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I'm so glad to come across your videos, very clear and informative ❤

The a chemical stress test show “which artery” is blocked? I just had one and was told it was abnormal but the heart was squeezing & pumping alert fine so the cardiologist was confused it seemed but still was pushing for cath. She noted chart as abnormal stress test, severe risk. I’m 50, cholesterol is in range, no diabetes and inflammatory markers are all good. I opted for a CT angiogram and she said “okay with the understanding that the CT shows plaque & blockages large and you’d be headed to cath”. Well that’s up to me ultimately isn’t it?

I have a question. I have a stent already from 2015. My doc has ordered the nuclear stress test to make sure I can have a safe knee replacement surgery. I’ve canceled the test because I’m afraid of a false positive. My husband went through it several years ago and they admitted him immediately and put a stent in. He is still mad about it. Is there another, less invasive way to clear me for surgery???

Doctor' u need medication for high calcuim score my is high

I’d be pissed if I were Susan … with good ldlc I’d want to know why I had a heart attack. In 2024 with all this great imaging this cannot be a mystery. So, what were Susan’s ldlc/apoB/lp(a)/fxHDL/lp-pla2,a1c,homa-ir,tg bmi,age,ct.a, carotid ultrasound ? Seems like in this shared decision making process you didn’t really involve Susan and kept her in the dark. Maybe you begin the conversation with “this is why you had an MI” These cutesy “no information, do I say” videos doe t cut it anymore … shared decision making when you are not sharing and explaining pertinent data is pure fantasy. if you want to keep our interest and grow your channel we need facts .. back up your statin recommendation with data from Susan. I’m extremely pro statin and pro ezetimibe … I’m plant based and keep my ldlc at 30, apoB in low 40’s , apart from age 66 .. no risk factors .. if I had an MI .. I’d want to know why. Just saying “stains are good” is pointless, you started this channel ,for a reason, you must want to grow it or why bother .. remake this YT with “Susan’s” actually blood metrics and ct angiograms. If you don’t back up your position then you’re just sprouting dogma … I can get that from any primary or NP/PA. You’re a cardiologist - show us sow cardiologist smarts.

I’m 66, my cardiologist wants me to take a stress test next year. I had a ct angiogram 3 yrs ago : “no vessel disease” calcium: Zero. I just ran a sub 60 10k .. I run 4mi/day and do CrossFit … WTF I’m also plant based and keep ldlc in low 30’s apoB in low 40’s lp(a) 6mg/dl. .. lp-pla2:60, NT-PROBNP: < 35 MPO:200. I take 10mg resu and 10mg eze … what’s he going to tell me … exercise “more” eat plants, take statins … I do all that .. and my lab measured vo2max is 50. If I ever get heart disease … I’ll be beyond p**** off.

This guy is slow to get to the point. Just general bs.

You sound like a Big Pharma Marketer.

I don't understand, it says apoA is 13. Must be less that 100. ApoB is 1.05. I dont understand. Please can someone convert these numbers? What's a healthy result?

I highly recommend listening to Dr. Hurst’s podcast. I will be listening on 6/7.

Egat sbout a score of 128?

I am an 82 year-old female. I have been practicing those 10 heart healthy things for many years and have an excellent lipid profile, BM index 19.5, HBP less than 130/60, low LDL & high HDL cholesterol thanks to 10mg/day of Rosuvastatin. My triglycerides are low, I don't consume any sugar, exercise regularly, and eat a heart healthy diet. One problem is sleep. I don't sleep well and my HRV is often too low and unbalanced. Moreover, in spite of a Mediterranean diet, I have been pre-diabetic (5.6) for several years and have been diagnosed with stage 3A CKD. I had a calcium scan in 2018, it showed 23% blockage. After 6 years, I requested a 2nd calcium scan. LAD + RCA is now 426. So my heart healthy lifestyle hasn't really reversed my CAD! Next week I have a nuclear stress test. My DNA shows a higher than normal risk for CAD. I think much of this is genetic. Is it worthwhile to have a "preventive" stent or balloon?

Electrolytes is key for Afib. Afib typically starts with a depletion of Magnesium

What about menopause. Can it cause AFIB?

At age 65 had a CC score of 0; at 70 it was 0 again; at 75 it was 105. My LDL has consistently gone done over 15 years to now 115 and all other lipid functions have stayed virtually the same, all within the normal ranges. I hike, kayak and am active and never had any pain. My question is WHY did it go up so dramatically ? My BP has been the same under control with a minimum of meds. When I was younger (40s) my BP was always low.

Retesting can show slow increase plaque build-up vs fast increase plaque build-up. 40yr for baseline, if zero, then 10 yrs. If higher than 100, 5yrs. At 50, at 60 and so on. Can show progression of build up… 🥰

I agree apart from the cholesterol part. Not true at all.

I was really disappointed when the doctor said he would not prescribe these medications to someone who hasn’t committed to eating better. Would he deny a patient blood pressure medications because they won’t change their diet???? Would he deny a patient cholesterol medication if they don’t eat better???? This is DISCRIMINATION!!! Very disappointing!!!

Eat Natto.

I had a calcium test and it is the left artery and the reason my cardiologist ordered it is because my blood work was great and my weight is good and I eat healthy and exercise , also I am 71 , I do not know if I am zero or high

Where can I find your personal and HealthSpanMD conflict of interests statement? Thanks

I believe that you are incorrect that LP (a) is damaging but in fact like LDL is protective. It seems abundantly clear to to me this is continuation of Big Pharma’s plan to push highly profitable but ineffective LDL lowering drugs and PSK9 inhibitors, even though statins raise LP (a). ruclips.net/video/zZH_zU1h7GM/видео.htmlsi=kQDqmaWzkLWuKgF3

I’m skinny with afib. Athletic 35 energetic(at first) I’d run 4-5 miles a day. Suddenly I had some sort of attack that I had breath off I did t call ambulance I fought it. Now my heart beats off of little work. Marijuana is completely out of the option. I sleep alot now. Tired and chest pain/tightness . I hate this idk where it came from but I was active before it happened.

thanks a lot doctor for info❤

I have been prescribed Sotalol. What can you tell me about this medication.

Mine is 272 and I am a mom, three girls and a wife I am very worried to where I don’t even want to eat. The only thing they put me on was cholesterol pill and baby aspirin low dose . which I don’t like taking baby aspirin I’ve noticed they can do more harm than help.

Unfortunately, this was not helpful at all. My 84-year-old mom is miserable on the calcium channel blocker which has terrible side effects as well. She is not overweight and eats healthy. You mentioned people pushing supplements… What about doctors pushing harmful drugs from big Pharma and not clearly communicating the negative side effects or how you have to be careful about getting off of them once you've started? Western medicine is absolutely no better at communicating openly.

I read there was a study done on a large group of people that starved to death and an interesting thing noted in the autopsies were that all of them had perfectly clear arteries. This seems to indicate that fasting reduces arterial plaque and calcium. I've done a pure water fast for 7 full days and both times my blood pressure dropped very low, like 95/65 but I felt perfectly fine. My blood pressure tends to get high, around 145/90, but I keep it under control with Indian Snakeroot herb and within 1 to 3 days it's always back to normal and stays normal for about a week. I currently take Indian Snakeroot about 1 to 2 times per week as maintenance as needed.

Good news is coming. There is a new type of treatment, it reduces the Lp (a) value by 80%, the name of the drug is "Pelacarsen", you can search on RUclips. Someone who used it reduced the Lp (a) value from 240 to 39, I read in the comments.

I have 1800 score but Im an avid cyclist, 1700 miles per yr. Im on 5 mg of crestor

My score went from 283 to 153 about a year later. It took some effort on my part but happy to say that I brought it down. Will continue with my efforts for another year.

I used niacin 2000 mg for six weeks and lowered Lp a from 145 to 45. I proceeded to 1000mg per day and will test after six to determine optimal daily dose

Statin is bad! Doctors shovel it out but it has alot of bad sise effects. Go to the health food store instead.

My lipo a is 69 I am worried 😟

I have a family hx of heart disease. Father and brother have had bypass surgery. I have high ldl, and high total cholesterol. I’m healthy no comorbidities and exercise regularly should I go on a statin? Should I have a calcium test.

With a score of 67 for a 60 year old man should stain be increased from 40 mg to 80 mg and a baby aspirin a day

I had one yesterday & have my report already. It looks scarey!

My LP(a) is 173 and all my inflammation markers are very low. My glucose levels are excellent and so are my triglycerides and HDL. I have type A pattern level. I think having high Lp(a) alone, without looking at all the other parameters might be misguided. Am i incorrect?

Do statins cause memory issues and diabetes?

Stents is worst technology on earth! Do not go for it! Imagine if anything goes wrong ; there is no way possible to remove it! That by it self raises tons of questions?!!!! Your body is so complex to put METALS COVERED WITH SUCH HARSH MEDICINE, man you need to be careful! Watch out ! Go natural remedies even if it takes patience and time!

how do i lower or eliminate calcium coronary heart disease ? foods to eat vitamins with dosage and supplements ?

And what about quality of life improvements? Doesn’t that warrant consideration?

This guy is right. 71 year old here. I just had a Nuclear Treadmill and Echo Cardio Ultrasound on the heart after getting a score of 6,200 on my calcium scan. Cartiologist found no blockage and everything was normal. I have been freaking out for almost a month waiting to be tested. Doctor says the calcium is on the outside and not inside. Don't freak out. I always felt fine and can run all day and it confused me. Both parents lived well into the 90's ...... mother 98. I have inherited high cholesterol so cardiologist bumped my statin up to 40mg from 20. I eat no red meat no processed food....mostly veggies and fish, no flour (Ezekiel bread only) no milk, no sugar and only egg whites, tons of fruit..... feel much better eating this way and will do this the rest of my life. I will occasionally eat something sweet but not gorge on it.Show less

I have been advised for diet and lifestyle changes control BP diabetes stress cholesterol and taking Aspirin but my mental health down more because of all these restrictions and upcoming heart attack whether if I recover then stent otherwise sleep permanently

If lowering LP(a) with niacin didn’t positively impact outcomes, why would lowering LP(a) with some new and likely expensive drug lead to better outcomes?

I have a score of 349. My LDL is 187. Is there a way to avoid statins?

Is there anybody who lowered thair calcium score from 2000 to zero? I'm 81 with a cac score 1870.

Most of the doctors I have encountered brush off elevated LP(a). My current Dr is slightly better. My LP (a) is 85 dl and I have had 3 mild strokes , so a relatively low LP(a) level does not lessen the risk of stroke, at least for me. Being placed on a statin did lower my LDL to 77 from 104 which hopefully should reduce my risk of another stroke a little better. I am also eating a strict vegan diet with next to no saturated fat.

Why or when would high Cholesterol not be a problem. Reasoning many do have I’ve 250 cholesterol with no vascular disease?

Is it true soluble fats from meat is good fat leading to low triglycerides. Why are they saying no red meats due to oxalates? Very confusing,