Heart Disease: Labs & Diagnostic Tests | Peter Attia, M.D.

[@mariehughey5390]

I had a perfect low risk for heart issues based on all the standard tests and labs. But I had chest pain. I read your book and went back to my cardiologist. After wearing a Holter monitor for a week he scheduled me for an angiogram. I had 70% blockage in my coronary artery!

[@davebitton6624]

What is your prognosis?

[@mariehughey5390]

At the angiogram they put in a stent. Since April I have been in heart rehab (cardio) 2x a week. Joined a gym. Have lost 10 pounds, am off sugar and processed food. Chest pain is gone. So far no other problems. I see my cardiologist in 2 weeks.

[@davebitton6624]

@@mariehughey5390 amen to all that! My blood work is always good, I do not have chest pains to speak of, but at 46 now if like to see if I have plaque, I do have high cholesterol regardless of what I do.. cholesterol & heart issues seem to be hereditary in my father's family, I'd just like to stay ahead of that if I can 🤷 I'm glad you are feeling better! My cousin recently survived a Widowmaker heart attack.. he didn't know he was having one 👀 likely had two they say, he just thought he was sick or something.. that scares me some! 😬

[@Divisor]

@@mariehughey5390 hows it going now?

[@neliai.7914]

Thank u , ​@mariehughey5390

[@knight44f]

When i become president i will hire Peter as director of every thing medicine

[@tapaschakraborty3691]

This doctor is so good. Love from India. I wish we could meet him in India

[@PNWblessedandbeyond]

Seriously impressed by your knowledge of CT imaging! Way to go doctor! I love your podcast!

[@rodolfo...]

Would it be possible to do a detailed video about the non pharmacological treatment options for high blood pressure?

[@3hotspuds]

Check your potassium level..might need to supplement

[@dessiecoder2116]

Also magnesium, d3 with k2 wild caught salmon (new chapter). Just started all of them today.

[@hal9000svk]

How about other diagnostic methods like CIMT or USG done on neck?

[@erync1596]

What about bad densits, who perform poor root canals or do implants? How much of heart disease is related to that

[@Th3MagicBullet]

Does an MR Angiography w/ contrast show calcification and atherosclerosis ?

[@sw6118]

I’d like to hear what “preventative measures” referred to.

[@cyclehavenbanks9851]

Other podcasts mentioned statins talks about risk etc (v low, most blown out of proportion)

[@TheDailyPracticeBlog]

How can we be certain competent technicians are administering the CT scans? You stressed that point. Is there a directory of 5 star imaging techs?

[@pb7762]

bravo

[@Carlosconga]

What about myeloperoxidase, Lp-PLA2, and urine Microalbumin to Creatinine ratio? Dr. Ford Brewer talks about smoke alarms and fire alarms of heart disease. I would love to hear you two talk about this together.

[@Formelyknownasnone]

Is there a practice in Charlotte NC or Atlanta GA area that you recommend or that performs similar testing?

[@jimking6484]

Can a CIMT instead of CT Angiogram be effective?

[@RBZ3]

Great info. Where can a person find a Dr that understands this and will give you these tests Vancouver Canada?

[@Rhythmandosyche]

All of these tests and imaging are available in BC. I got them all in Victoria. You have to push hard and possibly pay out of pocket for many.

[@RBZ3]

@@Rhythmandosyche Thanks a lot...much appreciated!

[@mrskittyhasattitude]

It is so pathetic that we have to push hard for our own medical info and health in Canada. I’m also in BC and I have had to order all my own labs test through other means because Canadian medical just tells you “ nope you don’t qualify for test unless you dying and even then you have no say in which test” it’s so frustrating that the doctors work for the insurance company rather than the patient

[@tubetime39]

​@mrskittyhasattitude my doc said ins would pay for a continuous Glu Monitor, I sad I would pay for it and he still said he wouldn't put in a prescription ! I wasn't pre-diabetic. A later appointment with another doc she said I wasn't pre T2. I asked about #'s for pre T2, She said " oh I guess you are Pre T2" But primary and ins had to approve. They want you sick to warrant drugs for live.

[@tubetime39]

Screw them I will quit everything. I'm not that addicted to restaurant food with hidden ingredients.

[@monicasharma8160]

So if I have always had low blood pressure 90/65 all my life but now at 58 yrs my blood pressure is 120/80… do I have high blood pressure??

[@rp7r54]

PROBABLY NO

[@monicasharma8160]

@@rp7r54 would love to know more.

[@tubetime39]

Probably yes I would say. That's quite a jump. My opinion.

[@abdulmajid8888]

Cover the solutions non pharma please

[@massylii]

Great Channel ♥️

[@stevephla]

Thank you for mentioning ferritin, usually ignored. Fasting insulin strikes me as extremely useful too, as LDL-c seems to only become problematic in the face of insulin resistance.

[@StanDupp6371]

A good test is a non invasive no radiation CIMT which shows both soft and hard plaque.

[@AZdroptop]

Doc, do you use CPET in your practice? Thank you for the amazing content.

[@jayzee316]

my LP(a) is 12.2 mg/dL, my Apo(B) is 54.89 mg/dL, yet my LDL is 122.97 which is very high, should I be worried?

[@gregoryelliott2238]

What do the studies show when your fasting Insulin is low and HDL is high....when your Triglycerides/HDL ratio is 1..... Does APO B still measure risk of CAD?.....or is just a marker when one has insulin resistant vs insulin sensitive

[@BR-zt6vy]

Do you have any videos with you discussing Fibromyalgia? Would love to learn what you know about Fibromyalgia. I been suffering entire body pain from Fibromyalgia. Recently started the carnivore diet two months ago, this diet seems to be reducing my pain but I want to make sure this diet is not going cause any other issues.

[@estar1277]

lots of Omega 3 wud be very gud for you. U can try it thro fish oil, hemp n flax. Also turmeric with gud curcumin content will be gud to bring the inflammation down.

[@tubetime39]

​@@estar1277I recently heard fructose is something to watch. Know someone with fibro & she use to drink 2+ diet cokes per day. I see a relation, myself. My 2 cents.

[@cyclehavenbanks9851]

Talking to a professor of surgery the cat scan radiation dose is not insignificant.

[@startingtoday4663]

What if... Dr attia were the director of the NIH. he would be able to change how medicine is practiced and thereby improve overall health and dramatically reduce health care costs

[@dockeriaz]

Doubtful

[@startingtoday4663]

@@dockeriaz thank you for your reply but which part of my comment if doubtful, that Dr Attia could the director of NIH or that if he were he would make dramatic improvements?

[@mwbeck]

​@@startingtoday4663 there are doctors id love to see involved in government health. Attia being one. However, the masses don't change their behavior or diets. Unless you fix processed foods, healthcare costs will continue to balloon, even with Attia in charge of NIH.

[@tubetime39]

​@@startingtoday4663docteriaz, knows they are to corrupt and powerful to let someone come in.

[@olheghtt]

3:40 almost nobody will have a calcium score of zero..... Who is this guy. Doctor KZbin, Dr Bill generator.

[@googlespies]

LDL-C goes up when fasting.

[@megagoodtimes78]

Mmm my blood lipid panel was ldl-174 Hdl-44 Tri-61 Total-228 I have been fasting 14/10 a day sometimes 16-18 Is there evidence to prove the spike in LDL when fasting?