2 Things a Cardiac Examination Needs to be Complete

Published 2021-06-30
In this video I will explain today many patients are getting an incomplete cardiac examination. A coronary calcium score, also known as a heart scan, is vitally important together with a metabolic syndrome workup in the evaluation of cardiovascular disease. The traditional workup of a stress test, echocardiogram, and routine lipid blood tests is inadequate cardiac examination on its own. Knowing whether you have coronary calcium and risk factors allows potent lifestyle changes and dietary interventions to be made.

0:00 Intro
0:50 Most heart attacks are silent
1:33 Ischemia is silent
2:00 What happens when you have a blockage
3:20 What a Stress test tells you
4:35 Blockages less than 70% are still dangerous
6:40 A coronary calcium score shows plaque build up
8:55 A metabolic work up is needed to stabilize plaque
10:50 What we did in the past is incomplete
12:03 Outro

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About Dr. Pradip Jamnadas, MD, MBBS, FACC, FSCAI, FCCP, FACP

The founder and Chief Medical Officer of Cardiovascular Interventions, P.A. in Orlando Florida where, since 1990, he has been repeatedly recognized in local publications as a Top Doctor performing thousands of interventional procedures in hospital and out patient settings. As a consultant cardiologist with a large diversified inpatient and outpatient practice he is noted for his passions for teaching and illuminating prevention for cardiovascular disease . He is also a clinical assistant professor of medicine at The Florida State University and University of Central Florida.

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Myocardial infarction animation - Coronary arteries Anatomy ! Blood supply of Heart ! Arterial supply of heart ! Animation -1080 X 19 by MetaLife
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Disclaimer: The information provided is for general knowledge and is not a substitute for individual medical advice. All viewers should consult their physician before starting any medical program or treatment. Any action you take upon the information that you find within this content is strictly at your own risk. Neither Dr. Pradip Jamnadas nor Cardiovascular Interventions will be liable for any damages or losses in connection with the content on this YouTube Channel.

All Comments (21)
  • @Rocadamis
    I had an MI in Dec of 2019, my cardiologist didn't do a calcium score or a metabolic workup and didn't even care that I was prediabetic. I studied on my own and decided to start Keto, lost 27 lbs, got my A1c down to 4.7, started supplements to reduce coronary calcium (D3, K2, and others) and exercise daily (walking for 40 mins). I recently asked for a Insulin Resistance test and it showed that I was at 12 (33 is prediabetic). I now requested a CAC test (my cardiologist wasn't even sure what it was) and will go in tomorrow for it. I wish Dr Jamnadas was here in Phoenix. Thank you for all you do and share with us.
  • I've listened to several of his vidoes and what is so impressive is that his adamance comes from caring and concern for people's health and well- being. What an admirable quality!
  • My Dad died suddenly as you described, here today gone tomorrow. You have just enspired me to take a deep look at my lifestyle. Thank you.
  • I am a Nurse Practitioner. Love the lessons by Dr. Jamnadas. However, Insurance will not approve these tests unless ordered by a cardiologist. Pretty crazy if you ask me. They are so important. So much of what we do is dictated by insurance.
  • @plsjones
    This explains why my Mother and my FIL both had heart attacks even after recently visiting their cardiologist.
  • @KellyO-qf1wf
    You are doing a great job. I have always believed that when the root cause of high blood pressure is identified, it is gone. You have proved it over and over again through your videos.
  • @hatemyjunkmail
    I just saw your fasting for survival lecture! I wanted to reach out because I did fast for 4 days (Sunday-Thursday) every other week prior to my chemo (6 rounds of Adriamycin & 6 of Taxol) for breast cancer. Ate a small meal after transfusions and was in bed for about 2 days after. I was able to be fine for work on Monday following… That was in 2017 and I’m living proof that it works!
  • @jplfly
    I learned more in this video than I have learned from my cardiologist and surgeon(CABG) in the months leading up to my surgery and the year since my surgery. They told me after the surgery (95% blockage on the widow maker) that I still had a 75% blockage on my right artery. The surgeon told me not to delay having a stent put in, but my cardiologist said he won't put one in until there is 80% blockage and he would check me again 12 months after my CABG! I have had mild chest pain on and off since the surgery and have been to ER a couple of times. If they did the calcium and metabolic tests I am not aware of it. I think I am going to look for another cardio doc.
  • @NotTelling51
    Excellent video. I'm 61 yrs. Old. A runner. I've run almost 10k miles. I've never had health issues in my life. After some DNA finding I decided to get a calcium scan. My score lead me to a cardiac ct which found I have heart decease with 35% blockage in the LAD. I would have never known. My calcium scan cost 100 dollars and 10 min of my time. Everyone should have the scan done.
  • Thanks for the information, my Dad recently had an angina event, we were scheduled for 90 day blood work the next week. The dr set up a CAC test for my dad and myself…… Dad score was off the chart at 8749 and mine at 0…. This should be a stark wake up call to anyone who doesn’t manage diabetes as my dad did not….. Once I inherited that wonderful gene from him I have been aggressively attacking the condition. This was my 2nd CaC test with zero on both now 4 years apart. I share this with everyone I know……
  • @myharley5616
    This DR. has an amazing way of describing, informing and illustrating things that a common joe like me can understand. You're the best.
  • Great info and Dr. J is so right. My older surfer brother, not a ounce of fat on him, was getting chest pains while surfing what would be his very last time. A week later, he went to get stress test and had double carotid artery stroke during the test that almost killed him. They did not give him ANY clot busting meds in fear of the clots going to brain and killing him. 3 months later had scan of the carotid arteries at a vascular surgeon office, and by some divine intervention, they saw NO blockage in the carotids. 6 months later when he was better recovered from the double stroke, he went in again for the heart scan and the next day he had quadruple bypass, having 2 arteries 90% blocked, the others 75% blocked. I am still amazed at how he had all this happen and how he recovered. Sad thing is that he avoided doctors and did not take any BP meds as he knew we had very high BP genetically. Me and my other bro had been taking small BP meds last 10 years. Anyway, somethings defy logic but watching Dr Jamnadas is amazing and his instant recall of what he knows is also very wonderful, truly a very, very smart man, I am lucky that he is near me and I probably will go see him soon to get a thorough check out. He is the only doc I have seen to list his prices on his website for procedures and also lab work. I have lab blood work to get done and was not able to get actual cost to me from the lab, even with my insurance!!! What a scam they run! I think it said on his website that they got so tired of dealing with all the different insurance payment amounts, they mainly do only cash pay labs and for a full CBC, the cost listed was 33 bucks!!!!! Thank You, thank You Dr. Jamnadas!!!!!!!!!! Happy New Year!!!
  • I have a blood clot I recently found out by CT scan. I'm just shocked how YouTube recommended this video to me. I never even typed a word in a YouTube search engine. I just came back from the hospital. Having said that. Now I know what to look forward to. Thank you for the info
  • @Pippa1272
    Thank you! I’m 50 (with family history of heart disease) and had a stress test and 24 hour bp monitor last year but I still getting pains in my chest but was given the ok by the Dr that everything was fine. 12 months later I’m still feeling not right, so asked is there was a test that shows the condition of my arteries. I’m thankful to say it’s a CT calcium test which I’ll have shortly before our next appointment in 2 months. In the mean time I’ve started taking K2 with my D3… I yet to start taking magnesium. But I’m cutting out sugar and added in lots of veggies and salads. With new understanding I’m trying to improve my health. Thank you for your content… I’ve just found you and am already working my way through it.
  • @user-qj2xl3vs6x
    A friend recommended your channel so I looked you up. I immediately noticed your cap. Being a Trekkie myself, I, of course, was obligated to watch the entire video. I’m sooo glad that I did. I have had numerous echocardiograms and nuclear stress tests but my cardiologist has never recommended a CAC or a Metabolic test of any kind. I wish I lived in Florida so I could see you instead. I am now looking for a new cardiologist!
  • @terg1161
    We need a 100 more physicians of your expertise and passion! Thank you
  • All my mother had was sharp pain in her left arm pit that kept getting progressively worse which was ignored and passed off at a local ER, it wasn’t until my father, threatened everyone with a lawsuit that three hours later they took her seriously, it turned out she had 5 blockages that were 90 & 95% blocked. They immediately prepped her for surgery. After surgery due to her having gone 3 hours without treatment they gave her 5 years at the most & she passed 5 years to the day November 12th, 1986. She was also type 1 diabetic since she was 16. There’s not a day goes by that she is not missed. She was 50 years old when she passed. 😢
  • @monaantony9096
    If my mother had you as a Doctor she would have still been with us I’m learning each day from your videos to get my health back on track sadly where I live medicine is a business