Widowmaker Artery Plaque: The Silent Killer
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- čas přidán 26. 10. 2023
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Same. 55 year old female with paternal history of heart disease. Lost my dad and two brothers alrrady in their 60s. My dad's msle siblings all died in their 50s. My dad made it to 85 but it was hell for him with 5 bypasses medication, and diet. His bypasses occluded in less than 10 years. At 45...a few years after he died I went in to a female interventional cardiologist. Numbers always good - total cholesterol under 200. LDL 89
HDL 80. Blood sugar 74, triglycerides low. I'm thin l, no diabetes, don't drink and dont smoke - never did. and I have exercised since my teens. Asked for a calcium score...a real fight with the doctor to provide the order...I paid less than $100 out of pocket. The score comes back at 706. She walks in and tells me it was a wake up call gor me. Could have killed her. Here she is specializing in women's cardiology as we are an undiagnosed demographic and she has the nerve to say that to me after discouraging the test based solely off my lifestyle. Bloodwork and looks despite a strong family history. I lost 10 years of intervention and I'm mad. I have tinnitus now and ENT days there's a strong relationship betwen hearing loss which I now have and tinnitis which I sldo hsve due to narrowed arteries in the nerves that supply the cochlea. Mad as hell...oh you betcha. Going in for an angiogram at 55 as they think they see 2 narrowed arteries. Allergic to aspirin, the last thing I want is a stent. To the medical community...for the love of god, get educated on CAC scores snd maje that part if your work up. Yoyre messing with people's lifespan here with ignorance.
Let us know which interventions you go with.
be aware you might come out with stents unless you specify otherwise, happened to my mom, she went in for angio and came out with 3 stents.
Lifestyle is by far the most important. But not just any lifestyle issue; it’s all about acheiving proper composition (fat/muscle ratio).
I am going for second opinions on the statins in light of recent studies on its impacts to overall health. There are so many effects of statins on muscle, liver, diabetes, cognition, mitochondria, effects on micronutrients etc.
Twelve years ago I had a CAC score of 1188, 700 in LAD. The cardiologist said this is really great. I said, doesn’t sound great to me. He said, I mean the quality of the imaging. Anyway, so far no heart attacks.
Have you had it checked again?
@@DK-pr9ny No, when I checked it twelve years ago I thought I was going to die any day.
not sure how I feel about a comedic cardiologist 😆
@@gabymalembeI’ve been told there’s no need to get a second score. Let sleeping dogs lie. Not giving advice, just passing along information.
I was told it isn't covered under insurance. I was also told a doctors order is not necessary. In Goshen Indiana it cost just under $50. My husbands nurse practitioner suggested it and or a stress test. He opted for the score forst. They were arguing over whether he needed statins. His bloodwork had climbed to the high side of normal. His Cardiac Calcium Score was 1987. The score helped push a nuclear stress test. That is where the doctors were able to see that his lower heart wasn't working. He felt nothing wrong. If it wasn't for the Cardiac Calcium Score, he would have passed the stress test and probably dropped dead in the past year. He did get 4 stents.
New subscriber. Thanks for your clear explanations on complex topics.
Thank you for this video.
I'm 60. Got a CAC of 76 all in my LAD. My doctor was happy and enthused to get me a CAC score when I requested it. This was 2 years after beginning Rosuvastatin for a smashed right vertebral artery in my neck from a fracture of my C4 and C5. We agreed that 76 wasn't terribly bad considering the Crestor may have caused this and that soft plaque is far more dangerous than stable plaque the statin may have created.
Dr. Brewer, what do you recommend for this man with 1800 calcium score? Is it diet, lifestyle, K2, exercise, statins, to stabilize the soft plaque? What should be his game plan to live a long life?
No answer
When I had a Cac 11 years ago score about 450. LAD completely closed and RAC 90% closed. Well, no heart attack, I was alive. Decided to have 2 stents. 2019 problems again, stents ok, calcium score over 1000. In a bend directly before stent in RAC artery almost closed again. I'm convinced I was injured during angiography. Decided against intervention, am still trying to work on collaterals which must have saved me in 2012. Approaching 70, doing bike riding, but definitely feel the heart problem going uphill. Slight angina which disappears in seconds.
Bottom line: even if LAD is closed, it doesn't necessarily kill you immediately.
My CAC went from 275 to 650 in less than 2 years. On low carb and was taking Crestor. Weight training last 9 months. Started d3/k2, magnesium, ubiquinol. Dr doubled Crestor dosage. I quit taking the statin at that point 4 months ago. Started some Nattokinease too.
I’m still concerned.
I'm in the same exact position as you. I stopped the statin 4 months ago. I could not continue with joint pain and my doctor acting like it couldn't be the statin.
I have mainly gone carnivore lately. I have reduced my body fat drastically with diet and weight training. I am not taking any meds now other than supplements. Doing 16-8 intermittent fasting but getting at least 3000 calories a day but not gaining weight but muscle is increasing.
I wouldn't quit the Crestor. I would at least take the low dose (5mg) for the anti-inflammatory effects and also because it lowers LDL significantly. It's been proven to reduce all cause mortality rates in those that already have established heart disease. And as it converts soft plaque (which doesn't show up in a CAC test) to hard stable plaque, your score will increase, but only because you're healing, not because you're experiencing ongoing disease progression.
@@Capt-BryanI’m pretty much the same. CAC score in 800s. Immediately went on keto, 16:8 fasting, d3/K2, magnesium, vit e tocotrenols. Was put on a statin. Went off it after 12mths. Currently getting 2nd opinion from another cardiologist in the low carb space. Also consulting Dr Paul Mason who is a metabolic specialist.
@@drott150not so sure about that. Research shows that people with higher LDL levels live a longer life and that people with lower LDL levels are more prone to a coronary episode.
Where can I get this in california?
I've had two CACs in the last 4 years. About $100 each. No insurance
69 bucks in Logan, UT for a CAC no prescription needed!
So I'm a 63 yr old female. Do I need a CIMT and is this the same as an ultrasound of the carotid arteries? Do I also need a CT angiogram of the heart to ck for heart blockages? Is a CAC test the same as the CT angiogram of the heart and if not do I need both?
CIMT uses ultrasound, but an ultrasound test might not include a CIMT test. You would need to ensure that is included. CT angiogram is more expensive and invasive, but is a good test for soft (more unstable) plaques. CAC only measures calcium deposits, so is for hard (more stable) plaques.
Probably CAC and a CT angiogram would give a clear indication, but these normally only check within the region of the heart. CAC and CIMT is an economical alternative. At 63 years old, having a zero CAC score would be a reasonably good indication that you do not have atherosclerosis because you would have expected progression at your age. If you got non-zero then you might consider CT angiogram. CIMT is a low cost easy test, so maybe do that anyway.
You can do your own ankle-brachial index blood pressure test, which gives a very good assessment of peripheral artery condition.
if its called an "ultrasound screening" its probably not a cimt, those screens typically test for blockage, needs to be pretty bad for that to flag. (from what I've heard Dr Brewer describe)
Sometimes; the best thing to do is look for better doctors.
Link to whole conversation?
in case my reply got scrubbed because it had a link, look in the prevmed LIVE shows, its about 4 months old, its called The Journey to Stabilize Soft Plaque
I paid $40 for a CAC.
Does anyone know how to obtain calcium score test without a doctor's prescription? My cardiologist is saying since score only gets worse over time, it's not worth re-testing. My CAC score in '22 was 219. I've seen gone on a major diet overhaul, elminated red meat, now eating tons of beans, cabbage, chicken, fish, nuts, etc... Dropped 20 pounds. Work out every day. I'm 60. So how can I obtain a CAC test without a doctor's prescription? I'm more than happy to pay for the test myself. Thanks
Google "Calcium scan near me", you should get hits on places with "imaging" in their names...call and ask.
makes sense to test again... nothing to lose
Look for a heart hospital in your state or neighboring state. Look on their website to see if/when they offer heart screenings. The heart hospital near me offers a heart health screening for $45. It includes an EKG, A1C level check, cholesterol panel, and a heart CT scan to get your CAC score.
Wheres the David Feldman results in this man, CAC 0 from the Diet??? Low Carb High Fat.