Stress Tests, Cardiac Cath & Stents: The “Unnecessary” Triad LIVE!

Learn how to predict & prevent heart attack & stroke:

Learn how to reduce & reverse arterial plaque:
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ABOUT THIS VIDEO: If you then have a positive stress test, you’ll likely be led to the catheter lab for a coronary angiogram. If plaque is detected, you’ll then be recommended to have a coronary stent. This progression—from stress test to cardiac catheterization to stent—is tragically a common (yet often unnecessary) triad of cardiology procedures.

Chapters:
0:00 Announcements: New labs & introducing James West
19:06 Regular announcements
29:05 SAMSON (N-of-1 trial) - New insight into statin's side effects
35:27 Cardiac stress tests, cardiac cath & coronary stents - common but unnecessary procedures
37:20 What is cardiac catheterization? Coronary angiography? Stents?
38:54 COURAGE, ORBITA, & ISCHEMIA trials
41:53 Risks & downsides
44:10 Are stress tests, cardiac cath, & stents unnecessary & overused?
48:31 Q&A section

Read more about stress tests, cardiac cath, coronary angiography, and stents here:
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ABOUT DR. BREWER:
Dr. Brewer started as an Emergency Doctor. After seeing too many preventable heart attacks, he went to Johns Hopkins to learn Preventive Medicine. While there, he went on the run the post-graduate training program (residency) in Preventive Medicine. From there, he made a career of practicing and managing preventive medicine and primary care clinics. His later role in this area was Chief Medical Officer for Premise, which has close to 1,000 primary care/prevention clinics. He was also the Chief Medical Officer for MDLIVE, the second largest telemedicine company. More recently, he founded PrevMed, a heart attack & stroke prevention clinic.

At PrevMed, we focus on heart attack, stroke, and cognitive decline. We serve patients who have already experienced an event as well as those who have not developed a diagnosis or event. Dr. Brewer provides services via telemedicine or in-person if you're in the Lexington, KY area. We find a lot of undiagnosed prediabetes or insulin resistance. Treating unrecognized risk factors like prediabetes allows the reduction of risk and prevention of disease.

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[Red]

A basic question. Suppose that stress test did show 70% artery plaque, would it not be smart to get that stent? I assume stations were being used.

[eleccalengr]

When my HBA1C was 10.2 and ask my Cardiologist to check my heart health, He recommended Nuclear Stress Test and 2d echo test. Having passing mark. After watching Ivor I requested for a coronary calcium score but my existing cardiologist said it is no longer necessary. It took me 3 cardiologist to recommend a coronary calcium score. Result I have score of 20. When I watched your video on CIMT no hospital is offering CIMT. They have Coronary Duplex Scan that measure flow rate.
Also from your video I requested MPO, HS CRP, MACR, PLAC2, LP(a), Vitamin D

[ameralgayar]

Thank you very much for the helpful information

[jamesdriscoll]

I just got a calcium test ..2599 .I passed the treadmill test. I'm 68 .A1C good.. angioplasty? Mother died from disection at 74.

[gtm]

Can vitamin K2 cause any harm in a perfectly healthy artery? Thanks

[aniqakhan]

Hi Doc I emailed you on 30th Dec on recommended email address can you please have look.

[petercyr]

Unless you stop eating SAD and become a fat adapted fat burner you are at risk IMO. Even children. Been doing this mostly for 23 yrs after T2D diagnosis. This has saved my future.