Colchicine to Prevent Heart Attack?

[@bartrobinson2103]

So glad you're discussing the topic of inflammation and its relation to heart disease. I wish more cardiologists would start paying more attention to that and stop obsessing over lowering LDL. Looking forward to more on this subject thanks!

[@CardioGauge]

Thanks for requesting the review (I think you asked me in 2019), sorry it took so long for me to get to it!

[@bartrobinson2103]

@@CardioGauge yes you remembered and thank you so much!!

[@nixoaiva8959]

Hello Doctor can you help me the standard medication of left ventricle hyperteophy please

[@NazriB]

Lies again? Remove Poison

[@bartrobinson2103]

@NazriB Sadly this channel no longer exists.

[@doeidaho2101]

As usual your videos are interesting & understandable. Your dedication is commendable.

[@CardioGauge]

Thanks for watching Dolores!

[@MusicVibesCollection]

After my heart surgery, I had heart inflammation, first they give me steroids for 1week at the hospital, did not work and I suffer with , then my cardiologist give me the magic bill cholchcine and 2 days later I was fine

[@jp7357]

It’s been 2yrs since your last video … how about some updates please.

[@aa-xn5hc]

Where are the next videos in the series about inflammation?

[@bartrobinson2103]

Where are you doc please come back

[@CardioGauge]

Thanks for encouraging me Bart. I have had a rough ride the past couple years, family stuff. I have been focused on my educational projects for our Cardiology Trainees. I have all kinds of ideas but no time I really appreciate the support over the years

[@bartrobinson2103]

​@CardioGauge It was a nice surprise to see your reply and hope all things get better for you! I hope you'll consider putting out some videos sometime in the future but regardless I wish you the very best. And thank you so much for always responding to my questions and comments. Be well.

[@JG-od3xy]

Hope you are well! I'll keep an eye on this channel, I look forward to videos sometime in the future. Till then take care of yourself and get plenty of sleep!

[@bartrobinson2103]

@@JG-od3xy I don't think he's doing any more videos. It's been quite a long. Unfortunately.

[@jasurmusaev7234]

hi how are you? Where are you? you are disappeared, what happened? are you feeling ok?

[@bartrobinson2103]

Yes doctor we miss you!

[@mrbtrn]

When is the next video? Been 8 months!

[@bartrobinson2103]

Yes please come back.!

[@sandiknows6075]

Hi I watch all your videos and you are very knowledgeble! I was wondering if you could give me some ideas as to why my dads blood pressure is so high? Hes on avapro 300mg and adalat 90mg and his blood pressure still shoots up to 180/100 with a heart rate of 58. Any idea why ? Im trying to lower his salt consumption and carbs. Also his day blood pressure is 158/90 give or take. Thanks!

[@CardioGauge]

Hi Sandi. Most commonly the specific cause of high blood pressure is unknown in a given person. One factor is that as people get older, the blood pressure tends to rise, because the blood vessels get more stiff. The way doctors deal with this type of blood pressure is layer one medication on top of the next, until the average top number blood pressure is somewhere in the 130 to 140 range. Occasionally, people are very salt sensitive, and salt intake makes a big difference. However, there are a lot of patients out there who have high blood pressure regardless of their salt intake. The blood pressure varies widely over the day. So to hear your father has very high pressure like 180/100 at times is typical. People with normal blood pressure often have spikes where their blood pressure is above 180. High pressure in people with normal overall blood pressure is usually associated with emotional or physical stress. With blood pressure, the number that matters the most is the average resting blood pressure. I generally tell my patients to take the pressure in the morning, basically right after getting up. Person should sit in chair for a couple minutes, and then check pressure twice, waiting a minute or so between measurements. Then also, check the pressure in the evening, before dinner, after sitting for a few minutes, and doing it twice. So for one day, there are 4 measurements. I will ask someone to do that twice a week for a month, and then I average all of the numbers together to get the average pressure. Anyway, I tend not to treat spikes in pressure like you describe, but rather just the average pressure. I consider the two medications he is on as good medications, and in general good choices for someone in his shoes. So his average pressure is 158/90 which is moderately elevated. For my patients who have a similar situation, I would recommend: 1) attempt to attain a healthy weight. If person is quite overweight, losing 2 pounds leads to decrease of top pressure number by 1 point. So if somebody is 50 lb overweight, they can make a lot of headway with weight loss. 2) minimize alcohol, to one drink per day. Alcohol raises blood pressure a lot. 3) increase intake of fruits and vegetables. These have a lot of potassium, and often this can lower pressure a few points. 4) Minimze salt, like you already doing. 5) Routine exercise. Working out daily decreases average pressure. Should be something that is enjoyable, rather than something that is a absolute chore. Can be aerobic or anaerobic, and it should cause fatigue. 6) More medication. The average pressure of 158/90 implies he needs more meds. The next choice would be a diuretic that would incease urination. A standard choice would be chlorthalidone 25 mg or hydrochlorothiazide 25 mg per day. 7) If pressure is still high after all of above, he warrants testing for some specific causes of high blood pressure. For my patients, I check echocardiogram, aldosterone to renin ratio, serum catecholamines, TSH (for thyroid) and renal artery ultrasound. Typically all this testing comes back normal. 8) If my patients have uncontrolled pressure on 3 medications, the next medication I add is spironolactone, I have seen this med help people a lot. 9) Many patients require 4 medications to control the pressure. If his pressure is still high with 4 meds (my guess is he would be pretty good with 4 meds), I usually add terazosin, hydralazine, or labetalol. Unfortunately, some people need 7 or 8 meds to normalize the pressure. I doubt this would be the case for your father.

[@sandiknows6075]

@@CardioGauge Thank you so much for taking the time to reply! This helps alot Thank you!

[@nelacostabianco]

@@CardioGauge to your last point 'Many patients require 4 medications' why wouldn't they be considered prime candidates to undergo the non invasive procedure of 'renal denervation' which has proven to easily drop BP by 20 points?

[@aliciamilam5636]

Dandelion. Helps blood pressure

[@DARK_SIDE_SWEDEN_SIS_HVB]

Hi doctor i am 64 male my Microalbumin 51 What do you recommend to reduce it thank you very much God bless your soul

[@gajendraballyamada2696]

My dear doctor i have mild mvp and tachycardia before 2 year still tested it as it is in mild stage my doc said cm aftr 3 years its alright but metoprolol causes too much fatigue and cant speak some times its causing head rush i want to change my metoprolol meds plz help with this last few weeks became hell my doc said use half tablet of 12.5mg metoprolol is there any other way

[@aliciamilam5636]

Ale.sure your b 1 levels are great n vit c..high dose for a few weeks n see how u feel

[@gloriamaryhaywood2217]

Would you consider someone with on-going auto-immune disease to have a lot of inflammation going on? (BTW...I'm pretty sure you would!) What would you recommend to steer counter-acting that? (Of course, Cut Out Sugar!😉....BUT what ELSE can I start doing myself, please?)

[@CardioGauge]

Hi Gloria. Yes, autoimmune disease means inflammation is present. An example of an "anti-inflammatory" diet is the Mediterranean Diet, with lots of fruits / vegetables / nuts / leafy greens / unprocessed carbs / fish / berries. Foods that are thought of as causing inflammation are red meat, processed meats, anything sugary (as you mentioned), processed carbs, and fried foods This could help some, but the main thing would be to control your autoimmune disease, which is typically done with medication, which I imagine you are on, for example methotrexate or hydroxychloroquine, or other (As you probably know, there are many) The classic supplements for decreasing inflammation are curcumin, fish oil, ginger, spirulina, resveratrol. I have recommended curcumin for some of my patients with autoimmune disease, with varying success. It seems to help some people. Best wishes!

[@filipvanwalleghem]

Studies confirm taking omega3 >2gr/d does contribute to heart arrhythmias.

[@otispage5746]

It’s also expensive .

[@carmella88]

I'm on it for pericarditis

[@danyalahmed8144]

Hey how did you do?

[@carmella88]

@@danyalahmed8144 I'm great now. I still colchicine on deck just in case I get another flareup

[@Sola-Scriptura777]

What is the best drug for lowering blood pressure,?