Podcasts about heart attack prevention

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Best podcasts about heart attack prevention

Latest podcast episodes about heart attack prevention

The #ShareYourHotness Podcast
#158 –Richard Davidson Part 1 - A Conversation about Military Service

The #ShareYourHotness Podcast

Play Episode Listen Later May 6, 2025 60:43


Welcome to the #ShareYourHotness Podcast episode 158! Richard Davidson (Alkalarian) 1st * Keynote Speaker, Author, Heart Attack Prevention Advisor, Retired U.S. Navy Diver, CLO (Chief Longevity Officer), I Walk My Talk Richard Davidson was born in 1941 and raised in Salt Lake City, UT. His life journey has been nothing short of extraordinary, marked by a remarkable career in the U.S. Navy and a passion for promoting his own health and wellness through the concept of “Alkalinity”. In 1959, Richard enlisted in the U.S. Navy and demonstrated exceptional dedication and skill, achieving the prestigious rank of Master Chief Petty Officer (MCPO) and Chief Warrant Officer within 10 years. He acquired diving expertise in Para-SCUBA, Mixed Gas, and Hard Hat Diving, as well as qualifying as a Master Explosive Ordnance Disposal (EOD) Technician. After a distinguished service of 20 years, he retired from the Navy in 1982 as a Chief Warrant Officer (CWO4). Richard's entrepreneurial spirit led him to own a Sir Speedy Printing Center and as a Book Publisher from 1991 to 1996. During this period, he collaborated with over 700 authors, contributing significantly to the literary landscape. In 1999, Richard became an Associate at the Salt Lake City "Water and Wellness Center," where his journey towards advocating alkaline water and wellness began. Inspired by influential works such as "Alkalize or Die" (1992) by Dr. Theodore A. Baroody and "The pH Miracle" (2002) by Dr. Robert O. Young. Basically, Richard started the "Alkalinity Movement" in 2002. His dedication to promoting alkaline mineral water led to its introduction at the Water and Wellness Center in 2004. In 2007, Richard embarked on a 4-year sabbatical in Missouri, where he immersed himself in learning Dr. Mayr's 100-year-old natural wellness program. His commitment to health took a personal turn in 2009 when he experienced a "Massive Heart Attack." Recognizing the symptoms, he acted swiftly, and due to his active Alkalarian lifestyle, he underwent a successful recovery without any side effects. Richard's passion for educating others about the “alkaline” concept saw him conducting live classes from 2011 to 2015, and virtual classes from 2018 to present, spreading up-to-date awareness about the potential benefits of maintaining a balanced body pH level. Continuing his pursuit of knowledge, Richard explored works like “The Acid Alkaline Food Guide” by Dr Susan E. Brown (2004), "The Alkaline Cure" by Dr. Stephen Domenig (2014) and "Get Off Your Acid" by Dr. Daryl Gioffre (2018), further solidifying his expertise in the field. Richard's passion for wellness and advocacy for the Alkalarian lifestyle led him to establish the "Alkaline Club of America," aiming to certify one million "Alkalarian" individuals. He is currently dedicated to the "Heart Attack Prevention" business, resolute in his mission to save lives and prevent heart-related health issues. With his first book set to be released in 2025, Richard's influence is poised to grow even further. His journey will culminate in a possible TEDx talk and a promising professional speaking career. Richard is associated with influential figures like Jack Canfield, author of "Chicken Soup for the Soul," and actively participates in the National Speakers Association (NSA) Mountain West Chapter, alongside esteemed individuals and worldwide speakers, like Dan Clark and Kathy Loveless. For those seeking to embrace a healthier lifestyle through alkalinity, Richard Davidson is a trustworthy guide. Reach out to him through his website and consider his FREE 15 Minute Wellness Assessment and possibility of joining the Alkalarian movement towards optimal wellness. Contact Information: Website: https://www.myionhealth.com Email: rcd@mstar.net Phone: 801-561-9420 Support The #ShareYourHotness Podcast by contributing to their tip jar: https://tips.pinecast.com/jar/the-syh-podcast Find out more at https://the-syh-podcast.pinecast.co

Wellness Insights Podcast
Dr Chalmers Path to Pro - Heart Attack Prevention

Wellness Insights Podcast

Play Episode Listen Later Jan 2, 2025 19:21


Heart attack prevention requires a deeper understanding beyond traditional cholesterol monitoring. Research reveals that cholesterol levels alone are not reliable indicators of heart attack risk. Advanced imaging techniques like echocardiograms and CT angiograms, including the Clearly scan, offer more accurate insights into arterial health and plaque buildup. These tools, alongside a focus on managing oxidative stress, can help identify and address cardiovascular risks effectively.Lifestyle changes, stress management, and diet play a significant role in maintaining heart health. Avoiding inflammatory foods, adopting antioxidant-rich diets, and incorporating regular exercise are key strategies. Addressing issues like sleep apnea and exploring supportive interventions like testosterone therapy for muscle health and oxygen transport further enhance cardiovascular wellness. By prioritizing comprehensive assessments and proactive measures, individuals can significantly reduce their risk of heart attacks and strokes.Highlights of the Podcast00:03 - Cholesterol Myths and Heart Health01:20 - Recommended Imaging for Heart Health05:17 - Manipulating Cholesterol for Insurance Coverage06:37 - Root Cause of Plaque Formation07:40 - Lifestyle Factors Affecting Heart Health10:07 - Sleep Apnea and Cardiovascular Risks11:06 - Exercise and Angiogenesis12:07 - Dietary and Supplementary Recommendations13:23 - Testosterone's Role in Heart Health14:44 - Comprehensive Testing

Smarter Not Harder
Dr. Michael Twyman: A Deep Dive into Cardiovascular Health

Smarter Not Harder

Play Episode Listen Later Jan 24, 2024 71:43


In this episode of the Smarter Not Harder Podcast, host Dr. Scott Sherr is joined by guest Dr. Michael Twyman to give one-cent solutions to life's $64,000 questions that include: What are the roles of the endothelium and the glycocalyx in cardiovascular health and how can their function be optimized to prevent heart disease and manage blood pressure? How do advanced diagnostic tools like CT angiograms, magneto cardiography, advanced lipid panels, and genetic testing contribute to personalized medicine in cardiology and the early detection of cardiovascular risk factors? What are the lifestyle changes that can significantly influence cardiovascular health, and how can practices such as improving diet, enhancing nitric oxide levels, maintaining a healthy oral microbiome, adjusting light exposure and sleep patterns, and patient education help manage heart health?   Dr. Michael Twyman is a dedicated health professional with a passion for preventing and early detecting heart disease. Specializing in Heart Attack Prevention, he seamlessly blends conventional medicine, integrative/functional medicine, quantum medicine, and biohacking to address the root causes of cardiovascular issues.    What we discuss: (0:00:03) - Heart energy production, the importance of mitochondrial function in chronic diseases, and role of endothelium and glycocalyx in cardiovascular health   (0:07:14) - Oxidative stress and inflammation impact on endothelial and glycocalyx functions, effects of COVID-19, and methods to reduce oxidative stress.   (0:18:17) - The significance of accurate blood pressure monitoring, risks of hypertension, and variances in blood pressure related to cardiovascular health   (0:27:23) - The decline of nitric oxide production with age, the impact of mouthwashes and supplements on nitric oxide levels, and how it affects vascular health   (0:37:32) - The importance of proper light exposure and sleep quality for regulating circadian rhythms, and their broader health implications   (0:41:58) - Cholesterol panels, the significance of repairing the glycocalyx and endothelium, role of LDL particles and APOB, and issues with sterol absorption   (0:53:09) - Managing cholesterol and cardiovascular risk, benefits and side effects of statins, and use of advanced testing tools   (0:56:36) - The importance of CT angiograms, the ability of Clearly software to differentiate between plaque types, and the value of early detection of cardiovascular risk   (1:03:01) - Magneto cardiography (MCG) as a diagnostic technique, its potential future applications, and lifestyle advice for good health   Find out more from Michael Twyman: Website: https://drtwyman.com/ Instagram: @drtwyman   Find more from Smarter Not Harder: Website: https://troscriptions.com/blogs/podcast | https://homehope.org Instagram: @troscriptions | @homehopeorg   Get 10% Off Your Purchase of the Metabolomics Module by using PODCAST10 at https://www.homehope.org   Get 10% Off your Troscriptions purchase by using POD10 at https://www.troscriptions.com   Get daily content from the hosts of Smarter Not Harder by following @troscriptions on Instagram.  

The Fit and Fabulous Podcast
S3E9: Dr. Michael Twyman | The Prevention and Early Detection of Heart Disease

The Fit and Fabulous Podcast

Play Episode Listen Later May 10, 2023 62:30


On today's episode, Dr. Jaime interviews Cardiologist, Dr. Michael Twyman! Dr. Twyman focuses on the prevention and early detection of heart disease. Heart Attack Prevention is his passion. Utilizing the best of conventional medicine, integrative/functional medicine, quantum medicine, and biohacking Dr. Twyman works to get to the root cause of your cardiovascular issues.

Prevmed
Tests for Heart Attack Prevention: Choosing Wisely - FORD BREWER MD MPH

Prevmed

Play Episode Listen Later Apr 8, 2023 4:20


For more information, contact us at 859-721-1414 or myhealth@prevmedheartrisk.com. Also, check out the following resources: ·Newsletter Sign Up·Purchase an Appointmen Today!·PrevMed's Locals·PrevMed's Rumble·PrevMed's website·PrevMed's YouTube channel·PrevMed's Facebook page·PrevMed's Instagram·PrevMed's LinkedIn·PrevMed's Twitter ·PrevMed's Pinterest

Chef AJ LIVE!
GOOD LIFE CHALLENGE Heart Attack Prevention Plant Based W Doug Schmidt

Chef AJ LIVE!

Play Episode Listen Later Mar 1, 2023 57:12


GET MY FREE INSTANT POT COOKBOOK: https://www.chefaj.com/instapot-download ------------------------------------------------------------------------------------ MY LATEST BESTSELLING BOOK: https://www.amazon.com/dp/1570674086?tag=onamzchefajsh-20&linkCode=ssc&creativeASIN=1570674086&asc_item-id=amzn1.ideas.1GNPDCAG4A86S ------------------------------------------------------------------------------------ Doug Schmidt, a veteran teacher, suffered a widowmaker heart attack at age 49. Not wanting to spend the rest of his life on medications, he sought answers. After finding the book, “Prevent and Reverse Heart Disease” by Dr. Caldwell Esselstyn, he changed his lifetime of eating habits. He lost 60 pounds and ran his first marathon at age 58. Doug now leads the annual “Good Life Challenge” for teachers and staff for over 75 school districts and small businesses in New York. The challenge helps educate people about the benefits of plant based nutrition and was featured on Good Morning America: https://abcnews.go.com/Health/teacher-heart-attack-inspires-1300-colleagues-10-day/story?id=52232892. Doug, and his wife, Shari manage the Facebook group, Eat Plants Love, sharing their knowledge and expertise. This fall Doug and Shari's 2nd cookbook.“Eat More Plants Love - Recipes from the Good Life Challenge”,will be out in print and digital editions. Eat Plants Love: Recipes for a Good Life was their first cookbook. Their work has inspired a group of teens to help promote a plant based lifestyle called Eat Plants Love Kids. They will be producing cooking videos for youtube and will be an all teen created production. Doug has a Masters in Special Education and has completed the Rouxbe Plant Based Professional Certification. He was formerly a professional baker who worked for one of the most prestigious grocery chains in America as their corporate bakery trainer. Links: webpage https://eatplantslove.com/ Instagram: https://www.instagram.com/living_the_plantbased_life FB group. www.facebook.com/groups/eatplantslove/ Our new group for teens started by teens https://www.instagram.com/eatplantslovekids Our Case study of the challenge by WELCOA (Wellness Council of America) https://www.welcoa.org/resources/cs-employees-living-the-good-life/

Women Want Strong Men
A Cardiologist's Perspective On Cholesterol, Hormones, Red Light And How To Elevate Heart Health With Dr. Michael Twyman, MD

Women Want Strong Men

Play Episode Listen Later Jan 30, 2023 49:44


Heart disease is the leading cause of death for both men and women in the United States. It is also one of the most preventable. Today we discuss heart attack prevention with Dr. Michael Twyman, MD. Dr. Michael Twyman is a board-certified cardiologist who completed his cardiovascular training at St Louis University. Heart Attack Prevention is Dr. Twyman’s passion and he utilizes the best of conventional medicine, functional medicine, and biohacking to get to the root cause of the patient’s cardiovascular issues. I’m pumped to talk about this today so thank you Dr. Twyman for being on the show. Topics Discussed: What is a heart attack? What testing should you do to determine your risk for cardiovascular disease? EndoPAT, Carotid intima-media thickness test (CIMT), CT Coronary Calcium Score, and ApoB blood test. The importance of optimal Nitric Oxide levels. What is the truth on taking a daily aspirin? “Good cholesterol” vs “Bad cholesterol” Photobiomodulation and optimizing light for better mitochondrial health and sleep. Biohacking your way to heart health. Vitamin D & K2, Omega 3 and Nitric Oxide. Testosterone and Estrogen and the important roles they play in your heart health. Tracking your HRV balance on different devices. To purchase BLUblox Bon Charge Cali Sleep+ 100% Blu To purchase EMR-TeK"Cyclops" Blue Blocking Glasses. Anti-Blue Blocking Computer Glasses Red lense to Block Block Both Blue Light and Green Light | Better Night Sleep To purchase Bon Charge Red Light Devices Discount Code - Apollo To purchase Nitric Oxide Test Strips To purchase Single Light Therapy Patches To visit Dr. Twyman's Instagram To visit Dr. Twyman's YouTube To visit Apollo Cardiology For questions about today's podcast you can contact Amy Stuttle at podcast@amystuttle.com Click here to learn more about Victory Men's Health This podcast is not medical advice.

The Find Your STRONG Podcast
98 - Life Hack - Schedule Fitness First

The Find Your STRONG Podcast

Play Episode Listen Later Jan 5, 2023 19:25


Join Jenny for this super insightful pep talk about how to show up in bigger and better ways for yourself as a holiday visit from a close family friend helped shine a spotlight on Jenny's own routine and how her cardiovascular activity reduction was negatively impacting her energy levels. (Yes, even fitness professionals experience a lull in their workouts!) We're all familiar with the tried and true saying: A body in motion stays in motion. Being sedentary wastes valuable and positive energy! Movement = momentum, and momentum = motivation. Listen in on why scheduling your fitness will carry success into all the areas of your life.  Save $100 off Your MAXPRO Fitness here  JOIN The YOUR BEST BODY PRIVATE COMMUNITY and for the Password say "Jenny invited me"JOIN The YOUR BEST BODY PROGRAM  If you enjoyed this episode, make sure and give us a five star rating  and leave us a review on iTunes, Podcast Addict, Podchaser and Castbox. STRONG Fitness Magazine Subscription Use discount code STRONGGIRL  ResourcesSTRONG Fitness MagazineSTRONG Fitness Magazine on IGTeam Strong GirlsCoach JVB Follow Jenny on social mediaInstagramFacebookYouTube

TheHealthHub
Heart Attack Prevention With Dr. Michael Twyman

TheHealthHub

Play Episode Listen Later Dec 6, 2022 48:43


In this episode we speak with Dr. Michael Twyman about heart attack prevention. Dr. Twyman is a board-certified cardiologist who focuses on the prevention and early detection of heart disease. Dr Twyman completed his cardiovascular training at St Louis University after he completed a 4-year active duty tour as an internist at Naval Hospital Beaufort. He has been in private practice since 2012. Heart Attack Prevention is his passion. He utilizes the best of conventional medicine, integrative/functional medicine, quantum medicine, and biohacking to get to the root cause of the patient's cardiovascular issues. Learning Points: -Key testing for gauging cardiovascular health -Why heart attack prevention needs to start at a young age -Important lifestyle practices for improving cardiovascular health Social Media: Website Link: https://drtwyman.com/ Instagram Link https://www.instagram.com/drtwyman/ Linkedin Link https://www.linkedin.com/in/drtwyman/ YouTube Link https://www.youtube.com/michaeltwymanmd Facebook Link https://www.facebook.com/drtwyman/

Mikkipedia
Quantam medicine for health prevention with Dr Michael Twyman

Mikkipedia

Play Episode Listen Later Nov 1, 2022 68:43


Registrations for Mondays Matter Christmas edition are open until Friday 4th November: https://mikkiwilliden.com/mondays-matterMy programme, Mondays Matter, is an 6 week fat loss plan with simple and delicious high protein meals designed to help you feel more in control of what you eat. And utilises PSMF to help accelerate fat loss but protect muscle

The Dr. Gabrielle Lyon Show
Prevent heart disease and live longer (Part 2) | Dr Michael Twyman

The Dr. Gabrielle Lyon Show

Play Episode Listen Later Sep 20, 2022 43:04


Dr. Michael Twyman is a board-certified cardiologist who focuses on the prevention and early detection of heart disease. Dr. Twyman completed his cardiovascular training at St Louis University after he completed a 4-year active duty tour as an internist at Naval Hospital Beaufort. He has been in private practice since 2012. Heart Attack Prevention is his passion. He utilizes the best of conventional medicine, integrative/functional medicine, quantum medicine, and biohacking to get to the root cause of the patient's cardiovascular issues. Check out part 1 of this episode before you dive in! In this part 2 we discuss: How do you know if you're at high risk for heart attacks The amazing FREE way to reduce inflammation in the body Is caffeine really bad for you? The best supplements for health and longevity This episode is brought to you by LMNT, BetterHelp, InsideTracker, and 1stPhorm https://drtwyman.com/ (Dr. Michael Twyman – Cardiologist, Photobiomodulation Expert, Biohacker) https://www.instagram.com/drtwyman/ (Dr Twyman's Instagram) https://www.linkedin.com/in/drtwyman/ (Connect with Dr Twyman on LinkedIn) https://www.youtube.com/michaeltwymanmd (Dr Twyman on YouTube) https://www.facebook.com/drtwyman/ (Follow Dr Twyman on Facebook) Mentioned in this episode: 10% off your first month of online therapy with BetterHelp http://www.betterhelp.com/drlyon Inside Tracker 20% Off Get 20% Off the entire Inside Tracker store: http://www.insidetracker.com/drlyon LMNT Sample Pack Get your free LMNT Sample Pack with any purchase: http://www.DrinkLMNT.com/DRLYON Visit 1st Phorm Website for Free Shipping http://www.1stphorm.com/drlyon

The Dr. Gabrielle Lyon Show
Prevent heart disease and live longer (Part 1) | Dr Michael Twyman

The Dr. Gabrielle Lyon Show

Play Episode Listen Later Sep 6, 2022 68:22


Dr. Michael Twyman is a board-certified cardiologist who focuses on the prevention and early detection of heart disease. Dr. Twyman completed his cardiovascular training at St Louis University after he completed a 4-year active duty tour as an internist atNaval Hospital Beaufort. He has been in private practice since 2012. Heart Attack Prevention is his passion. He utilizes the best of conventional medicine, integrative/functional medicine, quantum medicine, and biohacking to get to the root cause of the patient's cardiovascular issues. In this episode we discuss: What you can do to prevent heart attacks How to optimize your mitochondria so you can live longer and healthier Why Doctors don't do enough preventative work Does too much artificial light affect your heart? This episode is brought to you by LMNT, InsideTracker, and 1stPhorm https://www.facebook.com/drtwyman/ (Follow Dr Twyman on Facebook) https://www.youtube.com/michaeltwymanmd (Dr Twyman on YouTube) https://www.linkedin.com/in/drtwyman/ (Connect with Dr Twyman on LinkedIn) https://www.instagram.com/drtwyman/ (Dr Twyman's Instagram) https://drtwyman.com/ (Dr. Michael Twyman – Cardiologist, Photobiomodulation Expert, Biohacker) Mentioned in this episode: LMNT Sample Pack Get your free LMNT Sample Pack with any purchase: http://www.DrinkLMNT.com/DRLYON Inside Tracker 20% Off Get 20% Off the entire Inside Tracker store: http://www.insidetracker.com/drlyon Visit 1st Phorm Website for Free Shipping http://www.1stphorm.com/drlyon

Prevmed
World Class Prevention Part 5: Heart Attack Prevention Basics - FORD BREWER MD MPH

Prevmed

Play Episode Listen Later Apr 1, 2022 10:39


For more information, contact us at 859-721-1414 or myhealth@prevmedheartrisk.com. Also, check out the following resources:  ·Jubilee website·PrevMed's website·PrevMed's YouTube channel·PrevMed's Facebook page·PrevMed's Instagram·PrevMed's LinkedIn·PrevMed's Twitter ·PrevMed's Pinterest

Prevmed
Spa vs Heart Attack Prevention Experience - FORD BREWER MD MPH

Prevmed

Play Episode Listen Later Mar 16, 2022 6:21


For more information, contact us at 859-721-1414 or myhealth@prevmedheartrisk.com. Also, check out the following resources:  ·Jubilee website·PrevMed's website·PrevMed's YouTube channel·PrevMed's Facebook page·PrevMed's Instagram·PrevMed's LinkedIn·PrevMed's Twitter ·PrevMed's Pinterest

We Love Our Heart
Pioneers of Heart Attack Prevention with Ivor Cummings & Martin Guenzl

We Love Our Heart

Play Episode Listen Later Dec 14, 2021 24:50


How do you lower your risk of having a heart attack and increase your heart health? What else should I do besides taking my medication? What should I eat (or avoid)? How much exercise is healthy and how much is too much? And the big one… what is the root cause of my heart disease?   To be able to answer these questions was the aim at the outset of our We Love Our Heart Pioneer Program – a course that runs over 12 weeks to reduce your risk of having a heart attack!   This episode features Ivor Cummins as he talks with Martin Guenzl, one of my first Pioneers, and myself about what we have achieved in a short time with We Love Our Heart and our Pioneer Group.  The Pioneers – a small group of individuals - were doing their very best to find answers to those key questions and more!   Martin talks about his experience as he saw not only his weight drop and his physical strength and fitness improve over the three months of the programme, but more importantly his key blood markers showed he was also metabolically healthier!   Listen in the conversation and if YOU want to get help to the answers above contact me at www.weloveourheart.com or write “Pioneer” to me at mark@weloveourheart.com. We Love Our Heart: www.https://www.weloveourheart.com

The Carnivore Yogi Podcast
A quantum Cardiologist's take on high cholesterol, vitamin D levels & why a zero CAC score may not tell the whole story of heart attack prevention - Dr. Michael Twyman

The Carnivore Yogi Podcast

Play Episode Listen Later Dec 1, 2021 64:04


This episode is sponsored by Optimal Carnivore “CarnivoreY” to receive 10% off all products- Grassfed Organ Meat Complex https://amzn.to/3Dp1R9e Grassfed Beef liver https://amzn.to/3clgONz This episode is sponsored by Upgraded Formulas - Get your HTMA with Upgraded Formulas - use my code YOGI12 for a discount! - https://www.upgradedformulas.com/?rfsn=4637317.2071db5&utm_source=refersion&utm_medium=affiliate&utm_campaign=4637317.2071db5 Dr. Michael Twyman - www.drtyman.com - Instagram @drtyman - YouTube - https://www.youtube.com/c/MichaelTwymanMD Michael Twyman, MD offers advanced testing for heart health. Focusing on being proactive with your health is our speciality. He offers integrative cardiology solutions like health optimization, prevention of heart disease in the early stages, heart health and more ! TIMESTAMPS: 0:00 Introduction, recap of episode & sponsors 4:27 Dr. Michael Twyman introduction 4:63 Dr. Twyman's story 6:14 How Dr. Twyman got interested in light/water/magnetism 7:19 How does Dr Twyman integrate light/water/magnetism into his practice 7:49 Red light therapy 8:43 Are cholesterol/CAC score best indicators for heart attack? 12:52 Endothelial function test 14:27 Diet (carnivore/keto)-APOE genetic test 17:12 Omega 3 to omega 6 ratio 18:27 APOE gene and high fat diet 20:22 Mitochondrial haplotype 22:17 Dr. Salidino- UV index/diet 24:44 Low Vitamin D levels in big cities 28:36 How to improve mitochondrial health 30:25 How does Dr. Twyman assess mitochondrial health 31:17 Vitamin D supplementation 36:07 Vitamin D and cholesterol 38:31 Ideal cholesterol level 41:06 Supplements instead of statins 43:30 How treatment is individualized 45:22 Sleep apnea 47:37 Four pillars of health 48:27 Heart rate variability 54:17 Technology benefit/consequences 58:18 What is your perfect quantum day?

Drug Cards Daily
#59: atenolol (Tenormin) | Angina, HTN, Post-MI Heart Attack Prevention, & Migraine Prophylaxis

Drug Cards Daily

Play Episode Listen Later Nov 29, 2021 8:29


Atenolol is a Beta-1 Selective Beta Blocker Antihypertensive Agent that is also known by the brand name Tenormin. The common indications are for Hypertension (HTN), Angina, and Post-MI Cardiovascular Event Prevention. It also has an off label use for Migraine Prophylaxis. Dosing range is between 25-200 mg PO qd depending on the indication. Should the patient ever need to discontinue the medication they should be tapered off gradually due to risks of exacerbation of treated indication. Common monitoring parameters include but are not limited to Cr and BP at baseline and periodically thereafter, ECG, and 10-year ASCVD risk assessment. Apple juice and orange juice should be avoided when taking this medication because they may prevent atenolol from being absorbed properly. The most common side effects are bradycardia, drowsiness, hypotension, fatigue, and cold extremities. FREE Drug Card Sheet is available for this episode at DrugCardsDaily.com along with ALL past FREE drug card sheets! Please SUBSCRIBE, FOLLOW, and RATE on Spotify, Apple Podcasts, or wherever your favorite place to listen to podcasts are. I'd really appreciate hearing from you! Leave a voice message at anchor.fm/drugcardsdaily or find me on most all socials @drugcardsdaily or send an email to contact.drugcardsdaily@gmail.com to leave feedback, request a drug, or say hello! --- Send in a voice message: https://anchor.fm/drugcardsdaily/message

Mark Bell's Power Project
MBPP EP. 630 - Protecting Your Heart & Tests You MUST Take ft. Dr. Michael Twyaman

Mark Bell's Power Project

Play Episode Listen Later Nov 24, 2021 97:21


Dr. Michael Twyman is a board certified cardiologist who focuses on the prevention and early detection of heart disease. Dr Twyman completed his cardiovascular training at St Louis University after he completed a 4 year active duty tour as an internist at Naval Hospital Beaufort. He has been in private practice since 2012. Heart Attack Prevention is his passion. He utilizes the best of conventional medicine, integrative/functional medicine, quantum medicine, and biohacking to get to the root cause of the patient's cardiovascular issues. Special perks for our listeners below! ➢Vertical Diet Meals: https://verticaldiet.com/ Use code POWERPROJECT for free shipping and two free meals + a Kooler Sport when you order 16 meals or more! ➢Vuori Performance Apparel: Visit https://vuoriclothing.com/powerproject to automatically save 20% off your first order! ➢Magic Spoon Cereal: Visit https://www.magicspoon.com/powerproject to automatically save $5 off a variety pack! ➢8 Sleep: Visit https://www.eightsleep.com/powerproject to automatically save $150 off the Pod Pro! ➢Marek Health: https://marekhealth.com Use code POWERPROJECT15 for 15% off ALL LABS! Also check out the Power Project Panel: https://marekhealth.com/powerproject Use code POWERPROJECT for $101 off! ➢LMNT Electrolytes: http://drinklmnt.com/powerproject ➢Piedmontese Beef: https://www.piedmontese.com/ Use Code "POWERPROJECT" at checkout for 25% off your order plus FREE 2-Day Shipping on orders of $150 Subscribe to the Podcast on on Platforms! ➢ https://lnk.to/PowerProjectPodcast Subscribe to the Power Project Newsletter! ➢ https://bit.ly/2JvmXMb Follow Mark Bell's Power Project Podcast ➢ Insta: https://www.instagram.com/markbellspowerproject ➢ https://www.facebook.com/markbellspowerproject ➢ Twitter: https://twitter.com/mbpowerproject ➢ LinkedIn:https://www.linkedin.com/in/powerproject/ ➢ YouTube: https://www.youtube.com/markbellspowerproject ➢TikTok: http://bit.ly/pptiktok FOLLOW Mark Bell ➢ Instagram: https://www.instagram.com/marksmellybell ➢ Facebook: https://www.facebook.com/MarkBellSuperTraining ➢ Twitter: https://twitter.com/marksmellybell ➢ Snapchat: marksmellybell ➢Mark Bell's Daily Workouts, Nutrition and More: https://www.markbell.com/ Follow Nsima Inyang ➢ https://www.breakthebar.com/learn-more ➢YouTube: https://www.youtube.com/c/NsimaInyang ➢Instagram: https://www.instagram.com/nsimainyang/?hl=en ➢TikTok: https://www.tiktok.com/@nsimayinyang?lang=en Follow Andrew Zaragoza on all platforms ➢ https://direct.me/iamandrewz #PowerProject #Podcast #MarkBell

Hackensack Meridian Health Podcast
Housecall Quicks: New Advice for Aspirin and Heart Attack Prevention

Hackensack Meridian Health Podcast

Play Episode Listen Later Nov 23, 2021 7:30


Adults ages 60 and older are no longer advised to take aspirin for heart disease and stroke prevention. Brett Sealove, M.D., chief of cardiology at Jersey Shore University Medical Center, weighs in on the guideline changes.

advice adults heart attacks aspirin heart attack prevention
The Fat Emperor Podcast
Ep128 A Pioneer Group in Heart Attack Prevention - Leadership!

The Fat Emperor Podcast

Play Episode Listen Later Sep 26, 2021 25:44


I've been supporting a fantastic new heart attack prevention endeavor led by Mark Felstead in Germany - but it's international as you will see. Find the team here and check them out! https://www.weloveourheart.com/home-page1596013864407 INOTE: My extensive research and interviewing / video/sound editing and much more does require support - please consider helping if you can with monthly donation to support me directly, or one-off payment: https://www.paypal.com/donate?hosted_button_id=69ZSTYXBMCN3W - alternatively join up with my Patreon: https://www.patreon.com/IvorCummins

Doc Talk
Heart Attack Prevention Begins in Early Childhood

Doc Talk

Play Episode Listen Later Aug 25, 2021 45:34


Listen Now Preventing adult heart attacks in early childhood? Don Wilson, M.D., explains why it's absolutely within REACH. Children with high cholesterol, especially those who have a genetic cause, such as familial hypercholesterolemia, also know as fH, are at a higher risk for developing premature heart disease, such as heart attack or stroke as they become adults. At the forefront of developing guidelines for lowering this risk, Dr. Wilson details how the Risk Evaluation to Achieve Cardiovascular Heath, or REACH, clinic at Cook Children's is putting those guidelines to work and changing the outcomes for these in the future, and saving the lives of parents today. Meet the speaker Dr. Don Wilson Related InformationRisk Evaluation to Achieve Cardiovascular Health (REACH) Clinic Diabetes Program Endocrinology Program They're Active, Eat Healthy, and Have High Cholesterol-Why? Harper's Story Kids at Risk of Smoke Exposure in Smoke-Free Areas? A Simple Blood Test Could Save Your Child's Life The Unique Risks of Being a Woman with Diabetes Number of Children and Adolescents Who are Obese 10 Times Higher than 40 Years Ago Transcript: 00:00:03 Host: Hello, and welcome to Cook Children's Doc Talk. Today we're talking with Dr. Don Wilson about genetic dyslipidemia, and cardiovascular disease. But first, here's just a little about Dr. Wilson. He is board certified in pediatrics, pediatric endocrinology and clinical lipidology. He is the founder and currently the medical director of Cook Children's REACH program, one of the first cardiovascular risk assessment clinics for children and adolescents in the nation. Dr. Wilson is a fellow of the National Lipid Association and an associate editor for The Journal of Clinical Lipidology and a member of the

Prevmed
How to prevent a heart attack: Prevention Standards, Baby Aspirin, the USPSTF

Prevmed

Play Episode Listen Later Aug 11, 2021 12:13


For more information, contact us at 859-721-1414 or myhealth@prevmedheartrisk.com. Also, check out the following resources:  ·PrevMed's website·PrevMed's YouTube channel·PrevMed's Facebook page

Prevmed
A Gout Medicine for Heart Attack Prevention?

Prevmed

Play Episode Listen Later May 22, 2021 55:47


Colchicine—an anti-inflammatory gout medication—appears to have a positive effect against CV inflammation. This is based on a recent article published in NEJM.  Not all anti-inflammatory drugs, though, have that similar effect, as seen in the case of Vioxx and methotrexate.  In this live session, I'll cover the colchicine study, the connection between inflammation and CV risk, the natural ways to decrease inflammation, as well as viewers' questions about metformin, statin,  methylation HIIT, TG, and LDL.For more information, contact us at 859-721-1414 or myhealth@prevmedheartrisk.com. Also, check out the following resources:  ·PrevMed's website·PrevMed's YouTube channel·PrevMed's Facebook page

LollieTasking
Episode 039: Heart attack prevention starts in childhood (Dr.Lola Day)

LollieTasking

Play Episode Listen Later Feb 25, 2021 23:32


Today's show is part of the “AfroPolitan Health on LollieTasking” series. On these episodes, we dedicate the entirety of the show to a health topic in the spirit of renewing our body.  Today’s show is dedicated to “Heart Attacks: It starts in Childhood" Why is this important? There is rise in childhood obesity in the USA and has this increases, more children ares tarting to have Adult  LollieTasking is a self improvement podcast for women by women.  I am your host Dr. Lola Day, a physician and work-life strategist, and founder of Accomplish With Ease a productivity program for women with ADHD or a high achieving moms who are ready to stop letting their brain sabotage them and start accomplishing their goals, so they can reclaim their life and leave a legacy for their children without sacrificing more time away from their family.  After listening, I hope you will be motivated and  remember, “Health is wealth! It’s up to you to take charge of your health, so you can achieve your full potential”.   If you want to be empowered by daily health tips, follow us @AfropolitanHealth on Instagram.  To see complete information about this episode, visit our website at www.lollietasking.com To join our exclusive program for women with ADHD and high achieving moms: Accomplish With Ease https://levelup.lollietasking.com/accomplish-with-ease  Follow @LollieTasker on instagram  Join the LollieTaskers Facebook group/community   

St. Mary Health Line
Heart Attack Prevention

St. Mary Health Line

Play Episode Listen Later Oct 28, 2020 29:51


There are many reasons to keep your heart healthy, including heart attack prevention. Learn how diet, exercise and lifestyle habits can directly impact your heart's overall wellness from St. Mary cardiologist Dr. Vincent Figueredo.

heart attacks heart attack prevention
DocPreneur Leadership Podcast
EP 297 | Age Management Medicine with Director of Clinical Relations at Cenegenics®

DocPreneur Leadership Podcast

Play Episode Listen Later Feb 12, 2020 52:42


By Michael Tetreault, Editor-in-Chief, Concierge Medicine Today/Host of The DocPreneur Leadership Podcast In today's DocPreneur Leadership Podcast we dive into Age Management Medicine with the Director of Clinical Relations and Corporate Development at Cenegenics, Rudy Inaba. In 1997, Cenegenics® pioneered Age Management Medicine and has since been regarded as the Premier Standard in the medical community. Cenegenics® is the undisputed clinical leader in the field of health optimization medicine. Their physicians go beyond disease-based medicine and focus on preventive medicine. These Physicians help their Patients get to the root causes of underlying health issues, helping you to feel and look your best at every age. In fact, based on an internal study of the last 200 Cenegenics® patients completing their first annual re-evaluation, the average body fat percentage declined 30% from the initial evaluation when joining the Cenegenics® program*[1]. Each Cenegenics® physician has completed the Clinical Strategies for Healthy Aging in Age Management Medicine program, sponsored by the Foundation of Healthy Aging, the educational division of Cenegenics® Education and Research Foundation (CERF) - providing our physicians with a specialized skillset to practice this medical specialty. Patients who commit to the program experience dramatic changes in their health and vitality; decreasing body fat and increasing muscle tone, improving insulin and cholesterol levels, increasing physical and sexual vitality, managing stress and improving mental sharpness and sleep quality. Cenegenics® doesn't subscribe to traditional medicine's fix-it-when-it's broken and diagnose-and-treat philosophies. Instead, we offer proactive, preventive medical care, enhancing health rather than waiting for age-related diseases such as diabetes, high blood pressure, heart attacks and strokes to appear. Meet Rudy Inaba, Director of Clinical Relations and Corporate Development at Cenegenics® Rudy Inaba is a recognized speaker, educator and expert in the age management, concierge medical, health and wellness industry with more than 15 years of direct experience in providing elite-level clinical service. Rudy is well-versed and passionate professional in the following areas: -age management medicine -exercise testing, analysis and diagnostics -lifestyle management -fitness program development -athlete sport performance -nutraceutical and supplement formulation Questions we discuss in today's interview include: + Can you give Physicians and listeners a little history on Cenegenics? When was Cenegenics founded? What the premise of the program is? + How is Cenegenics different than traditional medicine? + What problems/symptoms do patients typically come to Cenegenics about? + With Cenegenics patient programs, what kind of components do you provide to optimize their health? + What kind of results can Concierge physicians expect with their patients on the Cenegenics program? + What can concierge medicine practitioners gain by incorporating Cenegenics into their existing practices? Do they have to give up their current practice to work with Cenegenics? Contact Cenegenics® Office: 702.953.1536 Email: rinaba@cenegenics.com LinkedIn: https://www.linkedin.com/in/rudy-inaba-7a992080/ Resources Mentioned In This Podcast https://www.cenegenics.com/ READ and LEARN MORE ABOUT CENEGENICS PHYSICIANS https://www.cenegenics.com/about www.ConciergeMedicineToday.com www.ConciergeMedicineFORUM.com www.DocPreneurPress.com Citations [1] From Vulnerable Plaque to Vulnerable Patient—Part III: Executive Summary of the Screening for Heart Attack Prevention and Education (SHAPE) Task Force Report, The American Journal of Cardiology, 2006.

1-Wajan Ghatane Ka Sahi Tarika | Weight Loss Methods In Hindi | वेट लॉस करने के सही तरी
Heart Disease & Heart Attack Prevention Diet Tips, Exercise & First Aid In Hindi

1-Wajan Ghatane Ka Sahi Tarika | Weight Loss Methods In Hindi | वेट लॉस करने के सही तरी

Play Episode Listen Later Jul 8, 2019 9:19


Heart Disease & Heart Attack Prevention Diet Tips, Exercise & First Aid In Hindi #WhichFoodIsGoodForHeartPatient #CardiacArrestFirstAid #HeartAttackFirstAid #WhatFoodsShouldBeAvoidedWithHeartDisease #XzimerMedicare me aaj ke is podcast me aap janege ki heart patient ki kaisi ho deit, koun si exersice Karen, kya rakhen dhyan, Angina ked rd ko kaise pahchne, kya hota hai heart attack, heart attack ho to kya Karen, Cardiac arrest kya hai, ho jane par kya Karen ye sab aap is podcast me janege………………… Subscribe the channel. It's free- https://www.youtube.com/channe/UC5IcI... Facebook- https://www.facebook.com/XzimerOn/ Twitter - https://twitter.com/xzimer?s=09 --- Send in a voice message: https://anchor.fm/xzimer-medicare/message

The Fat Emperor Podcast
Episode 2 - Dr. Scott Murray, Cardiologist - on Heart Attack Prevention

The Fat Emperor Podcast

Play Episode Listen Later Feb 15, 2019 23:46


Dr. Scott Murray is a research cardiologist with exceptional experience in interventional and preventative cardiology. He is a particular expert in the field of cardiac imaging, and has published many papers on the compelling findings from both his invasive and non-invasive studies. Dr. Murray is the current president of the British Association of Cardiovascular Prevention and Rehabilitation (BACPR). I met Scott at the Johnstown estate in County Meath, Ireland, where I had just addressed the National Institute of Preventive Cardiology of Ireland (NIPC) conference (before participating in an on-stage debate about saturated fat and nutritional guidelines - that was fun, as you can imagine!). Scott and I took the time out to have a quick chat while our wives walked in the extensive hotel grounds. We focused particularly on the latest 2018 American College of Cardiology (ACC) cardiovascular disease guidelines - which have recently given a coveted "2A" evidence level rating for the use of Coronary Artery Calcium scoring (CAC). We also cover several other topics around cardiac Imaging - such as CAC versus CTCA, ability to detect "soft plaque" using CAC - and of course what all the numbers mean for risk of heart attack and all-cause mortality.

Alter Your Health
Dr. Daniel Chong: Healing the heart with food

Alter Your Health

Play Episode Listen Later Jun 4, 2018 69:13


Daniel Chong, ND has been a licensed naturopathic physician, practicing in Portland, OR, since 2000, where his primary focus is on risk assessment, prevention, and drug-free treatment strategies for cardiovascular disease.  He is also founder and lead coach at The Healthy Heart Academy, LLC, an online platform created to help eradicate heart attacks via direct consumer coaching, and health practitioner education.  Dr. Chong has completed training in cardio-metabolic medicine from The American Academy of Anti-aging Medicine, is a member of the Society for Heart Attack Prevention and Eradication (SHAPE Society), serves as a clinical educator for Boston Heart Diagnostics Lab, and is a contributing editor in cardiology for The Natural Medicine Journal. In this conversation, Dr. Chong and I focused on the number 1 killer in the US, heart disease. Dr. Chong talk about the foundation for preventing and reversing cardiovascular disease with diet and lifestyle. We talk about some of Dr. Chong's favorite foods for heart health, as well as those to avoid. We also discuss the hot topic of supplementation and what most humans may need, even when consuming an optimal diet. I know Dr. Chong will be back on the podcast some day to expand and deepen into some topics we skimmed over!   Links to learn more - Show notes and resources: https://alter.health/episode4/ - Get a copy of Dr. Benjamin's book: https://amzn.to/2tmiOz3 - Apply to work with Dr. Benjamin: https://alter.health/membership - Connect on Facebook: https://fb.me/alterhealthinc - Follow Dr. Benjamin on Instagram: https://www.instagram.com/drbenjaminalter

Natural Medicine Journal Podcast
Cardiovascular Lab Tests in Natural Medicine

Natural Medicine Journal Podcast

Play Episode Listen Later May 1, 2018 26:33


In this podcast episode, we talk about cardiovascular labs with naturopathic cardiology expert, Daniel Chong, ND. Chong discusses the use of cholesterol panels and other tests he uses in practice. He dispels some common myths about how to interpret different lab results.   About the Expert Daniel Chong, ND, has been a licensed naturopathic physician, practicing in Portland, Oregon, since 2000 and focusing on risk assessment, prevention, and drug-free treatment strategies for cardiovascular disease and diabetes, as well as general healthy aging, and acute and chronic musculoskeletal injuries. Chong has also completed certificate training in cardio-metabolic medicine from the American Academy of Anti-Aging Medicine and is an active member of the Society for Heart Attack Prevention and Eradication (SHAPE). In addition to his clinical work, Chong serves as a clinical consultant for Boston Heart Diagnostics Lab. Tina Kaczor, ND, FABNO: Hello I'm Tina Kaczor editor-in-chief at the Natural Medicine Journal. I'm speaking today with my friend and colleague Dr. Daniel Chong a naturopathic physician and specialist in cardiology specifically. Dr. Chong is a founder and lead consultant at healthyheartacademy.com as well as a consultant for the cardiology industry. Dan, thanks for joining me today. Daniel Chong, ND: Hello Dr. Kaczor, it's nice to be here. Kaczor: We have talked informally, and I thought this would be a great opportunity to talk specifically for our audience, about the use of cholesterol panels, and we'll go into specifically some breakdown of the usefulness of common cholesterol panels, and then break that out into more particular cardiology panels. There's a lot out there right now about whether cholesterol is or isn't even linked to heart disease, so let's just start at the beginning. Can you give us a little bit about the roots of the cholesterol theory? We'll branch off from there. Chong: I can try. It definitely is a relatively long-standing theory now. As I understand it, the first thoughts as to whether or not cholesterol had anything to do with cardiovascular disease came in the early 1900s on animal research with rabbits, but at that point it was dismissed because people were still not clear whether or not you could make any correlations between findings in rabbits and extrapolate out to humans. The major real focus on the connection between cholesterol and heart disease started more in the mid-1900s almost simultaneously in a way with Ancel Keys and the Framingham study, so they started around the same time. Ancel Keys was one of the first people to really make a point of saying, "We should really research this because we repeatedly are seeing this potential connection," and so he was one of the first people to really start trying to splice it out. Then, the Framingham study started simultaneously. They don't come out with any of their more definitive conclusions until a little later than him with that. That's where it all began as far as I understand it. Kaczor: In the Framingham study specifically I know that there has been ... The broad interpretation in the professional world has been high cholesterol equals risk of heart disease, LDL being the "bad cholesterol," in general. Is there particular subpopulations that this is more true for? In other words, can we say if you are a 40 or 50 something-year-old male this is more true than if you're a 80-year-old male, or a female? Is there any way to delineate that with just looking at broad generic cholesterol levels, nothing too specific yet? Chong: Hopefully, it will be answering your question by saying this, but to me one of the most fascinating pieces of information I heard come out of the Framingham study in particular is that over the course of however many years ... this was a statistic we heard about maybe five or so years ago. The Framingham study had been active for well over 50 years and they had well over 50 years of data on how many thousands of people, and the statement was made by the former director of the Framingham study, so it was certainly legitimate. Essentially what they said was, one of the key pieces of information that they saw in terms of the relationship between at least total cholesterol and cardiovascular disease was that it appeared as though if a person's total cholesterol was at or below 150 naturally, so throughout their lives without necessarily an intervention with a drug or whatever, just the people in the study who had naturally low cholesterol did not get heart disease period. Of course, you can't then take that and make any truly definitive statements, but there is, in terms of a general viewpoint that was one of the things that came out. In other words, nobody with cholesterol under 150 naturally got a heart attack in their study. Again, there would still need to be more done to splice that out and figure out what exactly is going on there and why that is, but there's definitely something to be said. You can see the same exact type of finding if you look at epidemiological research on different cultures of people in history who did not get heart disease or got very little heart disease, all of those people regardless of where they were on the planet, what types of specific foods they were eating, even to some extent what their lifestyle was some of these people smoked, et cetera, the cultures of people who were known and found not to get cardiovascular disease all had cholesterol at or below 150. Kaczor: You're talking about total cholesterol? Chong: Correct. Kaczor: Let's move over to talking about the bad cholesterol. LDL- Chong: Can I pause you for one quick second? Kaczor: Yeah. Chong: Just to say one other thing about that. There's a lot of questions that would be immediately raised from those statements that I just made. One other way that I look at things is, and I know we'll get into it more, but cholesterol in of itself, I will say right from the beginning, has to be involved. It is not a worthless thing to measure, it is not something to just disregard and only focus on information. Time and again it has to be involved, technically it has to be involved. You can't make plaque without it, but it's just an important way to think about it. It's just whether or not it's the primary causative factor and we'll get into that. Kaczor: Yeah, that's an important point. I don't see many people with total cholesterol below 150, but we'll put that aside. It's pretty uncommon. I don't know about other people. Let's break it down- Chong: In modern times it absolutely it is. Kaczor: Let's talk about LDL specifically and just start out with there's a lot of more specific labs that are looking at LDL particle size rather than total LDL. Just a brief primer, if you would, on the difference between LDL- Chong: I like your emphasis on brief. Kaczor: Yeah. Chong: Sorry, go ahead. Kaczor: On LDL calculated as it is in a common cholesterol panel and the particle size as it is measured by several different labs now. Chong: I'll do two separate simple ways that I look at it. One is technically LDLC or "LDL cholesterol" measurements that are most commonly done in the average physicians' offices et cetera is technically measuring the mass or total amount of cholesterol being carried around on LDL molecules. Just as a reminder to people, these LDL molecules are protein-based particles that are essentially like cargo ships carrying around different substances, one of the main ones being cholesterol. When you are getting an LDLC you are getting an estimate of the mass of the total amount of cholesterol being a carried around by all of the LDL particles in the system whereas, an LDLP is specifically getting a count of the LDL particles floating around in any one measurement of blood. From an analogy perspective it's like you're counting either the cargo that's being ... The Pacific Ocean has a certain amount of cargo ships out in it carrying cargo and LDLC is like, "Okay, what's the estimate of total cargo being carried around by all of those ships?" Whereas an LDLP would be like, "Okay, we're going to go into the ocean, we're going to count each one of those ships and see how many there are." Depending on some different factors this is why you could theoretically ... Let's say a cargo ship could technically carry 100 pounds of cargo, you could technically have two ships carrying 200 total pounds of cargo or you could have 20 ships carrying 10 pounds of cargo each. In both cases the LDLC would be the same and yet one, there's 20 ships and the other there's two ships, if that makes sense. The reason why that's so important to make the distinction is that what we know now is that risk specifically goes up with ship count or particle count—not necessarily total mass or total cargo. If you have a way of identifying, "Aha, there is actually only two ships in this ocean versus 20," that can significantly impact risk level. Kaczor: Looking at the LDLC, which is the calculated one, it may or may not correlate with cardiovascular disease is what I'm hearing you say, and LDLP we can use as a more specific correlation with cardiovascular disease. Chong: Right, that is correct. In the grand scheme of things when we're also potentially considering other factors like inflammation, and oxidative stress, et cetera, it's still relative ... we're just talking about cholesterol-related markers and their impact on risk, so there are obviously ... I don't want to discount the fact there are other factors involved here, but when we're just talking about the cholesterol and its impact on future risk or not the particle count is what trumps everything. Again, just in the realm of the cholesterol markers. Just for an example, there's a research study I've seen where they looked at 16-year survival, from year 0 to 16 and measured LDLP and LDLC in each person. This is a very large study, and what they saw is a distinct difference between particle count and future event risk for cardiovascular disease. In other words, you had a distinct increase or higher rate of survival in people who have low particle counts regardless of what their LDLC or mass was. Whereas the people with worse outcomes all had high particles even though some of them technically had low LDLCs or low amount of total mass or cargo. Kaczor: It's been- Chong: It's been clearly seen that there's a distinct difference. It's also important to mention here, it is unfortunately true that there are some people out there who are still saying, "If I have large puffy LDL (i.e., my LDL particles are loaded with a lot of cargo per particle) and yet not necessarily ..." If you have a high LDLC, but all of your LDLs are large and puffy, and you also have a high LDL particle count you will still have an increased risk. There are some people out there who are under the misconception that if LDL particles are large and fluffy or large and puffy enough they can't cause problems, that's totally inaccurate. Bottom line, when we're talking about LDL, particle count trumps everything. Kaczor: Let's move on to HDL. That's really good points on the LDL because I do know that the size and the type, the fluffy or the dense, that idea is very much part of the verbiage that patients use when they come through the door- Chong: I'm sorry, I will say one other thing quickly about that. I don't mean to say that it's worthless to check LDL particle size because it's still true that LDL particle size, the smaller the particles the higher the potential is for future risk, but it's not just because of the mechanism itself. It's like just because there is a strong relation between what causes LDL particle sizes small and what causes cardiovascular disease. As an example, typically people with poor insulin sensitivity, or insulin resistance, diabetes, et cetera tend to have smaller particles, so it's still important to look at particle size because it does add to the predictive value of the test you're running. I don't mean to say that it's worthless or anything like that, you just can't say, "If my particles are large and puffy, I don't care how many there are." Kaczor: Got you. Okay. Let's go back and just come back to HDL, the high density lipoproteins. This we don't harp on as much, the drugs aren't targeted towards it as much. We tend to know that higher is better. How do you use HDL in your interpretations? Chong: One of the reasons why the drugs aren't targeted as much is because they keep trying and failing. Pretty much every study that's ever been done on a drug that it raises HDL shows that they clearly work and then oftentimes the people die sooner, so they have to stop. The bottom line is it's not a cut and dry direct simple relationship where the higher the HDL the better necessarily. Especially if you make a change in somebody, so like diet, lifestyle, et cetera, and their HDL goes up it is absolutely not a guarantee that they are getting better or that they are more cardio protected than they were beforehand. It might be the case, but it's not a certainty. From that perspective, at least personally, when I'm looking at HDL I'm always looking at the whole picture. If I see a relatively low HDL and yet this person might happen to be one of these lifelong naturally low in total cholesterol, naturally low in LDL people I'm not as concerned about that low HDL as I am in somebody who has really high LDL, really high total cholesterol, insulin resistance, et cetera, and they have low HDL. There's a definite difference. Those two people might both have the same HDL number, but one is way more concerning than the other one, and it just has to do with the role of these particles, these molecules, and what are they doing for us? If you really simplify it down HDL does a lot of complicated things, we still don't even know everything that it does, but definitely one of its main job is reverse cholesterol transport where it's helping to remove excessive cholesterol deposited in the periphery so to speak. I like to look at it as a garbage truck or a garbage collector. It is very true that if you do have a lot of "garbage" in the system, you have a high total cholesterol, a high LDL there's lots of cargo, or garbage, or whatever you want to call it being shipped outward you would hope to see the body responding to that by increasing garbage truck count to pick up the extras. You commonly see that on people who go onto low-carbohydrate, high-fat diets. Oftentimes you will see, hopefully, an elevation in HDL as the body is literally just adapting to the additional load on the system that you're putting on it. It does not, however ... Unfortunately, you can't take that response and then conclude that the low-carbohydrate diets are cardioprotective because they cause HDL to go up. It's not that cut and dry, it's more just that the body is responding and having to increase its HDL to adapt and make up for the extra amount of cholesterol in the system, if that makes sense. It's quite complicated. You do see HDL go up for that reason. The other thing is sometimes you'll see high HDL in somebody who's got disease, especially if they're inflamed or they have chronic inflammation. In those situations, in all likelihood, what's going on is that inflammation is known to hinder HDL function. The body always trying to adapt, always doing the best that it can to deal with the cards it's being dealt, if it has poorly functioning HDL it's going to spit out more of them in an effort to continue doing the job that needs to be done. If the HDL are dysfunctional as a result of oxidative stress, inflammation, et cetera in the system if the person has the capability you may sometimes see HDL production go up or HDL number go up on the person's lab because each one is not working as well as it should. Kaczor: That's an interesting idea, that it's a reaction. Chong: Absolutely. It's a fluid, functional system. Again, people just think, "Oh, HDL went up, that's good," or whatever. It's not like that. You have to think about why is the body doing that? What is the response going on? The body's always trying to maintain homeostasis, which would include not having cholesterol collect in the walls of the arteries. Kaczor: That's awesome. I appreciate that perspective. I think it's really helpful for us because we want the quickest most linear path to a conclusion, so it's good to remember to step back once in a while. Chong: For sure. Kaczor: We don't have time to go into labs, other labs in great detail, but what other laboratory parameters would you consider must haves? I'm going to give you a typical case, a patient comes to your office, they themselves have no history of cardiovascular disease. They have both sides lots of cardiovascular risk, so they believe that maybe there might be something going on there. What's your bare minimum of labs? What would you do? Chong: Especially in today's world where we're not necessarily billing insurance or whatever personally, for me, if I'm trying to get the most bang for my patient's buck in the realm of cholesterol I'm going to measure an apo A1, or apolipoprotein A1, I'm going to measure an apolipoprotein B, which for those people that aren't fully aware it's essentially like getting more precise HDL and LDL. Apo A1 is like getting a bit more precise HDL count and apo B is like getting a more precise particle count. Again, that's the name of the game, especially looking at the ratio between those two. I'm also going to measure a lipoprotein a, which has its own independent impact on things and is not necessarily going to be responsive to medications or dietary changes that do impact these other markers. It's a very important marker to assess and you can never really predict whether or not somebody's going to have high levels of that or not, but definitely the potential goes up with a strong family history. Then, beyond that in the realm of inflammation I'm at least going to want to see an HSCRP, I'm at least going to want to do some fundamental blood sugar metabolism related markers. I personally like to check a fasting insulin, and then potentially a hemoglobin A1c as well, although that sometimes has some questionable value depending on each patient. Beyond that, it starts getting a little bit more spliced out and potentially, depending on each patient, what you might go from there. I do check vitamin Ds pretty often, I check ferritin, and iron binding capacity pretty often at least screening that once to make sure there's no hemochromatosis going on. Those are probably the main ones I'm going to want to see. I will definitely do a CBC as well. Kaczor: The one I didn't hear you say, and I'm curious if you do, is homocysteine. Chong: Sorry, thank you Dr. Kaczor. Yes, absolutely homocysteine as well. Again, whenever I have the opportunity especially if there is a strong history and there's good reason to want to delve more deeply than average there are definitely some other markers I would typically run with people, but those would be a great starting point. I don't know if we're going to talk later about going outside of blood tests, but just long story short I don't consider an assessment truly complete without some type of imaging at least on the high risk population. Kaczor: By that, you mean? Chong: Sorry, carotid ultrasound, IMT, or a coronary calcium score. Kaczor: I can vouch for that. I've had several patients with cholesterols that didn't look too impressive, but their coronary calcium scores came back very, very good, and so they didn't have any [inaudible 00:24:42]. Chong: I will say one pearl type of information about that, the value of coronary calcium scores specifically goes up with age. The value of risk assessment using that test goes up with age. In other words, occasionally if a person is still relatively young, typically under about 55, you may have a situation where that person has a decent amount of soft plaque that has not been calcified yet and it will make their calcium score looks pretty good, but then if you check a carotid ultrasound it doesn't look so good. I have seen some mismatches in that regard with some of the slightly younger people, so my tendency is to measure carotid ultrasound, IMT tests with the understanding, obviously, that you're not checking the coronary arteries, but there's an over 90% correlation between the two. To me, a carotid ultrasound is a little pickier, a little more fine-tuned than the other one, but absolutely the high calcium score is a very powerful risk predictor. It's just whether or not you're going to catch everybody that way. Kaczor: Great. Dr. Chong, thank you so much for joining me today, I appreciate your expertise, taking the time. I think this is a to be continued type of thing because we didn't talk about what to do. Chong: I would love to keep talking, yes because I feel like we just started scratching the surface. Happy to delve more into some of these other details because there's a lot of other things to consider. Kaczor: We'll talk about treatments and we can talk a little bit more about imaging techniques next time. Thanks again. Chong: Super, yeah. Thank you.

Natural Medicine Journal Podcast
Erectile Dysfunction's Clues About Cardiovascular Health

Natural Medicine Journal Podcast

Play Episode Listen Later Sep 7, 2017 29:45


In over half of all cases of hospitalization for a cardiovascular event, the first symptom is the event itself. So anything we can do to get any early indicator that something is going wrong in the cardiovascular system can have a huge impact. Erectile dysfunction is one such early signal. According to cardiovascular health expert Daniel Chong, ND, identifying sexual dysfunction is essential for improving cardiovascular outcomes.  Approximate listening time: 30 minutes About the Interview It may seem counterintuitive to interview a cardiologist, and not a urologist, on the topic of erectile dysfunction (ED). But we now know that ED is a result of endothelial cell dysfunction and ED can be an early warning sign of systemic atherosclerosis. Looking at ED from a cardiovascular perspective is essential. That’s why we invited cardiovascular expert Daniel Chong, ND, to talk to us about ED’s connection to heart health. In this interview, Natural Medicine Journal’s editor-in-chief, Tina Kaczor, ND, FABNO, asks Chong about the complex interplay between vascular function and sexual function. According to Chong, cardiovascular disease always has some degree of contribution—potentially a major one—in ED. That’s in part because blood flow is the key facet to obtaining a full erection. Cardiovascular dysfunction, including plaque in the arteries that regulate that blood flow, can therefore have an impact on ED. Even before plaque development becomes a problem, endothelial dysfunction in the inside walls of the arteries can play a role in erectile function. In this enlightening interview, Chong explains the different issues that can contribute to ED, including anatomical, physiological, and psychological problems. It’s an important listen for any practitioner who sees men, since beyond being a problem in and of itself ED can be an early signal of other serious health concerns. About the Expert Daniel Chong, ND, has been a licensed naturopathic physician, practicing in Portland, Oregon, since 2000 and focusing on risk assessment, prevention, and drug-free treatment strategies for cardiovascular disease and diabetes, as well as general healthy aging, and acute and chronic musculoskeletal injuries. Chong has also completed certificate training in cardio-metabolic medicine from the American Academy of Anti-Aging Medicine and is an active member of the Society for Heart Attack Prevention and Eradication (SHAPE). In addition to his clinical work, Chong serves as a clinical consultant for Boston Heart Diagnostics Lab. Transcript Tina Kaczor, ND, FABNO: Hello. I’m Tina Kaczor for the Natural Medicine Journal. Today, we’re going to be talking about erectile dysfunction and cardiovascular disease with Dr Daniel Chong. Dr Chong is a naturopathic physician with a private practice in Portland, Oregon for the past 17 years. He specializes in what he likes to call "vascular wellness optimization." He’s also the founder of the web-based consulting company, the Healthy Heart Project which offers a number of educational and direct consulting options for both the general public as well as healthcare practitioners on how best to assess and reduce risk for cardiovascular disease. Dr Chong also lectures and serves as a clinical consultant for Boston Heart Diagnostics Lab. Thanks so much for joining me today, Dr Chong. Daniel Chong, ND: You're welcome, Tina. Good to be here. Kaczor: As I mentioned, our topic today is erectile dysfunction. At first, it may seem odd to our listeners that I’m talking to a cardiology expert and not a urologist or men’s health expert but we now know that erectile dysfunction is a result of dysfunction of endothelial cells and in fact, this can be an early warning sign of systemic atherosclerosis. Dr Chong, can you start us out with a brief overview of how erectile dysfunction and cardiovascular disease are related? Chong: Sure. I can do my best there. There’s definitely going to be different circumstances that can contribute to erectile dysfunction. Some of which may not be actually anatomical, so to speak, or physiological from the cardiovascular perspective but I would say the majority is at least indirectly affected because even if we’re talking, for example, about a psychological contributor which we may touch on later, if somebody has dysfunctional arteries down there in the penis, they’re going to be more vulnerable to effects from psychological aspects than they would be otherwise. In other words, a young teenager may get stressed out in an early sexual experience but that’s not going to affect function as much as it could a 50-year-old man. Anyways, in general, we could just say that cardiovascular disease is going to have some degree of contribution and potentially major. Obviously, blood flow is the key facet to obtaining a full erection and certain arteries are going to be more vulnerable to impacts from the development of cardiovascular disease but even so, the arteries in the penis may or may not actually have plaque in them but they can still dysfunction. Typically, we know, and we’re going to talk about this later, in cardiovascular disease, the preceding step prior to actual anatomical change or plaque development is endothelial dysfunction or dysfunction in the inside wall of the arteries and even that going on without any actual plaque having developed yet can affect erectile function and not to be noticeable by the person. All in all, I guess you could say they’re intimately intertwined because you have to have good blood flow. It may or may not have plaque. Plaque may or may not be actually playing a role yet but it will in some cases and cause really significant dysfunction, but even minor dysfunction is going to be at least the partial result of the arteries starting to misbehave for various reasons that hopefully we’ll touch on. Kaczor: Yeah. I actually came across some mention of erectile dysfunction in that whole idea of plaque formation. One author said that it could signify in some patients, or at least it should be followed up to see if it signifies subclinical atherosclerosis. Chong: Correct. Kaczor: Yeah. Atherosclerosis being pretty much asymptomatic in people until there’s larger consequences. On that note- Chong: Right. Yeah. Sorry to cut you off. Sadly, it’s been shown that in over 50% of cases of hospitalization for a cardiovascular event, the first symptom is the event and that’s over half of all of them, so anything we can do to get any early indicator of something in this, so to speak, before, for example, erectile dysfunction, is hugely important for us because we are not doing a very good job at least conventionally in identifying early on what’s going on with people. Kaczor: Yeah. I look forward later in this discussion to talk to you about how to assess it, to find early markers besides just the symptom of erectile dysfunction but let’s start with the larger picture in conventionally recognized erectile dysfunction and cardiovascular disease risk factors. Can you talk a little bit about like when we’re, as clinicians, who walk into our office, who we should suspect it in or at least engage in the conversation because many patients won’t bring it up themselves unless they're directly asked? Dr Chong: Yeah, absolutely, so, certainly age. The older a man gets, the more potential there's going to be for all kinds of different changes going on physiologically. Some people are well aware of testosterone production, how crucial that is and that certainly begins to change as a man ages. But certainly, very standard, interestingly enough, it’s the same standard risk factors you might consider for cardiovascular disease in general in terms of high blood pressure, diabetes, certainly, smoking. Conventionally, you're going to see high cholesterol as a stated contributor but we can certainly talk in more detail about that because I know that some people out there in the functional medicine world, naturopathic world, et cetera, consider high cholesterol as a past tense risk factor for cardiovascular disease which it really is and it’s just more complicated than that. Obesity, lifestyle factors in terms of exercise and then certainly, psychological factors, depression and anxiety, et cetera are all going to be key things. I also want to make a just brief mention even though this is kind of a topic in and of itself, when we talk about erectile dysfunction, obviously, we’re talking about men but it should be very clearly stated that the same potential processes are going on in women as they age. Women with difficulty with sexual activity or orgasm, et cetera, may in fact be having their own version of “erectile dysfunction” with the clitoris as essentially an analogous structure in a woman and all of these blood flow issues can occur in women as well. It’s important to really kind of make mention to that. I say men, I keep saying men, as men age, blah, blah, blah, but it really should be looked at as both sides of the coin, so to speak. Kaczor: That’s actually an important point. Thank you for mentioning that. Chong: Sure. Kaczor: I want to do a follow-up on that cholesterol thing that you just mentioned because I think that that’s kind of top of mind. I think it’s important to give voice to any new data on looking at cholesterol because I'm with you on it being much more complex and it’s more complex than I understand. I'm happy for you to kind of flesh it out for us. Chong: Yeah. I mean, I guess anybody that says that cholesterol has nothing to do with cardiovascular disease is not really thinking about the fine details of the situation. You can't have a plaque form without cholesterol and lipoprotein particles being involved because they are what are the sort of primary components to the development of the plaque. What I don’t agree with conventionally is the idea that high cholesterol, in and of itself, is just going to definitively contribute to cardiovascular disease because obviously, there are many people out there who have relatively “high cholesterol” who don’t get cardiovascular disease. There's certainly something else going on that’s playing a role as to whether or not high cholesterol is going to lead to that issue in some people versus others. Long story short, I consider cholesterol and related markers to be secondary factors. They are absolutely involved but they are not … There's going to be other things that help sort of determine the likelihood or lack thereof of the high cholesterol sort of turning into cardiovascular disease. That’s a really fun discussion in and of itself. It could be another hour or so by itself but hopefully, that kind of answers your question, at least preliminarily. Kaczor: Well, it brings up another question which is- Chong: Certainly, keep going with that. Yeah. Kaczor: Yeah. If cholesterol is considered a secondary factor, and I see what you're saying, cholesterol is not … needs to be present but can't be causative because there's not a cause and effect 100% of the time. Chong: Correct. Kaczor: If it’s secondary, what are you looking at as primary? Chong: Well, to me, the absolute most important thing that’s going to contribute to the potential or lack thereof of eventual cardiovascular disease development or i.e. plaque, development is the health and vitality of the walls of the artery and how well they're functioning. In other words, the healthier, more nutritionally replete the walls of the arteries are themselves and the better they're being sort of manufactured in the first place by the body, are going to be the primary factor that leads to vulnerability or not. If you imagine like … I would like to use analogies. On a coastline, you may have, let’s say, in Hawaii versus somewhere else on the mainland. Hawaii is made up of volcanic rock which is, tends to be a little bit more brittle and it can sort of erode more easily. If you have waves crashing into the wall, into a wall of rock in Hawaii, it may erode more quickly. Then, an analogous wall somewhere else in the world that’s made up of a different, harder, more resilient material, the waves are still crashing into them with the same potential force but one’s going to erode more quickly than another. If we then relate that to the vascular system, somebody who has poor nutrition and tons of inflammation, oxidative stress, et cetera, and especially long-term poor nutrition, they're not going to be able … especially if we’re talking about collagen production, they're not going to be able to manufacture the sort of strong, resilient vascular walls that they should which will inevitably be, if they are stronger, will inevitably be more resistant and resilient to the impact of the turbulence of the flow of blood. There are certainly other things that are going to impact that as well especially the turbulence itself and the viscosity of the blood. That’s going to make for essentially like stronger waves crashing in which obviously, the stronger the waves is crashing into the area, the more potential there is for erosion as well. To me, long story short, the primary situation that’s going to lead to the potential development of plaque is a combination of two primary factors. That’s the vulnerability of the wall of the artery and the stress that is being placed on the wall of artery. Kaczor: By- Chong: If you look at every single risk factor we know of, they are impacting one or both of those factors. Kaczor: Okay. When you say stress, you mean mechanical forces, as well as chemical? Chong: Chemical. Absolutely. Kaczor: As in oxidative stress? Chong: Correct. That would be one of them. I mean, even environmental toxins, different types of infectious organisms and certainly mechanical stress as well or what we call blood viscosity which is impacted by a variety of factors. Primarily, probably the main ones for blood viscosity would be hydration and like even iron levels or high sort of … basically, concentrated solid substances in the blood and then also, cloudiness of the blood, how high is fibrinogen levels and things like that are going to impact the viscosity of the blood. Then, the classic risk factor of high blood pressure is going to be too, more or less, stress on the wall of artery. Kaczor: Let’s- Chong: Sorry. One other thing. I mean, one of the ways that high cholesterol may be contributing to things is it’s known that the higher the cholesterol is, the stronger the impact on the vascular wall is. It actually causes … High cholesterol itself can contribute to endothelial dysfunction or stress on the function of the wall of the artery. Kaczor: Doing mechanical forces, you're saying, to the viscosity of the blood. Chong: Right, and more technical reasons, like it literally messes with certain aspects of how the wall, the endothelium is supposed to be functioning. It’s not just that it gets into and becomes part of the plaque. The higher your cholesterol goes, the potentially worse the endothelial function initially. Kaczor: Okay. Let’s switch gears a little bit. If we’re talking about endothelial dysfunction as the commonality between erectile dysfunction, atherosclerosis, cardiovascular disease, it’s all about a healthy endothelium. Chong: Right. Kaczor: It’s interesting, in that same paper I mentioned before, I came across a term that I had not seen before. It was the endothelium as a single organ which I thought was a really interesting concept like, “Oh,” thinking, “I'm sure it’s different, in different tissues,” but just the idea of overall health of it being a singular thing was interesting to me. Chong: Right. People look at the blood vessel as like these tubes that are just allowing for the passage of blood flow. There's so much going on at the wall of the artery physiologically. It is absolutely an entire organ. Kaczor: Let me ask you this. As far, for us as clinicians, what are either biomarkers or assessment tools, how do we gauge endothelial function in a patient? Chong: Well, technically, when we’re specifically talking about endothelial function, there's only a few ways to directly assess that. Clinically, they're going to involve some way, shape, or form of actually testing, in-office, the function of the arteries themselves. There's a general … There's a few … There's basically two main machines that I'm aware of. One is called an EndoPAT and one is called the EndoTherm that are designed to directly assess endothelial function. The way they basically work is they … You have your fingers in some type of device that’s monitoring either blood flow or temperature at the fingertips. Then, you basically occlude the artery and the arm like you would with the blood pressure cuff. You have to do that for about 5 minutes which is not enjoyable for the patient because, as you can imagine, it isn’t feel very good to have your blood occluded for 5 minutes. Then, prior to doing that though, you're doing a general assessment on blood flow and temperature of the fingers. Then, you occlude the blood flow and then you let it out all at once. When the blood comes, as you might imagine, rushing back into the extremities in the fingers, you should get some degree of expansion of the arteries. Normal function would lead to the arteries, as the blood really rushes in there, would lead to the arteries expanding to a certain extent. People that have endothelial dysfunction, their blood vessels will not expand appropriately. The machines are designed to sort of read that, sort of the tip, where your tips of your fingers are sitting, the machines is detecting, is there a significant enough change in temperature and or blood flow. There's also something called arterial pulse velocity which basically, there's a smaller device called an iHeart like an iPod but it’s iHeart. I'm not connected to any of these companies or anything like that but that is a newer device that’s being developed that checks sort of indirectly the same thing. It looks kind of like a pulse oximeter but it’s actually detecting arterial pulse wave velocity and literally how quickly a pulse rate is moving down the arterial tree. If you might imagine, the sort of left compliant and arterial, an artery is, the quicker the pulse rate is going to move down it. That’s generated by heart, a heartbeat. Those are the only ways that I'm aware that are … Those are the only things that I'm aware that are being used in-office to directly assess endothelial function. There is a lab test that can be measured with people called ADMA. It stands for asymmetric dimethylarginine. That is considered a surrogate or indirect assessment of endothelial function. The higher the ADMA is, the higher the potential for endothelial dysfunction because it’s a direct sort of inhibitor of nitric oxide production. Kaczor: All right. Well, that leads us into our next little piece, doesn’t it? Nitric oxide production being integral to the whole relaxation of the smooth muscle and the endothelium to allow for blood flow whether we’re talking about the fingertips or the penis. Can you talk a little bit about nitric oxide? Maybe briefly mention how an assessment can be made, the ADMA being one of the means of assessing that as far as the blood test and anything else that might be accessible to a general physician or clinician that might be seeing these patients. Chong: Well, I mean, endothelial function is, to me, the ideal way to get an assessment of that because I'm a big proponent of the idea that we want to check end of point factors as often as we can. Classic example of this is looking at the different impacts of certain dietary changes on cholesterol markers and making conclusions about whether or not that is good for the vascular system or not, certain changes like HDL going up, for example, after the implementation of a certain diet did not guarantee by any stretch of the imagination that you're having a positive effect on the vascular system so I like to use endpoint markers or end, sort of, functional markers as much as possible so far and away still, the best way to me to assess nitric oxide levels is via those endothelial function tests that we mentioned already. Other ways to sort of try to get an assessment of it, the only other way that I’m really aware of is if you've seen … You've been to enough conferences, I know. You’ve probably seen this company that has this little saliva test that you can use to check basically nitrate levels in the saliva. That’s going to be … Nitrate is a crucial factor, nitric oxide production as well, so some people are using these little saliva tests to check what a person’s typical nitrate intake is and then recommending dietary or supplement interventions based on that. Those are really the only ways that I’m aware of to sort of really truly get an assessment on that other than, obviously, history and talking to a person, seeing how well things are working, so to speak. Kaczor: Can I ask you a question? I don’t mean to put you on the spot and I do not know the company that’s offering nitrate levels in saliva but is this something that’s been validated or is it with any rigor or is this one of those early adoption things that happen? Chong: Right. You're asking me if something has been validated with scientific tests or research? Can you restate? Kaczor: Or at least … Yeah. Chong: You do that with everything which is great. That’s why I like you so much but I don't know for sure. This is … In all honesty, I haven’t really looked too deeply into that method of assessment with people, so I wouldn’t be able to say with any certainty at all. I know that they’re quite widely used and it’s not a very complicated, technically complicated test so I think it’s pretty straightforward. I do recall seeing literature being made available by these companies but I have not looked that in-depth at that at this point. Kaczor: Well, I appreciate your honesty. When you're on the cutting edge, early adoption of new technologies is part of our … We get to do that. We get to be right there doing, instituting things but it’s important, I think, for us all to go at a pace that has some, at least reproducibility, if not rigor. Chong: Absolutely. The other thing that I would say to add to that is like using different angles of assessment is also crucial, not just relying on one piece of information whether it be cholesterol. That’s why the classic conventional mistake is like, “Okay, we’re going to check and see if you have a high risk for cardiovascular disease. Let’s check your lipid panel. There’s so much more beyond that that can be done to assess and evaluate people and get a much clearer picture. That’s a classic idea, just sort of not settling on one thing, not just using the newest thing, whatever it is. Use as many tools as you can within reason to get the clearest picture. Kaczor: Yeah. I want to continue on the molecular biology of this and specifically, we have just a few minutes left, really talk about- Chong: Time flies when you're talking about erectile dysfunction. Kaczor: What’s that? Chong: I said time flies when you're talking about erectile dysfunction. Kaczor: Well, oxidative stress, being something that you mentioned and it’s just something that we’re … That inflammation is kind of always at the forefront of anyone who’s doing integrative medicine or optimal wellness or however you want to term it. I guess my thought is this. In a concise way, can you tell me if you use any actual blood markers that are widely available and what are some of your favorite ways of, kind of across the board, addressing oxidative stress issues, which even beyond erectile dysfunction, it becomes part and parcel with that but it’s also just part of life and part of being alive, is creating oxidation? Chong: Right. In the realm of assessment, especially if we were going to so far as to separate out inflammation in oxidative stress because obviously, they aren’t exactly the same thing, when we’re talking inflammation, the primary markers that I’m measuring with people certainly are high sensitivity CRP as our sort of general global marker of inflammation or lack thereof. When we’re talking about the vascular system, I’m also typically going to be checking something called Lp-PLA2 or what’s also known as the PLAC test. That is more specifically an inflammation marker for the vascular system so it’s going to actually reveal immunoactivity and inflammation going on in the wall of the artery whereas a high CRP is not going to be able to definitively determine that or not. MPO or myeloperoxidase is a later stage, nonspecific but frequently correlated marker for late stage vascular inflammation for a vulnerable vascular system. In the realm of oxidative stress, the 2 primary markers that I might look at is actually … number 1 is actually oxidized LDL so it’s pretty hard to have moderately elevated LDL levels and a high amount of oxidative stress and not see a relatively increased level of oxidized LDL in the bloodstream. That is sort of a good, what you'd call extracellular oxidative stress marker, but we can also get intracellular oxidative stress for different reasons. For that, you can also check something called 8-oxoguanine which is an actual, actually a urinary test. Not too many labs run that. I’m not sure if we’re supposed to name names here but that is an … If you just Google 8-oxoguanine test or something like that, you can probably find the labs that run that but that’s going to give you more of an assessment of intracellular oxidative stress. Then, beyond that, you can, in all honesty, get a pretty good idea whether or not somebody is going to be a candidate for high oxidative stress just by talking to them and looking at them and that type of thing as well. Kaczor: Yeah. A lot of those other markers for cardiovascular disease like obesity, even the aging process, certainly smoking, all- Chong: Right. Absolutely. Kaczor: Obviously, we would take into account for oxidation. Can you let me know or let the listeners know your top three? Someone looks at you and they’re like, “Listen. I do everything right. I exercise. I eat well. My BMI is normal. I don’t drink. I don’t smoke. What are the three supplements you …” You only get to see them once. They’re going to leave your office. Chong: These people are eating well, you said, in my opinion? Kaczor: Okay. That brings up the point. What would that look like in your opinion? Chong: No, no. I’m sorry. I’m just- Kaczor: We only have 2 minutes left but what would be an ideal guy in your opinion and then- Chong: No, no, no, no, no. I’m sorry. I was just clarifying the question. If these people are already eating well like they’re eating lots of fruits and vegetables, et cetera and I’m just talking about supplements, the 3 main ones I’m going to recommend are going to be vitamin C, magnesium, and then probably some type of concentrated plant-based antioxidant. As a naturopath, herbal medicine trained, I have an affinity to hawthorn but also, I frequently recommend hibiscus tea to people. Kaczor: Nice. Hibiscus being, you're also from Hawaii so that’s- Chong: Good point. You could certainly go beyond that and complement it with things like arginine, citrulline, and then there are a number of nitric oxide precursor type of products that are high in dietary nitrates. Kaczor: Well, Dan, I really appreciate this. I feel like we could have a whole part 2 where we go into the therapeutics and more details into all of this but I think the listeners have gotten good overview today and I really do appreciate the time you've taken and your expertise, and best of luck with your Healthy Heart Project. Chong: Thank you, Tina. It was good to talk to you and happy to help as I can. Kaczor: All right. Take care. Chong: All right.

Lean Green DAD™ Radio
#118: Dr. Joel Kahn: Heart Attack Prevention Specialist

Lean Green DAD™ Radio

Play Episode Listen Later Aug 23, 2017 39:44


Today, we have one of those doctors that are fighting the good fight, my friends. Dr. Joel Kahn is no stranger to the plant-based world. As a vegan himself for close to forty years, Dr. Kahn is not only talking the talk, but also walking the walk….literally….he wrote an entire book walking on a treadmill. It was wonderful to talk to him because you can hear not only how passionate he is about this movement, but also how he diligently keeps up with the latest scientific and medical research showing that eating a whole food, plant-based diet is the way to go. You might recognize him from his appearance in "What The Health," which is a mega popular documentary on Netflix right now if you didn’t already know. He is the author of "The Whole Heart Solution" and many other books and refers to himself as a heart attack prevention specialist...ladies and gentlemen, my conversation with Dr. Joel Kahn.   PODCAST SPONSORS: Leesa Sleep This episode of Lean Green DAD Radio is brought to you by Leesa Sleep, helping the world sleep better one beautifully designed and crafted mattress at a time. Visit them online for you hassle-free mattress buying experience at leesa.com/leangreendad and use the code LEANGREENDAD at checkout for $100 off your order! Organifi This episode of Lean Green DAD is brought to you by Organifi, the makers of “Green Juice.” This gently dried superfood greens powder is the first I have ever tasted that didn’t make me feel like I was drinking swamp water. You know what I mean? It has a hint of mint and really tastes pretty neutral, which is awesome for what’s in it. For this and tons of other great organic vegan products, visit them online at organifi.com and use the code LEANGREENDAD at checkout for 20% off your order, which is actually cheaper than Amazon can get ya! Clean Green Protein Lean Green DAD® is proud to partner with Clean Machine® to sell Clean Green Protein™, the first product with the new plant Super Green – LENTEIN™. LENTEIN™ is an award-winning Non-GMO whole plant protein from the Lemna family that is one of the World’s Most Complete Foods – A Super Protein, Super Green and Super Omega, All in One Plant! Simply one of the most important advances in plant-based nutrition – EVER! Use code LEANGREEN20 for 20% off your order at checkout. 

The Evan Brand Show
Dr. Tom Cowan, MD: Herbal Heart Attack Prevention

The Evan Brand Show

Play Episode Listen Later Oct 24, 2016


http://adrenalresetsummit

Mind Over Symptom
4 Mind Over Heart Disease Part 1

Mind Over Symptom

Play Episode Listen Later Jul 21, 2016 20:47


Despite amazing medical technology to help repair your body after a heart attack ...the medical profession is still pretty much stumbling around on the subject of how to prevent or overcome it. In fact, even recognizing that ischaemic heart disease is happening at all is out of the question for over half of those who have the disease ...because when it's a serious case, the first symptom is dropping dead. A coronary attack comes when you least expect it, usually when you're feeling fine. The reason this kind of heart disease is so difficult to spot with conventional means is that most health models see the heart as a mechanical pump. In this context, coronary artery disease is a result of cholesterol accumulating in the coronary arteries, gumming them up, then blocking one or more artery, causing deprivation of oxygen and nutrients to that area of the heart muscle supplied by that artery. So then it seems like this kind of heart "attack" is a result of death or damage to that area of heart tissue, and this stops the heart, which stops blood flow to the brain ...causing death. There are serious flaws in this theory of how the heart works and why ischaemic heart disease happens. For example, why does the patient "drop dead" of a heart attack? Why doesn't the coronary artery slowly close off, slowly causing decreased efficiency of the heart muscle (as well as less blood flow to the body), and also slowly cut off blood supply to the brain ...all of which would give clear, measurable warning signs and allow the patient to get help? And why are there people who've had a coronary heart attack but show no damage to the heart muscle? When we understand the 5 Natural Laws of Healing, ischaemic heart disease makes perfect sense. As we observe the condition scientifically, we discover that cholesterol and artheriosclerosis are components of a natural process which occurs in the healing phase after resolving a very specific type of biological conflict or traumatic stress. And that particular conflict has a clear cause, clear symptoms, and a clear resolution. So what's in the way of figuring this out and using it to prevent (and even cure) coronary artery disease? The only thing in the way is society telling us it's not "nice" to resolve this type of problem. It's "selfish" to heal our problem. But the body is 100% selfish. Listen to "Mind Over Heart Disease (Part 1)" to discover the one major sign that tells you not only why and whether you're going to have a coronary heart attack ...but when it is going to occur. The 5 (Unbreakable) Natural Laws of Healing: http://mindoversymptom.libsyn.com/2-the-5-unbreakable-natural-laws-of-healing Statistics from SHAPE (Society for Heart Attack Prevention and Eradication): http://shapesociety.org/what-you-should-know/ Get your (free) Mind Over Symptom Training or book a session: http://mindtreehealth.net/services/ Rate/Review this podcast in iTunes: https://itunes.apple.com/ca/podcast/mind-over-symptom/id1135291574?mt=2

Healthy Talk
Ask Dr. Mike: Repeat Heart Attack Prevention

Healthy Talk

Play Episode Listen Later Feb 24, 2016


Listen in as Dr. Mike provides the answers to a wealth of health and wellness questions.Here you'll find the answers to a wealth of health and wellness questions posed by Healthy Talk fans.Listen in because what you know helps ensure healthy choices you can live with. Today on Healthy Talk, you wanted to know:Can you suggest a heart protocol for someone who has had a heart attack?Many patients go on an ACE inhibitor or something to control blood pressure. We devise regimens that are appropriate based on individuals. Don’t stop taking medicine without talking to your doctor, but there are things you can do with nutrients.You can take 200 mg a day of CoQ10. You want to know what your blood level is, so do a blood test to see if you’re between levels 4 and 6 because that’s a heart healthy range of CoQ10.Omega-3 supplements will help as well. You should do 2-4 grams a day. They are blood thinning, so make sure your doctor knows that. You may have to cut down the dose of Omega-3 and watch for easy bruising.Vitamin D3 should be about 5000 IU a day. That helps with cells.You are at risk of a second coronary event if you’ve had a heart attack. Stabilize all of your arterial plaques by building a cap of collagen and calcium. That keeps all the fat and cholesterol from rupturing into the blood stream and forming a clot. Vitamin K2 will help stabilize the plaque. Gutocola is an herb that puts collagen into the cap of the plaque. You can try EDTA for oral chelation. Garlic oil can help.Increase the activity of the PON1 gene to prevent the fat from oxidizing and getting sticky. You can be helped by 250 mg of pomegranate a day, as well as by supplementing with curcumin.The endothelial cell lines the artery. You can boost the endothelial cells with resperital, SOD, and garlic extract.If you have a health question or concern, Dr. Mike encourages you to write him at askdrmikesmith@radiomd.com or call in, toll-free, to the LIVE radio show (1.844.305.7800) so he can provide you with support and helpful advice.

Tough Talk Radio Network
Networking on MainStreet-Building the Next Generation Leader

Tough Talk Radio Network

Play Episode Listen Later Apr 22, 2013 60:00


Networking on MainStreet with Dirk Cummins with Guest Kirby Lammers KIRBY LAMMERS is a dynamic, passionate and caring professional, who seeks to make a positive difference in today's business climate. His credentials include over 1,000 appearances on many local and national television shows along with interviews on countless radio shows, plus hosting his own radio and television show. Kirby has more than 25 years of experience in management, coaching, training, sales, wellness, and professional speaking. His audiences call him an “Inspirtainer” and he shows up for life each day being the best he can possibly be. Kirby is an “Overcomer” and maintains a positive spirit after surviving death, 40 major disasters in one year and many other life challenges. He speaks from his heart and experiences to make a positive difference in today's world. Kirby is the President of Mind, Body and Business, “Building the Next Generation Leader and Employee” and focused on leading “The Feel Good Environment”, increasing the quality of employee performance, efficiencies, productivity, memory retention, brain function, prevention of disease, enhanced energy and providing a shift in culture behavior. Kirby, Chairs the Leadership Initiative Board for the University of Houston, Bauer College of Business, serves on the Board of Directors for SHAPE (Society for Heart Attack Prevention and Eradication), Camp Supervisor and Board Vice President for “Champions Kids Camp”, and an accomplished Music Performer and Entertainer. He has demonstrated the ability to partner with key business and city leaders to gain a focused initiative for improving the quality of business and family.

Clinician's Roundtable
Innovative Atherosclerosis Treatments

Clinician's Roundtable

Play Episode Listen Later Mar 19, 2008


Guest: Morteza Naghavi, MD Host: Larry Kaskel, MD Guest: Prediman Shah, MD The Society for Heart Attack Prevention and Eradication, SHAPE is focused on several primary interventions to eliminate heart attacks. Join Dr. Larry Kaskel interviewing Dr. Morteza Naghavi and Dr. P.K. Shah to learn about several of SHAPES' top priorities including the polypill and the vaccination for atherosclerosis. What is a polypill and does it make sense? Also, where are we in the current prospect of a vaccine for atherosclerosis?

Clinician's Roundtable
Society for Heart Attack Prevention & Eradication

Clinician's Roundtable

Play Episode Listen Later Mar 19, 2008


Guest: Morteza Naghavi, MD Host: Larry Kaskel, MD Guest: Prediman Shah, MD In this segment, our guests Dr. Morteza Naghavi and Dr. P.K. Shah provide an Introduction to the SHAPE Initiative including SHAPE's medical education goals and campaign. In addition, they discuss screening for vulnerable plaque and reconciling FRS Scoring with established and emerging technologies for increased effectiveness at heart attack prevention.

Clinician's Roundtable
Heart Attack Prevention and Vaso Vasorum

Clinician's Roundtable

Play Episode Listen Later Jan 9, 2008


Guest: Pedro Moreno, MD Host: Larry Kaskel, MD In this segment, host, Dr. Larry Kaskel speaks with Dr. Pedro Mereno about the lesser known causes of athlersclerosis. For heart attack prevention learn why physicians need to start focusing on the vaso vasorum rather than the endothelium.