Two Simple Tests That Can Detect Early Signs Of Clogged Heart Arteries
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- čas přidán 30. 01. 2023
- Coronary heart disease and Stroke are one of the most common causes of death and serious illness in the world today. The good news is that doctors are getting so much better at detecting the underlying disease process, called atherosclerosis, so much more reliably.
Two tests in particular, carotid ultrasound, and CT Coronary Angiography was now able to identify atherosclerosis in your body long before it creates serious problems such as heart attack or stroke.
These tests are so valuable in patients with symptoms of heart disease (chest pain, shortness of breath, dizziness and palpitations), and also serve as wonderful screening tools in patients with a family history of heart disease or stroke, or in those with risk factors such as diabetes, high blood pressure, high cholesterol and more.
In this video, top cardiologist Professor Henein explains everything you wish to know about Carotid Ultrasound and CT Coronary Angiography.
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Are calcifications elsewhere in the body linked to heart problems/artery issues?
I want this guy to read me bedtime stories. Great voice
My heart breathing breathlessness difficulties seem to have started after having a life changing Pfizer Booster Vaccination Jab in my opinion.
I was initially diagnosed with irregular heart beat, then afib and recently Congestive Heart Failure.
I had a echocardiogram which the Cardiologist said it was too difficult to see clearly.
Now I have just recently had a MRI scan and awaiting results.
So it really has me confused what my condition is.
Be carefull with MRI if they used gadolinium contrast agent you can have problems with your Heart
True. Even I started having irregular heart beat after the second dose of covid vaccine. Now things seems to be settling down. But vaccine causes more damage than good.
We have seen myocarditis, inflammation of the heart muscle, very frequently in this setting
Z@@Thekeyholeheartclinic
Covid vaccin was made exactly for this purpose unfortunately
What a simple technique to look at the blood vessel walls.
CT angiography
How much each one coast on average??
What about CAT Scan of arteries?
Had a stress test (Bruce protocol) this past April due to risk factors (age (65), moderate kidney disease, stress, etc.) and although I went 10.5 minutes on the treadmill, a 2mm ST depression showed up under stress...which resolved at rest. I was immediately told that I need to see a cardiologist, and when I did, she sent me straight to the cath lab for an angiogram and possible stent. I was scared to death, especially of the possibility of contrast induced kidney injury because my kidneys are only at half function. I then had an echocardiogram which turned out normal. So I decided to go for a second opinion. Fast forward several months, and a different cardiologist said he'd like to do the next least invasive test....a stress echo. On the treadmill, I went a minute longer than the first stress test and the report came back totally normal. The second cardiologist said I'm fine, there's no reason to investigate further, go out and celebrate. It's amazing how two cardiologists can have two completely different takes on an issue. What are we patients supposed to do? From all the reading I've done, it seems to me that the first cardiologist should have taken into account how I actually performed on the treadmill before sending me off to the cath lab. What were my original symptoms? Being winded after only a few minutes of jogging.
Hospitals like cath labs because they are very profitable.
That's for damned sure. @@Bhatmann
@@Bhatmann Yes can I ask you, my cardiologist said he wants me to take a CT after passing a stress test without pain, do you think he just wants profit?
In my case, a 64-Slice CT angiogram in July 2010 revealed extensive heart disease with a high CAC (Coronary Artery Calcification) score of 479. You could probably say I had the arteries of an 80-year-old man. Then I had a carotid ultrasound 6 months later that showed very healthy carotid arteries. I was told my cardiovascular age based on this test was 48, much lower than my actual age at the time, which was 61. In other words, there was no correlation between my Carotid Ultrasound and my CT Coronary Angiography.
Thank you for your very illuminating comments. I hope you are well.
You story demonstrates the critical need for clinical interpretation and multi-modality investigation as a means to detect coronary disease. The VipViza trial does not suggest diagnostic accuracy in my view. What it suggests is that in those people in whom we see early evidence of carotid disease, simply telling about it results in improved Framingham risk score presumably as a result of increased medical and lifestyle compliance. Lots we still don’t know about heart disease!
@@Thekeyholeheartclinic Correct me if I am wrong, but isn't a cimt (carotid intima-media thickness test) more informative of arterial plaque than a typical carotid duplex?
@@bostonjackson9384 I may be wrong, but my understanding is that a CIMT and a "carotid duplex" can both reveal plaque, but a "true" CIMT uses certain software to assess a person's cardiovascular age based on wall-thickening that is detected. If you got a basic carotid duplex ultrasound and asked them what your cardiovascular age is based on that test, they wouldn't know. But with a CIMT, you would receive an "age score." I'm not saying this score is absolutely reliable - it certainly wasn't in my case.
High Calcium scan score is not a death sentence. The calcium plaque needs to be stabilized. Change diet, lifestyle, meds to reduce inflammation. Check out Dr. Ford Brewer (Prevmed?) reverse high CT score videos.
Would you say CT angiogram is a good test to take? The radiation exposure is quite high.
my score went up to 1043.3 from 909 in one year. my left main went from 278 to 0, left anterior 405 to 704, left circumflex 100 to 133.9, right coronary 132 to 204. I am a 55 year old carnivore for two years now. Have you seen a calcification clear up like that?
Do you only eat meat or do you incorporate any other foods or supplementation in your diet? I hope I can achieve results like yours.
@Duke Furst
Yes, only bacon, eggs, and meat every day. The ultimate elimination diet.
Rarely. You need to take your coronary atheroma seriously. Risk factor control will slow things. High plant based diets are helpful.
@@Thekeyholeheartclinic Yes they are. I did this eating no plants. 6 months until my next score.
Very interesting, keep up the good work!
Hi I am from Pakistan I want to ask you vitamin K2 remove old plaque or only prevent new plaque
Increased vitamin K2 intake may reduce arterial stiffness, slow progression of vascular and valvular calcification, lower the incidence of diabetes and coronary artery disease, and decrease cardiovascular mortality.
@@Thekeyholeheartclinic I was using calcium and vitamin d supplements from one year now I feel pain in my right head flanks arms and legs may this is due to calcification or for calcification takes many years Tu build up
Aflab , stop calcium;
take vit D 3 , 5000i.u.
plus K2 90-180 mcg
Yes, is retro active
@@Thekeyholeheartcliniccan K2 help with aortic root aneurysm?
Thank you 🙏
What dr does this test
We certainly do but not sure who else is performing the service. Apologies
A cardiologist
I was injected with dye and scanned after a high calcium score after a CT scan. It showed 60 percent blockage in one artery and 40 percent in another. I then underwent a cardio catheter. I fully expected the doctor to come in and tell me that I needed an angioplasty or bypass surgery. Instead, he told me that my arteries looked fine. “I’m not sure what we were seeing on those scans”, he said, maybe I had buildup on the outside of the artificial walls. But the inside looked great. I find this extremely confusing.
CT scans can be indicative of disease and will sometimes need corroboration by invasive angiography. Your doctors explanation was indeed accurate.
What exactly was your CAC score? Because CACS is a screening test and not a diagnosis test.
1 is insurance and the other is no insurance
I'm definitely dying early.
How do you know?
@@Aperson-rf2dz Awful diet, not that I'm bothered as I've got nothing to live for.
@@susanguy925You’re here for a purpose❤️
Don't matter when just make sure you are on the right path. The right faith/belief
@@zayd7282 lol so which of the 400+ faiths is the right one?
Hard to understand with that thick accent.
that’s true but if you listen closely you will find that the information he presents is very insightful 😊
I understood him very well. Volume button?
slow it to .75x speed and you should have no problem
Just use the closed caption (CC) button
@Kernica1 He had an accent, but he pronounced everything clearly. I don’t get it.