the stress tests etc, and then ordered a CT scan that showed calcification in the LAD but my symptoms weren’t there so Medicare and insurance decided I didn’t need any further tests. 14 months later I I’m in the OR getting 2 stents in LAD MID AND DIAG 80% blockages, due to shortness of breath and fatigue. Statins I don’t tolerate well. Brilinta 12 hrs apart. So far I am doing well.
My CAC score revealed a whopping score of 6359! I've yet to hear of anyone with even a remotely close score. Thank God, I'm asymptomatic. Cardiac catherization revealed two 60% blockages, a couple 40% blockages and a small artery that was 100% blocked. Miraculously the small artery created its own bypass. I now have to take Crestor, zetia and plavix. I'm still in phenomenal shape. It was heavy steroid use from my bodybuilding days that caused it.
Damn!! I hope you are thanking your lucky stars every day because you are one very lucky guy! Thank goodness for your doctor who insisted you have such a test!
@@LoveABun actually I suggested it. Thankfully I watched the Widowmaker documentary on UA-cam and I follow Ivor Cummins on UA-cam. The Content provided allowed me to catch it before it progressed or I had a widowmaker.
My score taken a few weeks ago was 3800, seeing my doc this week. I've been on a statin for several years and have lost 53lbs in the past year and my blood sugar is under control. Waiting to see if I have any blockages. Wonder why they didn't do a stent on you for the 60%ers? I heard when you get in shape whatever was soft will calcify. Are you better off is the question.
@@larryd5192 they told me there had to be at least 70% blockages to put stents in. I guess it's just a matter of time. They said for prevention LDL should be below 70ng/dl. Statins alone weren't doing it so I added in Ezetimibe. Now my ldl is around 50.
I have been the proud owner of a hiatal hernia since my mid-20s. When proton pump inhibitors came out I got on them immediately. My quality of life improved dramatically. Turns out I was damned if I didn't take them for fear of Barrett's esophagus disease (cancer) as opposed to what the PPI did in the long term. I am 70 years old weigh 165 and I'm 6'1" and my blood pressure is normal, 126/72 pulse 68-72 and I only have one kidney. I have always eaten well and exercised. My recent lab results were: Triglycerides 63mg, cholesterol 148mg, HDL 50mg, calculated LDL 85.4mg and HDL of total cholesterol was 33.8%. I had an EKG done that raised the eyebrow of the doctor. She then suggested a Nuclear Stress Test which came back normal. So she suggested a CT scan of the heart which came back functioning normally. I then asked for a CAC test. It came back at 1749. I also have small particle LDLs. No shortness of breath, no chest pain and I do not get tired very easily. My current cardiologist said she's not worried about me (I found another one.) Here is what I learned about PPIs: I learned that PPIs reduce the enzymatic activity of dimethylarginine dimethylaminohydrolase (DDAH). In this way, PPIs increase plasma levels of asymmetric dimethylarginine (ADMA) 4. Because it inhibits the generation of vascular nitric oxide, ADMA would be expected to increase platelet interaction with the vessel wall. In summary, it means that because of the PPIs I was taking it inhibited the production of nitrous oxide in my blood vessels that protect the endothelial lining of the arteries. The PPI and my small lipids aren't doing me any favors. If you know anyone on a PPI, try and get them off of it. Source: research NIH on PPIs www.ncbi.nlm.nih.gov/pmc/articles/PMC6463334/
I am 53 0 calcium score 195 ldl 255 total cholestrol normal triglycerides no diabetes controlled high bp I been on ppi nexium for years 20 at least ....comming off ppi is horriable terriable rebound effect I am on every other day now still unable to stop....
I do pretty well with H2 blocker instead of PPI. In fact, ppi's cause severe anxiety, which has been diagnosed as allergy, and I can't take them at all.
My internist ordered a CAC because my LDL and total cholesterol were too high. I was shocked to find out that my score was 0. I just turned 62. My Dad had high cholesterol for many years but lived to 92.
Same here, with a family hx of ASHD, my Dad died young from cardiac arrest at 57. My CAC was “zero blockages.” My Tot Chol is 201 & LDL 155. HDL is very good, above 60 & Trigly below 40. My Mom had high chol never took a statin & lived into late 90s. So best NOT to take a statin!
I am taking my first CAC score tomorrow. I do have cholesterol and triglyceride elevation, not excessive. That is with low blood pressure, and no plaque in my carotid (neck). Discussion will follow this test. Non smoker, no blood sugar issues.
I was on cholesterol meds for 35 years. I had been running over 40 years 4 times a week and many marathons. Then about 1.5 years ago my Doc says time for CAC. It was 388 and showed I had 3 blockages in the 3 main vessels (3VD). 3 stents fitted. Thing was I had zero symptoms and Cardioligist said that due to the high intensity exercise and statins my body had created its own collaterals(like baby bypasses) and that the statins had also upped the calcification. Mentally I felt better knowing that I had the stents in but I am now on a Mediterranean diet, no junk food at all and still bashing about at the running. There is hope!
I always love the medical information but LOVE the humor. Medical issues are always so serious and a little humor helps with the stressful issues at hand. So, I agree, if you don’t like humor, move right along.
I saw m family doctor last week and she recommended having the test. I live near Chicago and the test is not covered by insurance but only cost $60.00. I will be having it on April 20th.
I have pretty good health insurance with BC/BS, but they would not cover this test. Due to my family history of heart disease, my doc recommended it. I paid for it out of pocket, which was a little over 125.00. My score was high. So they increased my statin. I had a nuclear stress test….no blockages, but my blood pressure shot up while on the treadmill. That did concern them. I am within the normal weight range for my height. It’s scary to learn that you have a high score, but the truth is always your friend.
@@christopherw3490 I agree, this test is worth the price. Also, shows lungs and size of heart. This test also showed that I had a small hiatal hernia, which I had no idea that I had.
Excellent advice. I was part of a medical trial at a local research facility which included a CAC scan. Despite being fit as a fiddle (run 7kms daily), good diet and lifestyle, I had a calcium score of ~150! (damn you, family history) This, along with resultant statin therapy, allowed me to hopefully head off a major heart even down the track. IMO the CAC is an excellent diagnostic tool. Great video.
My husband, 54, and I, 47, went for calcium scores. Lots of heart disease in his family, very little in my family. His scores were approximately 1300, 800, 300, and 100. My score was 0. My husband did more tests and needed bypass. This is a superb screening test. My husband won't bother with another CAC scan, but I'm sure I will in about 5-10 years.
Hi, Thank you for sharing. I went for CAC having been diagnosed with clogged arteries. My calcium score (Agatston CAC score) was 1030 in July 2023 with a very high risk of events. All the best
Great timing on production of this video. In the US and in my sixties, all current basic indicators were good, also HDL at 70 (ml/dL), LDL at 81. Did the CAC test a couple of weeks ago based on family history. Total score was 100. Have just started taking a statin. As always, great information in the video. Thanks!
You were talking a lot about LDL-cholesterol values. Some doctors, even on YT, talk about analyzing the LDL in order to count subfractions such as small and large size LDL, of which the former is considered as more dangerous and therefore of more interest, other refer to oxidized LDL as a risk factor. I wish you could come back to these topics later, especially if they really are as important factors for health as they are told to be.
Yes, the lots of doctors that say lots of things on UA-cam. Unfortunately sometimes it is to create controversy and increase their viewership. We try to focus on the facts and give people information that will empower them to make healthy decisions. We may come back and discuss more advanced, lipid testing.
@@TalkingWithDocssorry did you just say increase viewership? Dude your stock just fell a number of points for that comment. Aren’t you guys on UA-cam????
Love your videos and proud to say I grew up in "THE" Framingham (Massachusetts, USA). I think my dad may have been one of the study participants. If I had my druthers, I wish Dr. Heffernan would talk about valve disease, in particular valve stenosis with regurgitation. You guys, keep on being medical rock stars!!
Hi Docs, this hits home with me. I was on a statin for 20 years until my body said enough. My MD then prescribed prescription fish oil. That worked well until the price went way up. So I then took OTC fish oil. It helped a little but I didn’t pay attention to my diet. Although chicken wings never touched my lips 😉. Fast forward 10 years and my cholesterol is 315 plus my markers are bad indicating inflammation. I am back on a statin but one that shouldn’t bother me. Also, I was sent for the CT of my heart and my carotid arteries were ultra-sounded. The good news is my number is 64 and my blood pressure has always been perfect. My mom gave her genes to me. Great blood pressure and lousy cholesterol. So it’s inherent. The tests were only $99. Money well spent. I encourage all those who have high cholesterol or a family history of heart conditions to get this done. I mentioned this to my BFF and he’s going to do it. Remember, the life you save may be your own. 🙋♂️
Another great one Docs! Great information, great guest speaker and great humor! 👍 Humor may not be the best medicine, or even medicine but it really helps absorb the seriousness of this helpful information! The three of you make a great team, providing pertinent information with a better understanding of what all this means! I've learned more from you and appreciate how you explain things so most can understand. But mostly I appreciate your humor! Without humor you would be dead serious and that would scare a lot of people away. Easy on the chicken wings and heavy on the kale then add a heaping of laughter! You make learning fun and easier to swallow because we need to know this information. Thanks for sharing another great video! 😁
Thank you, Dr's. I have 201 calcium score and LDL was 101. My other Chol levels are perfect. Trig 45 HDL 55 total Chol 145. I am not overweight, I workout 3 to 4 days a week. etc..I am on Zetia which brought my LDL to 80 but a recent blood work showed it creep up to 87 so now I am on Liptor 10mg M/W/F along with Zetia and an 81mg ASA. There is calcific plaque in LAD There is diffuse calcific plaque in RCA and there is diffuse calcific plaque in left circumflex artery.
I had a crazy high cholesterol test and was whisked off for a CAC scan (I was in my mid-50s). The result was zero. The other good news was I had low blood pressure, no family history of heart disease, I was fit and a perfect weight. I turned down the doctor's offer of a statin as found out there was zero benefit within 10 years of a 0 CAC score.
You may want to have a non invasive angiogram done just to make sure. CAC tests only detect hard plague , angiograms detect soft plague. I have friends with low CAC test result having heart attack coz they have blockagr due to soft plague.
I had an appointment today and had to reschedule because I couldn't get my heart rate below 75. It has to be that low, preferable in the 60's, in order for them to get clear pictures. I wish I had known this ahead of time as I would have told my doctor that I get nervous for medical procedures. My heart races when I get my BP taken. So I know that I likely would not be able to keep my heart rate below 75 for the whole test, even though my at home resting pulse is 60 or below. The tech was very kind and let me relax and breath and try to get my rate down. It helped, but as soon as I knew we were going to start the procedure my heart rate shot up again. As soon as she took the EKG off my my heart rate dropped to 75. I've tried in vain to get past this phobia, but I just can't. She will speak to my Dr. about giving me a beta blocker before the next time I do the procedure. If I had only known this I would have asked for it in the first place, knowing my issue, and saved myself the time, the drive, and the stress. Just wanted to post this in case someone else has my issue, they can talk to their Dr. and maybe save themselves a wasted visit. And no caffeine/chocolate or anything like that before the test. Crossing my fingers for the next time I try. If the beta blocker doesn't work I am not trying again.
I have had high cholesterol for nearly 2 decades. It's familial. No meds per my choice. No HBP, do not smoke and 67 yo. Also have always eaten healthy. KETO the last few years. But after seeing this video (great by the way!), I am going to inquire about CAC. Thanks Docs!
There was a recent study that stated Statins have more risks than benefits and are not worth taking to reduce cholesterol. Dr. Ken Berry has a video about this information.
Please don’t rely on Ken Berry for your information. Statins are not the end all be all they once thought but cholesterol is still an issue and statins have saved a lot of lives.
I had a CT of my coronary arteries done last year when they were working me up at Mass General Hospital for cardiac arrhythmias. (Turned out to be low magnesium) I've been overweight for years, and I have a strong family history of coronary artery disease. My Dad died of MI #2 at the age of 54. One of my brothers has had several cardiac stents. I've been on statins for about 14 years, even though my lipid profile has always been "within normal limits" without them. My doc wanted my lipids in "ideal" range, which they are when I'm on a statin. Anyhow, the cardiologist told me that my CAC score was 0. About an hour later, he returned (I was inpatient) and he told me that several doctors had gone over my results and one of them found "a speck" of plaque in one artery, so my score is now 1. My cardiologist gave me the option of coming off of the statin. I wanted to think about it and also discuss it with my primary doctor. For now, I am still on atorvastatin. I am 67 and female.
Thanks guys! A lot of good info here. I’m in my mid 60s. My total Cholesterol is high, but my ratio and triglycerides are good. I wasn’t familiar with the CAC. It’s good to learn about something new.
Great info!! I’m having this test done in 2 days here in the states and you answered so many questions and have made me aware of how the testing numbers come into play! ❤
In the doctors opinion ( all 3 of you). what are your ideal cholesterol numbers? Total=, HLD=, and LDL..Another informative video...I enjoy these very much
Excellent video. Dr. wants me to take a statin because my Chol/LDL is 200/101. But I told him "no" because I exercise every day, my weight is normal, I eat healthy, I don't smoke and there's no history of heart disease in my family. The silly Framingham model ignores all these other factors. He suggested the CAC test and I agreed. It sounds like an excellent tool to help me make a better informed decision. I'm scheduled later this month. Your video helped me better understand CAC. Thank you!
Thanks Docs! For presenting information with humor! Also, for looking at an issue from multiple points of view. And for asking/answering questions we may have/have not thought of.
The one factor I would leave out in general diagnosis is gender & take into account medical history, genetic disorders etc. I've had 2 small ischemic attacks. So this is good information. Women tend to handle pain better in some cases guys lol & they present differently. So please do not dismiss us at the office or ER because we're not male pot bellied / gray and we are not acting like we're dying lol. Loved this Thank you ❤
This is a good comment and unfortunately many women dismiss certain pains and aches as just getting older. I have talked with my girlfriend about this as well. If something doesn’t feel right, then get it looked at asap, don’t put it off.
Had the test, paid $99. I am very low risk, it is a good way to reassure yourself, and make sure you stay healthy. Eat well MOST of the time, and do some kind of exercise. I walk everyday, have for years. Live in New England. 70 years old, never smoked.
My dad died at 46 of his first and only heart attack. For years I knew I had high cholesterol, off and on statins. At 54 I decided to get a scan; for $49, I thought it'd be worth it. Two hours later I got a call (way sooner than 3 business days). I was asked if I felt okay as my score was very high. I felt fine. I'm having coffee with my husband and I'm looking at him like what the heck? A week later I started having palpitations. They wouldn't stop. About 8 p.m. I felt a flutter go from my right chest to my left and then back. I mentioned to my husband I was going to bed and I hope I wake up in the morning. I knew I was or did have a heart attack. The next morning, I was fine, or so I thought. He went off to work, An hour later I had that "sense of impending doom." You don't know it, until you know it. Went to the ER, by car. Hook up to EKG and yep, slight heart attack. 2 ambulance rides and 2 hospitals later (final destination full on beds, and I was stable so I was okay to wait), but finally Memorial Day 2019 I had a 6-vessel bypass. My cardiac cath at second hospital showed so much blockage they just said bypass. But the cardiologist said don't worry, you'll be fine. BTW, my score was 1666. I am going on 4 years after my surgery. I didn't know I was as 'sick' as I was.
My friend had a major heart attack, they had to put a stent on top of a stent, and two other arteries are also blocked, she may have to put stents in those too. I wish she had a calcium scan before all that happened. So glad you are doing well! Take care!
My surgery was in 2019. My score was over 1700 and had no heart attack, but recognized symptoms in my labored breathing. They ordered an Angiogram followed by 6 way bypass. My widow maker was 95% blocked and 85-90% in the rest. Thank you to modern medicine and the hand of God.❤️🙏
I am in the US. My insurance does not cover CAC tests, but my clinic only charges $80. From what I have seen, $80 - $100 seems to be the norm. I was surprised when you mentioned prices as high as $700. Hopefully people know to search around a bit if they want to get a cheaper option.
Okay..yes, I agree..very informative video..my million dollar question is this…all my stats are good except my cholesterol..yes, I am working on that issue at the moment. Doctor doesn’t feel that I need to have a prescribed medication to handle the cholesterol..in other words…he wants me to do something about it manually…okay..diet has been altered 180 degrees…have lost 28 pounds since July 9th of last year. So, I now weight 124 lbs ..well, I am only 5’ 3” . Have been practicing intermittent fasting as well..yes, I cheat sometimes, meaning I don’t do the full 16:8 all the time as the doctor wants me to do but my minimum is 14:10..not too shabby. Yes, I am looking forward to my next physical and hopefully my cholesterol number will go down. Doctor never mentioned CAC to me either … so I guess I don’t have to worry? Or should I ask him point blank?
My GP doc recommended this due to family history, age, cholesterol numbers. I had to pay out of pocket, but it was only $175. I scored a zero but was put on a very low statin still due to family history of heart attack & stroke.
I'm one of those who had a zero score but high cholesterol, and was under the impression that I was low risk because of the zero score. Now i know I'm not in the clear. I was started on a statin two years ago, which I'm particularly happy about now.
I have high total cholesterol...but my LDL and triglycerides are slightly high but my HDL is really high. I'm pretty sure I'm fine, I know this because I had to have my Aoritc valve replaced and they found NO measurable plaque or other than the bicuspid Aortic valve NO calcification.
Love your videos. 61 year old female, plant based diet, very active, BMI 21, family history of high cholesterol, LDL 145, HDL 80, trig 100. Lipid special at Duke did additional testing, normal LPa, normal C-Reactive Protein, then my CAC score came back at 719 putting me in 90th percentile of heart event for women my age. Good grief. Agreed to starting statin, rosuvastatin, low dose 5 mg, will discontinue if any side effects. Also daily baby aspirin. Goal is to eventually come off or lower dose of the statin with continued improvements to diet (minimal oil and saturated fat, increasing omega 3s with flaxseed and chia seeds). My hope is that the calcification in my arteries has stabilized due to lifestyle, but who knows.
Saturated fat is not the enemy. That has been disproven, and the dietary guidelines have been updated. If you want to go down that rabbit hole, you might start with the book “The Big Fat Surprise” by Nina T.
My calcium score was 90+, my cardiologist recommended angiogram because of my family history and I had a TIA, the procedure was painless, aftermath not easy, but the confusion was no evidence of cardio arteries disease. So the pain was with it.
Aside from medications, what lifestyle changes can help to minimize this? I would assume the usual eating healthier, exercising and losing weight, but anything in specific?
Thank you for your detailed video. I’ve had 2 CACs within 5 years, both for chest pain. My calcium score on both was “zero blockages.” My Total Chol is 201; LDL 155; HDL 62 & Triglycerides 39. I was on baby aspirin. The cause of chest pain was determined not to be heart related. So my Q is was the zero blockages due to taking baby aspirin, primarily? OR in combination w healthy eating (no fast foods/no deep fried/limited red meats/no processed foods)??
Probably more of the ladder. Aspirin does not prevent build up of cholesterol or plaque formation in your vessels. It’s simply reduces the likelihood that a damaged plaque goes on the clot
If you're taking Vit D3, make sure you're taking it with Vit K2. This ensures that calcium is absorbed easily and reaches the bone mass, while preventing arterial calcification.
@@TalkingWithDocs Agreed that there were some shoddy studies. Here's a summary of some of the studies for those interested: www.ncbi.nlm.nih.gov/pmc/articles/PMC5613455/
Dr. Heffernan said "The radiologist commented that there was a fair amount of soft plaque in the LCA" for a patient with high cholesterol and zero CAC... did the radiologist see the LCA soft plaque using the CAC scan? I didn't get any information regarding soft plaque from my CAC scans. I'm 62 with VERY high-LDL, 2 CAC scores of zero over the past 5 years. I also had a Life-Line carotid artery ultrasound screen with no soft plaque detected.
Getting a CAC saved my life! That knowledge of having heart disease led me to research how to reverse it. I’ve been on a WFPB diet since January 2022. My total cholesterol and LDLs have dropped significantly, and all my blood work results are in normal ranges now. I’ve avoided statins, so as long as my numbers stay or keep improving, I expect my heart disease to regress. Thanks Docs for this video, as it could save someone else’s life too!
I am a 67 yr old female at 5’5” and 116 lbs. Never smoked and am not diabetic, so my total cholesterol at 241 is likely hereditary. My cardiologist put me on 5mg of Crestor and told me to cut back from 1200mg of Calcium per day to 600. Question: if my next cholesterol test still shows high LDL, and the Dr wants to increase my Crestor, should I ask for this C.A.C. Test before agreeing to that? I was not happy about going on a statin, just so you know 😒
Too much calcium is not good. Are you taking k2? K2 directs calcium to your bones so it won't get deposited in your arteries. My cholesterol is borderline, but I had a TIA and family history of strokes and heart disease so my doctor puts me on 5 mg Crestor every other day. My cholesterol is very good now. He told me Crestor is a statin that provides good result with low dosage. He himself is on Crestor. I don't want to take statin either but given my family history, I gave in. My calcium score is 90 something. My cardiologist suggested an an angiogram which I did, and the conclusion is no evidence of coronary heart disease which was a great relief. I don't understand why insurance companies do not cover calcium scan. Isn't it a preventative procedure? Good luck.
@@susans7458 most doctors do not believe in supplements. You can do some research yourself. Years ago a doctor told me not to take more than 500 mg in calcium supplements. I do not take any calcium supplement other than what's in my daily multi. Foods have calcium too and more readily absorbable than supplements.
My only CAC test from 2016 heart X-ray shows a reading of 663. When I asked about an invasive rest, my doc indicated that no cardiologist she knew would order an invasive test unless they were truly concerned. I truly don’t know if my score is ok or bad, but I have zero pain (angina) and no other heart related issues. On a statin to control cholesterol. I started a more rigorous walking and running effort with a new treadmill that I love and at my age of 68, my maximum pulse rate is 152 (220-68) and I have no issue getting close to that that number while running on the treadmill with a pulse monitor. My doc indicates that if I had blockages that were worrisome, I would be experiencing chest pain at elevated pulse rates and she would want me to come in for tests. I understand that a CAC score only sees the hard calcification in the heart and none of the softer, more dangerous plaque that may be there. Im glad my doc is not concerned but I do wonder how bad the calcification really is inside my arteries.
did your cardiologist order a stress test? In my opinion a CAC score is just a number and the results need to be clinically interpreted by a cardiologist. I got a stress test after my high score - 450 and went the entire time on the tread mill.
Insulin resistance is a killer! It’s my understanding that calcium plaque is usually stable plaque, and is much different from the dangerous liquid plaque?
My GP said I should have the CAC but never scheduled it. I’m already on BP meds,Cholesterol meds,Diabetic meds,and……I’ve had 2 pulmonary embolisms and am on Xarelto for it. I just had an ultrasonic stress test and my Cardiologist said I’m ok. Now I’m nervous and when I see my GP in 2 weeks I’m going to ask for this test.
That was supper Video Great job ! I had a calcium score done ,also checked c reactive protein Went vegan dropped my cholesterol 30 points then a statin 10 milligrams dropped another 30 point Question, does having a autoimmune disease like psoriasis or rheumatoid arthritis put you at a higher risk of heart attack, any studies?
I have a score of 173 just 2 weeks ago with blockage at beginning of LAD and nild to moderate disease in the RCV and the circumflex. I have an extremely bad family history, both my dad and brother passed away at age 50 of heart attacks, my mom at age 60 from diabetes and heart, and both sets of grandparents on both sides of family back 5 generations have all died of heart attacks. My only living sibling has 6 stents and my only living aunt has 6 stents and a pacemaker. I have high cholesterol and high triglycerides. Low thyroid.I have MS and a host of other health issues. I go in for stent placement tomorrow morning
A coronary calcium scan saved my husband’s life. I have them every few years to keep off statins, and I asked my husband to get a scan for a baseline. The very skilled dr reading his scan called us immediately to come in because he spotted an aortic aneurysm. It was at the max. It could have exploded (?) at any minute. He had open heart surgery as soon as the dr could get him in. I’m SO thankful for that incidental finding. As for me, my score is always zero, even though I have slightly high LDL. I’m so grateful these scans help me keep the statins away.
They don't "keep statins away". LDL is causal for Atherosclerotic lesions. High LDL above 70 is developing soft plaque lesions.
One does not need to have extraordinary skill to spot an aortic aneurysm 😊.
I am a CT Technologist and used to score these Heart Calcium CTs. I know the coronary arteries real well. Been able to save a lot of people with these that were asymptomatic who scores were in the 1000s bad news. Hopefully we helped them before they had a heart attack that threatened there life.
Thanks for sharing Gregg!
I got a score of 0 however at times I feel tightness in chest and a skip. Should I worry or get another type of test?
@@rodrigovela6117like the nurse just commented, the cardiac cath test is the best. I got one and had 20% blockage.
@@cho7707 That's a risky procedure only to find 20% blockage. I'm assuming they saw something on a nuclear stress test. 20% not going to put stents in.
@@Mike-01234 I didn't get stents, I got one because my brother had a fatal heart attack on the job. He had been complaining of chest pains but because he was only 46, his GP chalked it up to acid reflux. Good call, huh? I'd get one again if I feel the need. Btw my brother had 70-90% blockage in his arteries. Heart disease runs in my mom's family. His wife should have sued the pants off of that "GP."
I’m a female, 72 years, not overweight or sedentary. However there is a family history of cardio vascular disease that has resulted in many on my mom’s side of the family and has impacted my siblings as well. Calcium score saved my life. Plus a cholesterol score of 300
… got some attention and received the medical treatments I needed. GP wouldn’t listen to my requests because I looked fine! The GP even wrote a nasty note about me to my cardiologist, he was a little miffed that I wouldn’t take his advice. But hey, a girl’s got to do what a girl’s got to do. Speak up for yourself. ❤
@dominiquegianni-embrey2552. Thank you for sharing. I am from India. My calcium score was 1030 in July 2023 with a very high risk of events. So far I have been free of any symptoms. I have a positive family history (my mother had a stroke and died 30 years ago when I was a child), and my father was free of any cardiovascular symptoms and died in 2020. You write that the calcium score saved your life and you received the medical treatment. What kind of medical treatment did you receive?
Also get new doctor.
Claro que si! 👏👏👏👍
@@RamasamyArumugam1927
Actually, your risk MAY be lower than someone with a score of 400. Your plaque is more calcified and thus more stable.
@@RamasamyArumugam1927yoj can reverse it
I had a CAC score of 18. Doctor thought that was ok. I insisted on a non- invasive Angigram to double check. Results 50-70% blockages in some arteries. The Lesson is,and as pointed out, CAC only picks up the hard, calcified plaque not the more dangerous soft plaque.If in doubt do both tests. My doctor says he now tells his other patients about my experience.
Consequently, I made some serious lifestyle changes to reduce the inflammation in my body that will cause the soft plaques to possibly rupture and lead to a heart attack. The lifestyle changes have led to me feeling better. Great video as always. Thanks.
Yes this speaks to those who think a good calcium score is a clean bill of health. It’s part of the puzzle
Thanks for sharing!
What is a non invasive angiogram?
A CT Angiogram is basically a CT scan that is done with a contrast dye that shows if there are any blockages in the arteries of the heart. It gives a clear picture of the arteries without inserting anything into the arteries.
@@lindagarofalo6223like a nuclear stress test?
Good Day,
This was the first time I had heard of C.A.C., and if required one can be tested and react accordingly. This discussion was presented with really in depth detail.
Again, thank you to all three of you for taking time out of your day to keep all of us up to date on today’s findings & technology.
Larry
PS, your presentations, intermixed with your exceptional humor is very much appreciated.
That is great to hear Larry! Thanks for watching
Thank you #drokosunmusa3695 for curing me I'm really grateful ❤
My cardiologist asked me to consider a CAC scoring since my father died at 51 from a heart attack. I scored over 1700. Within 2 years I noticed a breathing issue while walking fast. I normally could walk very fast with no issues. I contacted my doctor who sent me for an Angiogram test. They found severe plaque build up and scheduled surgery. I had 6 way bypass. I was blocked 85%-95% in all 6 areas including my Widow Maker. They harvested a vessel from my left leg and pulled a vessel from my right chest mammary. This surgery was 2018. This test alerted me to watch for signs of heart issues and doing cholesterol medication for reducing plaque build up. My Cardiologist has been very happy with my blood work ever since. ❤️
Sorry to hear this but glad that you were OK. Thank you for taking the time to share your story.
@@GiveThanksAndPraiseI got very short of breathe. I did not have higher blood pressure than usually do. I checked with a Pulmonology Specialist first who told me it was my heart.
Have you checked how much plaque was hardened?
wow that is intense and I'm glad you're doing good now
U need to eat better
Cardiologist wants me to go for a C.A.C. , and I know he means well, but he never explained all of that about the different types of calcification and the relevance of the cac test. This video is it fantastic! For the first time I understand what's happening to my arteries!!! Thank you doctors, so much!
Glad we could help John
Your sense of humor is one reason I watch but I learn so much. Y'all are so kind to always answer my questions.
Glad to hear that Judith
Another brilliant, informative and funny video. Thanks to you two great communicators, and a very special thanks to Dr Heffernan for so clearly explaining CAC, a crucial test for some, but not, I think, generally known, and positive ways of dealing with the problem of arterial calcification
Thanks David
68 yr old female. I and a CAC done and it was 0. I do NOT eat anything low fat. I do NOT avoid fatty meats. I have been low carb for years and do NOT eat processed foods or eat foods with seed oils. Not exactly keto, but close to it. I usually keep my carbs around 50 gm/ day. The human liver reabsorbs LDL in the absence of high insulin.
Well done you're following the scientific evidence from randomised control trials.
Great job Pam but unfortunately the healthcare community does not like you…or me! Shhhhh!! I eat very similarly and have great lipid panels except LDL levels are high. Triglycerides are very low. 4.8 A1C and my cardiologist insisted on a CAC. It came back .74. Yes, he INSISTED I start statins. We still argue about it as I say NO.
I need a new cardiologist.
Good genes.
@@jhask64Good luck. Of course you know much better than any cardiologist. Go see doctor Oz.
For those who have yet to have a CAC, it should be noted that this is a very quick test. After you lie down and are in position, it takes about 2-3-4 minutes. It is very fast.
My husband had his CAC at age 69, insulin dependent diabetic for 30 yrs and already on anti colesterol meds for decades. His score was 1800 total in the 3 major arteries. He had a stress rest and passed it easily. We both walk about 2+ miles daily at a gym. The next year he had another stress rest and did fine. I keep worrying about him having a heart attack, but he feels well. His cardiologist says he may have had the plaques for many years.
I don't think he had plaque before he started statin (cholestrol med). Statin is known to increase CAC score although DOCs say that statin helps to stabalize by calcifying soft plaques to make them more stable. So, taking CAC test once you start STATIN is useless. Your DOC should have known this.
@@bscsmscs1578 The CAC tests don't pick up on any soft plaques. Only picks up the solidified calcium plaque. It's the soft plaques that are the most dangerous so this test doesn't tell you the whole story!
Carnivore diet routinely delivers calcium scores of 0.
@@johnallen7367Yes, but people on carnivore diet may have soft plaque that can’t be detected by the CAC scan. And it’s guaranteed that if you’re on a carnivore diet, you’re cholesterol will be high.
@@BW-kv9wj thanks for responding. Yes, ldl can be higher on Carnivore. Ldl cholesterol as a cause of cardiovascular disease has been debunked many times. Cholesterol was said to cause cardiovascular disease by ansell keyes, using skewed data, and unscientific methodology. Big food paid science to point the blame away from sugar and processed foods. Cardiovascular disease is driven by insulin resistance, caused by sugar and carbs. I went carnivore at 63, 120kg, fat, sick. In 6mths I have lost 32kg, cured every chronic illness I had. I dont know what else to say to you. 6mths ago if you asked me what i thought was the best human diet, i would have said something from the just juice shop. It made sense, it seemed, but apparently it was wrong. My physical and mental health has blossomed beyond any expectations. If the medical profession and pharmaceutical industry were correct in their recommendations, we would all be amazingly healthy. Yet, westerners are the fattest, sickest, mentally unhealthy, miserable people on the planet. Clearly, the advice has been wrong, and the emphasis is no longer on healing, just eternal treating of conditions. This diet is entirely sustainable. Inuit indians and many other cultures have been living on diets of meat and fat for their entire lives. They have no incidence of cardiovascular disease, diabetes, alzheimers etc etc.
As of writing this I saw a cardiologist today. Had a bunch of tests done and he said my heart looked fine. My concern heart disease and strokes run in my family, and I have had a stroke as well. When he started talking about plaque I ask if there was a test for that and he said there wasn't. After a quick search here I am and feel I need a new Dr.
Does the Lp(y) tests do this?
I am 70 years old. I thought was pretty healthy and no heart risks. I had my annual physical on Feb 8th and found my LDL was 117. I went on a WFPB diet, walked 10,000 steps per day, no sugar. May 8th dropped my LDL down to 35. March 8th I did a CAC and my LAD score was 148 and my total CAC score was 246. I am staying on a WFPB diet, walking 10,000 steps per day but I decided to start taking 40 mg Lipitor daily. Really didn’t want to do medication …. Let alone a statin drug but I decided since my LAD artery had a score of 148 that taking a statin was a great idea but continuing my WFPB eating and daily activity and I’m working to lose 50 lbs. I’m hoping there is a light at the end that I can eventually go off the statin medication and just maintain my health through diet and exercise.
My calcium score was 192, chloestrol was very low, and I had a small heart heart blockage of the LAD. Now I have a stent. Didn't know I felt bad. Now I have more energy. So numbers are important but listen to body signals.
Sorry to hear that
this is good to know. if you have low energy and you sleep well, eat halfway decent and have normal sleeping hours, be sure to not pass it off as "I'm just old".
I’ve been a cardiac RN for over 25 years. One of my responsibilities was to call CAC results to outpatients. I learned (1) any score above ZERO means you have coronary artery disease. (2) You can have a normal stress test & a CAC score of ZERO & still need bypass surgery. Cardiac cath is the gold standard. (3) You can have a CAC score of over 3500, with LOTS of calcified plaque, but NO significant BLOCKAGES on cardiac cath, if you have huge coronary arteries. (4) If you have many CAD risk factors, do not depend on a low CAC score to gauge your risk prior to major surgery. See a cardiologist & get a stress test. We have a 75yo male in cardiac rehab right now, who coded during knee surgery. He went for bypass surgery & is lucky to be alive, but his short term memory is not good.
Re: (2) My brother had a "normal" stress test. His complaints of chest pain were blown off as acid reflux, the go-to ailment to get people out of the office. He had a fatal heart attack on the job, autopsy showed 70-90% blockage in all 4 arteries. He was 46. Doctors are only worried about getting the next patient in. Herded like cattle.
@@cho7707 #OMG. Did he have just a regular stress test. That's IT? That's ALL that his doctor ordered?? I Can't imagine how a doctor would make a frigging 'acid reflux' call without doing some extensive testing!? Wow. Just WOW. So sorry for the loss of ypur brother. Our health care system is truly broken.
@@gloriamaryhaywood2217 thank you very much. Yes, his Dr only recommended a standard stress test. Such a concerned physician. 🤦
With chest pain, your brother should have had a nuclear stress test, not a regular stress test. I was having chest pain in my 30's. My dad's side of the family has a history of sudden cardiac deaths. I went to a cardiologist & she said we are going to do a stress test but I am considering a possible nuclear stress test but you are young & chances are you are ok. I told her flat out to please give me the nuclear stress test bc I don't want to drop dead like my 3 uncles did. We did the nuclear & everything turned out fine. It turned out to be gastric reflux. I am very sorry to hear about your brother.🙏
@@cho7707 May I ask your brothers age at the time of his fatal heart attack? My sister just lost her middle son to a massive heart attack. He had just turned 50 years old.💔
Love this video. Never heard of the test, so I learned so much today!!! Guess I'll be asking my cardiologist about it after I get my echocardiogram done at the end of May. Really appreciated how far it went into detail.
Welcome Gregg. Good luck with your doctor visit
I told my general md I wanted it done - I didn't ask. A lot of md's don't suggest this test for some reason - maybe because insurance may not pay for it. I am on Medicare and it cost me $89.00 two months ago in NJ....I thought the fee was very reasonable-all things considered. I had it done years ago when it first came out & it was $50.00 not covered by insurance.
Another great video! I'm having my 3rd Calcium Sorce test next week. So many folks have no idea how great this test is! I'd say the #1 test of all tests for your heart! Thank you for letting everyone know about this!
You’re welcome
What were your scores?
Are you American?
Carnivore diet routinely delivers calcium scores of 0.
My Cardiac Calcium Score went from 48 to 350 in a few years. My primary care Dr thought it didn’t mean anything but I went to a cardiologist who put me through all the stress tests etc, and then ordered a CT scan that showed calcification in the LAD but my symptoms weren’t there so Medicare and insurance decided I didn’t need any further tests. 14 months later I I’m in the OR getting 2 stents in LAD MID AND DIAG 80% blockages, due to shortness of breath and fatigue. Statins I don’t tolerate well. Brilinta 12 hrs apart.
So far I am doing well.
Insurance companies have TOO much power and they are playing with peoples lives because of their greed...so sad
primary care doctors or internists don't seem to take CAC seriously since their solution to almost everything is diet and exercise.
I just changed my fAMILY and I am angina chest pain free !!! Thank you for the ADVICE. Your the best
My CAC score revealed a whopping score of 6359! I've yet to hear of anyone with even a remotely close score. Thank God, I'm asymptomatic. Cardiac catherization revealed two 60% blockages, a couple 40% blockages and a small artery that was 100% blocked. Miraculously the small artery created its own bypass. I now have to take Crestor, zetia and plavix. I'm still in phenomenal shape. It was heavy steroid use from my bodybuilding days that caused it.
Damn!! I hope you are thanking your lucky stars every day because you are one very lucky guy! Thank goodness for your doctor who insisted you have such a test!
@@LoveABun actually I suggested it. Thankfully I watched the Widowmaker documentary on UA-cam and I follow Ivor Cummins on UA-cam. The Content provided allowed me to catch it before it progressed or I had a widowmaker.
Wow glad you are ok and thanks for sharing
My score taken a few weeks ago was 3800, seeing my doc this week. I've been on a statin for several years and have lost 53lbs in the past year and my blood sugar is under control. Waiting to see if I have any blockages. Wonder why they didn't do a stent on you for the 60%ers? I heard when you get in shape whatever was soft will calcify. Are you better off is the question.
@@larryd5192 they told me there had to be at least 70% blockages to put stents in. I guess it's just a matter of time. They said for prevention LDL should be below 70ng/dl. Statins alone weren't doing it so I added in Ezetimibe. Now my ldl is around 50.
Here are the answers I’ve been looking for! THANK YOU!!!
I have been the proud owner of a hiatal hernia since my mid-20s.
When proton pump inhibitors came out I got on them immediately. My quality of life improved dramatically. Turns out I was damned if I didn't take them for fear of Barrett's esophagus disease (cancer) as opposed to what the PPI did in the long term.
I am 70 years old weigh 165 and I'm 6'1" and my blood pressure is normal, 126/72 pulse 68-72 and I only have one kidney. I have always eaten well and exercised. My recent lab results were: Triglycerides 63mg, cholesterol 148mg, HDL 50mg, calculated LDL 85.4mg and HDL of total cholesterol was 33.8%.
I had an EKG done that raised the eyebrow of the doctor. She then suggested a Nuclear Stress Test which came back normal. So she suggested a CT scan of the heart which came back functioning normally. I then asked for a CAC test. It came back at 1749. I also have small particle LDLs. No shortness of breath, no chest pain and I do not get tired very easily. My current cardiologist said she's not worried about me (I found another one.)
Here is what I learned about PPIs:
I learned that PPIs reduce the enzymatic activity of dimethylarginine dimethylaminohydrolase (DDAH). In this way, PPIs increase plasma levels of asymmetric dimethylarginine (ADMA) 4. Because it inhibits the generation of vascular nitric oxide, ADMA would be expected to increase platelet interaction with the vessel wall.
In summary, it means that because of the PPIs I was taking it inhibited the production of nitrous oxide in my blood vessels that protect the endothelial lining of the arteries. The PPI and my small lipids aren't doing me any favors.
If you know anyone on a PPI, try and get them off of it.
Source: research NIH on PPIs
www.ncbi.nlm.nih.gov/pmc/articles/PMC6463334/
Ok, I am on a private. What am I supposed to take instead ?
I am 53 0 calcium score 195 ldl 255 total cholestrol normal triglycerides no diabetes controlled high bp I been on ppi nexium for years 20 at least ....comming off ppi is horriable terriable rebound effect I am on every other day now still unable to stop....
I do pretty well with H2 blocker instead of PPI. In fact, ppi's cause severe anxiety, which has been diagnosed as allergy, and I can't take them at all.
@@garlicgaloreh2 blockers don't work for me .....make me nauseous too sometimes
@@dal0022 It is difficult - all these meds are hard on the body one way or another. I hope you can settle out a plan that works best for you!
My internist ordered a CAC because my LDL and total cholesterol were too high. I was shocked to find out that my score was 0. I just turned 62. My Dad had high cholesterol for many years but lived to 92.
Same here, with a family hx of ASHD, my Dad died young from cardiac arrest at 57. My CAC was “zero blockages.” My Tot Chol is 201 & LDL 155. HDL is very good, above 60 & Trigly below 40. My Mom had high chol never took a statin & lived into late 90s. So best NOT to take a statin!
There’s another very informative video by Dr Robert Lustig called Cholesterol Explained. He’s a neuro-endocrinologist & a professor at UCSF
Nice Denise
I can’t hear cuz hubby sleeping 🛌 but are statins safe or no?????
Statins are a punishment.
My CAC was 950! I now have 4 stents in my corinary arteries and feeling good.
Oh man John. Glad you are ok
just got a 428 score now what im scared
@@techtiger8you can reverse it
@@techtiger8you can reverse it
@@techtiger8you can reverse it
I am taking my first CAC score tomorrow. I do have cholesterol and triglyceride elevation, not excessive. That is with low blood pressure, and no plaque in my carotid (neck). Discussion will follow this test. Non smoker, no blood sugar issues.
I love this cardiologist. Explains all topics he has been asked to do perfectly and understandable. Thank You!
For sure Barbara
I paid $150 for this test and it turned out to be a great prediction tool.
We paid $99 in January 2023. Now it's available for only $69 in our area. My score was 305. I plan on getting it done again in January 2025.
Dr. Heffernan is great on your channel. Would love to hear him talk about left bundle branch blockage.
Ok we will add it to the list
Thanks docs! My first cousin just had a heart quad bi-pass at 57, eats and excercises and is a vegetarian…this test is must
It can be important
This is the first I've heard of CAC. Thanks for the time, education, and humor. See you on the next one!
Glad you enjoyed it!
I was on cholesterol meds for 35 years. I had been running over 40 years 4 times a week and many marathons. Then about 1.5 years ago my Doc says time for CAC. It was 388 and showed I had 3 blockages in the 3 main vessels (3VD). 3 stents fitted. Thing was I had zero symptoms and Cardioligist said that due to the high intensity exercise and statins my body had created its own collaterals(like baby bypasses) and that the statins had also upped the calcification. Mentally I felt better knowing that I had the stents in but I am now on a Mediterranean diet, no junk food at all and still bashing about at the running. There is hope!
Yes. Thanks for sharing
Thanks for the encouragement. How old are you
I always love the medical information but LOVE the humor. Medical issues are always so serious and a little humor helps with the stressful issues at hand. So, I agree, if you don’t like humor, move right along.
Yes move along!
I saw m family doctor last week and she recommended having the test. I live near Chicago and the test is not covered by insurance but only cost $60.00. I will be having it on April 20th.
Best of luck James
I have pretty good health insurance with BC/BS, but they would not cover this test. Due to my family history of heart disease, my doc recommended it. I paid for it out of pocket, which was a little over 125.00. My score was high. So they increased my statin. I had a nuclear stress test….no blockages, but my blood pressure shot up while on the treadmill. That did concern them. I am within the normal weight range for my height. It’s scary to learn that you have a high score, but the truth is always your friend.
It sure is Kelly
Just had this test done in Reno, NV paid $110. Worth it.
They claimed Medicare might not pay for this procedure and I might have to pay $140. No problem.. done.
@@christopherw3490 I agree, this test is worth the price. Also, shows lungs and size of heart. This test also showed that I had a small hiatal hernia, which I had no idea that I had.
99.00 in Florida. Walk in clinics, no appointment required… a great tool!
Excellent advice. I was part of a medical trial at a local research facility which included a CAC scan. Despite being fit as a fiddle (run 7kms daily), good diet and lifestyle, I had a calcium score of ~150! (damn you, family history) This, along with resultant statin therapy, allowed me to hopefully head off a major heart even down the track. IMO the CAC is an excellent diagnostic tool. Great video.
Thanks for sharing Steven
Thanks for sharing!
May I ask what your triglycerides have been?
@@lpg12338 Prior to Statins 1.3. Since commencing statins, in the 0.7 to 0.9 range.
@@stevenswann2835 Awesome, thank you.
My husband, 54, and I, 47, went for calcium scores. Lots of heart disease in his family, very little in my family. His scores were approximately 1300, 800, 300, and 100. My score was 0. My husband did more tests and needed bypass. This is a superb screening test. My husband won't bother with another CAC scan, but I'm sure I will in about 5-10 years.
Hi, Thank you for sharing. I went for CAC having been diagnosed with clogged arteries. My calcium score (Agatston CAC score) was 1030 in July 2023 with a very high risk of events. All the best
Great timing on production of this video. In the US and in my sixties, all current basic indicators were good, also HDL at 70 (ml/dL), LDL at 81. Did the CAC test a couple of weeks ago based on family history. Total score was 100. Have just started taking a statin. As always, great information in the video. Thanks!
Thanks for sharing. All the best Vince
Take a look a Dr. Ford Brewer’s channel, he has live streaming every Wednesday at 9 am cst. He has many videos on CAC and CIMT.
Now you started killing yourself. Why would you even consider a statin? Hello dementia
Best wishes . Statins can have horrific side effects.
@@Notmyhome-y7y Agree. I don't see Why his doctor prescribed Statins? His lipid score was in good range. And his CAC score wasn't very high either!
Another awesome informative video, and keep up the humor. Cheers!
Thanks, will do!
You always cover any topic thoroughly. So helpful!
You were talking a lot about LDL-cholesterol values. Some doctors, even on YT, talk about analyzing the LDL in order to count subfractions such as small and large size LDL, of which the former is considered as more dangerous and therefore of more interest, other refer to oxidized LDL as a risk factor. I wish you could come back to these topics later, especially if they really are as important factors for health as they are told to be.
Yes, the lots of doctors that say lots of things on UA-cam. Unfortunately sometimes it is to create controversy and increase their viewership. We try to focus on the facts and give people information that will empower them to make healthy decisions. We may come back and discuss more advanced, lipid testing.
This is spot on
@@TalkingWithDocssorry did you just say increase viewership? Dude your stock just fell a number of points for that comment. Aren’t you guys on UA-cam????
Love your videos and proud to say I grew up in "THE" Framingham (Massachusetts, USA). I think my dad may have been one of the study participants.
If I had my druthers, I wish Dr. Heffernan would talk about valve disease, in particular valve stenosis with regurgitation.
You guys, keep on being medical rock stars!!
We literally recorded a valve video the same day to be released soon
@@TalkingWithDocs I look forward to it
Hi Docs, this hits home with me. I was on a statin for 20 years until my body said enough. My MD then prescribed prescription fish oil. That worked well until the price went way up. So I then took OTC fish oil. It helped a little but I didn’t pay attention to my diet. Although chicken wings never touched my lips 😉. Fast forward 10 years and my cholesterol is 315 plus my markers are bad indicating inflammation. I am back on a statin but one that shouldn’t bother me. Also, I was sent for the CT of my heart and my carotid arteries were ultra-sounded. The good news is my number is 64 and my blood pressure has always been perfect. My mom gave her genes to me. Great blood pressure and lousy cholesterol. So it’s inherent. The tests were only $99. Money well spent. I encourage all those who have high cholesterol or a family history of heart conditions to get this done. I mentioned this to my BFF and he’s going to do it. Remember, the life you save may be your own. 🙋♂️
Thanks for sharing
Thanks for sharing!
Price for the test is good. Which country are you in ?
@@mak12578 USA
Another great one Docs! Great information, great guest speaker and great humor! 👍
Humor may not be the best medicine, or even medicine but it really helps absorb the seriousness of this helpful information!
The three of you make a great team, providing pertinent information with a better understanding of what all this means!
I've learned more from you and appreciate how you explain things so most can understand.
But mostly I appreciate your humor! Without humor you would be dead serious and that would scare a lot of people away.
Easy on the chicken wings and heavy on the kale then add a heaping of laughter! You make learning fun and easier to swallow because we need to know this information.
Thanks for sharing another great video! 😁
Glad to have you as a very loyal viewer Vickie
Never heard of this test. Many thanks for sharing.
Thanks for watching!
Thank you, Dr's. I have 201 calcium score and LDL was 101. My other Chol levels are perfect. Trig 45 HDL 55 total Chol 145. I am not overweight, I workout 3 to 4 days a week. etc..I am on Zetia which brought my LDL to 80 but a recent blood work showed it creep up to 87 so now I am on Liptor 10mg M/W/F along with Zetia and an 81mg ASA. There is calcific plaque in LAD
There is diffuse calcific plaque in RCA and there is diffuse calcific plaque in left circumflex artery.
Best of luck
I had a crazy high cholesterol test and was whisked off for a CAC scan (I was in my mid-50s). The result was zero. The other good news was I had low blood pressure, no family history of heart disease, I was fit and a perfect weight. I turned down the doctor's offer of a statin as found out there was zero benefit within 10 years of a 0 CAC score.
You are aware 50% of people who have sudden heart attacks have a zero calcium score right?
❤
You may want to have a non invasive angiogram done just to make sure. CAC tests only detect hard plague , angiograms detect soft plague. I have friends with low CAC test result having heart attack coz they have blockagr due to soft plague.
High LDL is causal
@@billdublewhopper3064 I don't think there is any proof of thise. That's why it's called the lipid "hypothesis".
I had an appointment today and had to reschedule because I couldn't get my heart rate below 75. It has to be that low, preferable in the 60's, in order for them to get clear pictures. I wish I had known this ahead of time as I would have told my doctor that I get nervous for medical procedures. My heart races when I get my BP taken. So I know that I likely would not be able to keep my heart rate below 75 for the whole test, even though my at home resting pulse is 60 or below. The tech was very kind and let me relax and breath and try to get my rate down. It helped, but as soon as I knew we were going to start the procedure my heart rate shot up again. As soon as she took the EKG off my my heart rate dropped to 75. I've tried in vain to get past this phobia, but I just can't. She will speak to my Dr. about giving me a beta blocker before the next time I do the procedure. If I had only known this I would have asked for it in the first place, knowing my issue, and saved myself the time, the drive, and the stress. Just wanted to post this in case someone else has my issue, they can talk to their Dr. and maybe save themselves a wasted visit. And no caffeine/chocolate or anything like that before the test. Crossing my fingers for the next time I try. If the beta blocker doesn't work I am not trying again.
Another great, informative piece, thanks guys! If Dr. H. returns you should give him the special scrub for the channel! ;-)
Hi Dino, that is a great idea for a recurring guests
Love the format. I learn better this way. Thanks.
Glad to hear it!
More questions for my cardiologist! Thanks as always!
You got it!
What about sugar & inflammation, as opposed to cholesterol?
For myself, I focus on reducing inflammation and triglycerides, I am not to concerned about cholesterol.
All three are bad. Don’t let the internet make you think cholesterol is a non issue.
I have had high cholesterol for nearly 2 decades. It's familial. No meds per my choice. No HBP, do not smoke and 67 yo. Also have always eaten healthy. KETO the last few years. But after seeing this video (great by the way!), I am going to inquire about CAC. Thanks Docs!
Why Keto? Definitely not the way to go if you’re trying to lower cholesterol
I L❤️VE YOU GUYS❣️ Keep up the AMAZING work you both do 🥰😊😘
Thank you Dr. Cardiologist ❣️
Thank you! Will do!
There was a recent study that stated Statins have more risks than benefits and are not worth taking to reduce cholesterol. Dr. Ken Berry has a video about this information.
I read that as well...I'd love to know if statins are a bad idea
I am not pro statins, but there are some cases were they may help. Check out Dr. Ford Brewer’s channel on this subject.
Please don’t rely on Ken Berry for your information. Statins are not the end all be all they once thought but cholesterol is still an issue and statins have saved a lot of lives.
I had a CT of my coronary arteries done last year when they were working me up at Mass General Hospital for cardiac arrhythmias. (Turned out to be low magnesium) I've been overweight for years, and I have a strong family history of coronary artery disease. My Dad died of MI #2 at the age of 54. One of my brothers has had several cardiac stents. I've been on statins for about 14 years, even though my lipid profile has always been "within normal limits" without them. My doc wanted my lipids in "ideal" range, which they are when I'm on a statin. Anyhow, the cardiologist told me that my CAC score was 0. About an hour later, he returned (I was inpatient) and he told me that several doctors had gone over my results and one of them found "a speck" of plaque in one artery, so my score is now 1. My cardiologist gave me the option of coming off of the statin. I wanted to think about it and also discuss it with my primary doctor. For now, I am still on atorvastatin. I am 67 and female.
Thanks guys! A lot of good info here. I’m in my mid 60s. My total Cholesterol is high, but my ratio and triglycerides are good. I wasn’t familiar with the CAC. It’s good to learn about something new.
Glad we could help
Great info!! I’m having this test done in 2 days here in the states and you answered so many questions and have made me aware of how the testing numbers come into play! ❤
Did you score a big fat zero?
In the doctors opinion ( all 3 of you). what are your ideal cholesterol numbers? Total=, HLD=, and LDL..Another informative video...I enjoy these very much
In Canada guidelines are HDL greater than 0.9mmol/L and LDL less than 3.5mmol/L
@@TalkingWithDocs In the U.S.?
Appreciate the diagram at 11:47 because visuals are most important to tying in your analysis for the novice patient. Thank you!
Excellent video. Dr. wants me to take a statin because my Chol/LDL is 200/101. But I told him "no" because I exercise every day, my weight is normal, I eat healthy, I don't smoke and there's no history of heart disease in my family. The silly Framingham model ignores all these other factors. He suggested the CAC test and I agreed. It sounds like an excellent tool to help me make a better informed decision. I'm scheduled later this month. Your video helped me better understand CAC. Thank you!
What was the result of your CAC?
What was the result? It seems these tests are highly controversial
how did it go!
Thanks Docs! For presenting information with humor!
Also, for looking at an issue from multiple points of view.
And for asking/answering questions we may have/have not thought of.
That’s our goal. To help our viewers wade through the info on UA-cam and be confident they are getting reliable info
I asked a few weeks ago for a video on CAC scores. Thanks.
No problem!
Very useful great info and love to see Doctors' with a sense of humour!!!Thanks guys!
Glad you enjoyed it!
The one factor I would leave out in general diagnosis is gender & take into account medical history, genetic disorders etc. I've had 2 small ischemic attacks. So this is good information. Women tend to handle pain better in some cases guys lol & they present differently. So please do not dismiss us at the office or ER because we're not male pot bellied / gray and we are not acting like we're dying lol. Loved this Thank you ❤
SPOT ON!!!!! 🤣👍🏼
Amen. We have to be our own advocates. My doctor knows by now I'm not easily dismisdable.
Yes to high cholesterol, high family risk, senior, and tired of Doctors not listu to women. We are discounted.😢
This is a good comment and unfortunately many women dismiss certain pains and aches as just getting older. I have talked with my girlfriend about this as well. If something doesn’t feel right, then get it looked at asap, don’t put it off.
For sure. The symptoms can be very different and historically women have been under diagnosed
Had the test, paid $99. I am very low risk, it is a good way to reassure yourself, and make sure you stay healthy. Eat well MOST of the time, and do some kind of exercise. I walk everyday, have for years. Live in New England. 70 years old, never smoked.
Thanks for sharing.
My dad died at 46 of his first and only heart attack. For years I knew I had high cholesterol, off and on statins. At 54 I decided to get a scan; for $49, I thought it'd be worth it. Two hours later I got a call (way sooner than 3 business days). I was asked if I felt okay as my score was very high. I felt fine. I'm having coffee with my husband and I'm looking at him like what the heck? A week later I started having palpitations. They wouldn't stop. About 8 p.m. I felt a flutter go from my right chest to my left and then back. I mentioned to my husband I was going to bed and I hope I wake up in the morning. I knew I was or did have a heart attack. The next morning, I was fine, or so I thought. He went off to work, An hour later I had that "sense of impending doom." You don't know it, until you know it. Went to the ER, by car. Hook up to EKG and yep, slight heart attack. 2 ambulance rides and 2 hospitals later (final destination full on beds, and I was stable so I was okay to wait), but finally Memorial Day 2019 I had a 6-vessel bypass. My cardiac cath at second hospital showed so much blockage they just said bypass. But the cardiologist said don't worry, you'll be fine. BTW, my score was 1666. I am going on 4 years after my surgery. I didn't know I was as 'sick' as I was.
Wow so glad you are ok and thanks for sharing your story
WOW! Thanks for sharing!
My friend had a major heart attack, they had to put a stent on top of a stent, and two other arteries are also blocked, she may have to put stents in those too. I wish she had a calcium scan before all that happened. So glad you are doing well! Take care!
So glad you are here with us all.
My surgery was in 2019. My score was over 1700 and had no heart attack, but recognized symptoms in my labored breathing. They ordered an Angiogram followed by 6 way bypass. My widow maker was 95% blocked and 85-90% in the rest. Thank you to modern medicine and the hand of God.❤️🙏
I am in the US. My insurance does not cover CAC tests, but my clinic only charges $80. From what I have seen, $80 - $100 seems to be the norm. I was surprised when you mentioned prices as high as $700. Hopefully people know to search around a bit if they want to get a cheaper option.
We agree search around. Maybe that’s Canadian 🤣
Was $50 last time I checked. I'm from Midwest, so ...
Okay..yes, I agree..very informative video..my million dollar question is this…all my stats are good except my cholesterol..yes, I am working on that issue at the moment. Doctor doesn’t feel that I need to have a prescribed medication to handle the cholesterol..in other words…he wants me to do something about it manually…okay..diet has been altered 180 degrees…have lost 28 pounds since July 9th of last year. So, I now weight 124 lbs ..well, I am only 5’ 3” . Have been practicing intermittent fasting as well..yes, I cheat sometimes, meaning I don’t do the full 16:8 all the time as the doctor wants me to do but my minimum is 14:10..not too shabby. Yes, I am looking forward to my next physical and hopefully my cholesterol number will go down. Doctor never mentioned CAC to me either … so I guess I don’t have to worry? Or should I ask him point blank?
Mostly just increase your fasting time to at least 18/6, and Cut Out ALL Processed Carbs! Also ditch the NASTY seed oils!😉
Great job on the weight loss, obesity is a big factor in all most anything health related.
Hi Dani. You can ask but your risk may not be high enough to worry about yet. Best of luck
FYI Medicare US is the one insurance that covers the cost.
Cost of the CT scan. Edit
Very nice
Thanks Docs another very informative video! Love your videos and thanks so much for your humor! Love you too Docs!❤❤
Glad you like them!
Hey, Docs, thank you for this video. It was slightly alarming but more importantly informative/educational!
Glad it was helpful!
My GP doc recommended this due to family history, age, cholesterol numbers. I had to pay out of pocket, but it was only $175. I scored a zero but was put on a very low statin still due to family history of heart attack & stroke.
So, just to be clear, you DO have family history of heart attack & stroke? Mom Dad / Aunt Uncle?
Thanks for sharing
I'm one of those who had a zero score but high cholesterol, and was under the impression that I was low risk because of the zero score. Now i know I'm not in the clear. I was started on a statin two years ago, which I'm particularly happy about now.
May I ask what were your triglycerides numbers?
Good call
I have high total cholesterol...but my LDL and triglycerides are slightly high but my HDL is really high. I'm pretty sure I'm fine, I know this because I had to have my Aoritc valve replaced and they found NO measurable plaque or other than the bicuspid Aortic valve NO calcification.
Interesting
Love your videos. 61 year old female, plant based diet, very active, BMI 21, family history of high cholesterol, LDL 145, HDL 80, trig 100. Lipid special at Duke did additional testing, normal LPa, normal C-Reactive Protein, then my CAC score came back at 719 putting me in 90th percentile of heart event for women my age. Good grief. Agreed to starting statin, rosuvastatin, low dose 5 mg, will discontinue if any side effects. Also daily baby aspirin. Goal is to eventually come off or lower dose of the statin with continued improvements to diet (minimal oil and saturated fat, increasing omega 3s with flaxseed and chia seeds). My hope is that the calcification in my arteries has stabilized due to lifestyle, but who knows.
Sounds like you’re doing everything right. We wish you the best.
Saturated fat is not the enemy. That has been disproven, and the dietary guidelines have been updated. If you want to go down that rabbit hole, you might start with the book “The Big Fat Surprise” by Nina T.
"Why doesn't your arm stick up in the air?" 😂 OMG, I love you guys!! And yes, I'm listening to the medical advice...
When would you recommend a CT Angio vs CAC? I’ve heard the CT Angio is a better test
Yes CT angio gives more information. Likely for a higher risk patient with symptoms like angina
My calcium score was 90+, my cardiologist recommended angiogram because of my family history and I had a TIA, the procedure was painless, aftermath not easy, but the confusion was no evidence of cardio arteries disease. So the pain was with it.
Great information! There are so many variables to consider prior to statin therapy.
Aside from medications, what lifestyle changes can help to minimize this? I would assume the usual eating healthier, exercising and losing weight, but anything in specific?
Look at lowering your carbs, walk after meals, and intermittent fasting.
Yes all of those. Better sleep. Lower stress.
@@TalkingWithDocs Yes, proper sleep trumps everything, IMO.
Docs! I just found you on another channel perusing,by accident , called “What Motivated You!” Great short interview! Oh and this was great too thanks!
Yes JS. Hamza does our editing now!
My HDL was 180 and my total was 379 my mom had high cholesterol since late 20’s. I was put on a statin less than a month ago. I’m glad I was!
For sure
Thank you for your detailed video. I’ve had 2 CACs within 5 years, both for chest pain. My calcium score on both was “zero blockages.” My Total Chol is 201; LDL 155; HDL 62 & Triglycerides 39. I was on baby aspirin. The cause of chest pain was determined not to be heart related. So my Q is was the zero blockages due to taking baby aspirin, primarily? OR in combination w healthy eating (no fast foods/no deep fried/limited red meats/no processed foods)??
Probably more of the ladder. Aspirin does not prevent build up of cholesterol or plaque formation in your vessels. It’s simply reduces the likelihood that a damaged plaque goes on the clot
Thanks for sharing!
If you're taking Vit D3, make sure you're taking it with Vit K2. This ensures that calcium is absorbed easily and reaches the bone mass, while preventing arterial calcification.
Hi Karen. CT or ultrasound usually best to assess the aneurysm. All the best
The evidence for K2 actually doing this is quite weak.
@@TalkingWithDocs Agreed that there were some shoddy studies.
Here's a summary of some of the studies for those interested: www.ncbi.nlm.nih.gov/pmc/articles/PMC5613455/
OMG, are you guys Canadian eh? I really appreciate the specialist you bring on. You guys rock!
Please get a Carotid Intima Media thickness test-CIMT
Interesting
Great explanation guys. I appreciate your review of the topic. We'll done.
Much appreciated!
Good morning from here what a interesting topic Again thank you talking Docs.
❤❤😊
Good morning!
Dr. Heffernan said "The radiologist commented that there was a fair amount of soft plaque in the LCA" for a patient with high cholesterol and zero CAC... did the radiologist see the LCA soft plaque using the CAC scan? I didn't get any information regarding soft plaque from my CAC scans. I'm 62 with VERY high-LDL, 2 CAC scores of zero over the past 5 years. I also had a Life-Line carotid artery ultrasound screen with no soft plaque detected.
Yes that is not part of the test but he commented. Best test for soft plaque is a CT angiogram.
My cholesterol was 234 but got it down to 187 with a plant based diet. Still working on getting it down more.
Indeed! A whole-foods plant-based diet is the best for helping.
How are your triglycerides? I would focus on that the most.
Nice work Avis
Getting a CAC saved my life! That knowledge of having heart disease led me to research how to reverse it. I’ve been on a WFPB diet since January 2022. My total cholesterol and LDLs have dropped significantly, and all my blood work results are in normal ranges now. I’ve avoided statins, so as long as my numbers stay or keep improving, I expect my heart disease to regress. Thanks Docs for this video, as it could save someone else’s life too!
@@PragmaticPerson Outstanding, congratulations! 👍
Always enjoy your videos, even tho this video doesn’t pertain to me it’s very interesting and educational !
Thanks for all the great videos !
I am a 67 yr old female at 5’5” and 116 lbs. Never smoked and am not diabetic, so my total cholesterol at 241 is likely hereditary. My cardiologist put me on 5mg of Crestor and told me to cut back from 1200mg of Calcium per day to 600. Question: if my next cholesterol test still shows high LDL, and the Dr wants to increase my Crestor, should I ask for this C.A.C. Test before agreeing to that?
I was not happy about going on a statin, just so you know 😒
What side effects are you experiencing from Crestor?
Too much calcium is not good. Are you taking k2? K2 directs calcium to your bones so it won't get deposited in your arteries. My cholesterol is borderline, but I had a TIA and family history of strokes and heart disease so my doctor puts me on 5 mg Crestor every other day. My cholesterol is very good now. He told me Crestor is a statin that provides good result with low dosage. He himself is on Crestor. I don't want to take statin either but given my family history, I gave in. My calcium score is 90 something. My cardiologist suggested an an angiogram which I did, and the conclusion is no evidence of coronary heart disease which was a great relief. I don't understand why insurance companies do not cover calcium scan. Isn't it a preventative procedure? Good luck.
No side effects after the month or so I’ve been on it, but it’s the lowest dose they make.
Haven’t heard of K2, but I’ll certainly ask my doc! THX.
@@susans7458 most doctors do not believe in supplements. You can do some research yourself. Years ago a doctor told me not to take more than 500 mg in calcium supplements. I do not take any calcium supplement other than what's in my daily multi. Foods have calcium too and more readily absorbable than supplements.
Hi Susan. Worth a chat for sure. As for K2 it’s effects are grossly overstated on the internet and is a subject for a future video
My only CAC test from 2016 heart X-ray shows a reading of 663. When I asked about an invasive rest, my doc indicated that no cardiologist she knew would order an invasive test unless they were truly concerned. I truly don’t know if my score is ok or bad, but I have zero pain (angina) and no other heart related issues. On a statin to control cholesterol.
I started a more rigorous walking and running effort with a new treadmill that I love and at my age of 68, my maximum pulse rate is 152 (220-68) and I have no issue getting close to that that number while running on the treadmill with a pulse monitor. My doc indicates that if I had blockages that were worrisome, I would be experiencing chest pain at elevated pulse rates and she would want me to come in for tests.
I understand that a CAC score only sees the hard calcification in the heart and none of the softer, more dangerous plaque that may be there. Im glad my doc is not concerned but I do wonder how bad the calcification really is inside my arteries.
If you want to know your CAC score, tell your md you want the test, don't ask. Knowledge is power.
did your cardiologist order a stress test? In my opinion a CAC score is just a number and the results need to be clinically interpreted by a cardiologist. I got a stress test after my high score - 450 and went the entire time on the tread mill.
Insulin resistance is a killer! It’s my understanding that calcium plaque is usually stable plaque, and is much different from the dangerous liquid plaque?
Yes, hot soft plaque is the problem most of the time. The main thing about calcified plaque is to stabilize the progression.
Agreed. Both are bad though
My GP said I should have the CAC but never scheduled it. I’m already on BP meds,Cholesterol meds,Diabetic meds,and……I’ve had 2 pulmonary embolisms and am on Xarelto for it. I just had an ultrasonic stress test and my Cardiologist said I’m ok. Now I’m nervous and when I see my GP in 2 weeks I’m going to ask for this test.
Sorry to hear this. That sounds reasonable. Best of luck
How did he detect "soft" plaque?
A CIMT is one of the main test from what I have read.
Best way is CT angiogram
That was supper Video
Great job !
I had a calcium score done ,also checked c reactive protein
Went vegan dropped my cholesterol 30 points then a statin 10 milligrams dropped another 30 point
Question, does having a autoimmune disease like psoriasis or rheumatoid arthritis put you at a higher risk of heart attack, any studies?
Not necessarily Chris. Congrats on the diet change
Check out some of the videos on Dr Ford Brewer’s channel about that subject.
I have a score of 173 just 2 weeks ago with blockage at beginning of LAD and nild to moderate disease in the RCV and the circumflex. I have an extremely bad family history, both my dad and brother passed away at age 50 of heart attacks, my mom at age 60 from diabetes and heart, and both sets of grandparents on both sides of family back 5 generations have all died of heart attacks. My only living sibling has 6 stents and my only living aunt has 6 stents and a pacemaker. I have high cholesterol and high triglycerides. Low thyroid.I have MS and a host of other health issues. I go in for stent placement tomorrow morning