Reducing Coronary Artery Disease - Michael Bagheri, MD
Reducing Coronary Artery Disease - Michael Bagheri, MD
Can reduce your risk of coronary artery disease through lifestyle changes and in some cases with medication. We spoke to Dr. Michael Bagheri at Desert Regional Medical Center in Palm Springs who discusses preventative cardiology and what people can do to prevent coronary artery disease.
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0.58 -> Can reduce your risk of coronary artery disease
through lifestyle changes and in some cases
6.029 -> with medication.
7.67 -> We spoke to Dr. Michael Bagheri at Desert
Regional Medical Center in Palm Springs who
12.809 -> discusses preventative cardiology and what
people can do to prevent coronary artery disease.
18.82 -> [Michael Bagheri, MD] As an adult cardiologist,
I see patients come into the office or to
23.84 -> the hospital let's say in their let's say
40's, 50's 60's and above with heart condition,
29.58 -> but when you trace this back the problem has
started probably in their youth.
35.61 -> There are studies that shown that cholesterol
deposits in the arteries that result in eventual
42.9 -> development of a blockage resulting in a heart
attack or a stroke.
47.87 -> It dates back to pediatric age So we know
that these cholesterol deposit happen very
57.09 -> early in life and is a risk factor.
60.26 -> And as a child grows with common obesity that
we have, diabetes sedentary lifestyle, an
68.84 -> unhealthy diet this is just like a fuel for
that cholesterol deposit process and eventually
75.9 -> later in life it will show up either in terms
of a heart attack, a stroke or arterial disease
81.86 -> anywhere in the body.
83.48 -> And as you know, 30% of cardiovascular disease
and in particular atherosclerotic disease
89.92 -> are the most common reason or cause of deaths
in this country.
94.36 -> Dr. Bagheri gives his recommendations to help
prevent cardiovascular disease.
100.32 -> The prevention comes in three different layers
:primary prevention which starts early in
105.25 -> life, second prevention which happens after
a disease has already happened and now we
110.72 -> have to basically contain it and do some damage
control, and tertiary prevention is after
119.28 -> disease has resulted in some sequellae and
we have to deal with the aftermath.
123.03 -> The main thing is to address the diets and
the lifestyle we know that having an Aerobic
130.53 -> routine exercise program, walking 30 to 40
minutes a day preferably 5 to 6 days a week
138.45 -> is probably the best thing you can do to maintain
your cardiovascular health.
144.44 -> Second would be to treat the risk factors
that we do know of; diabetes, hypertension,
151.23 -> and cholesterol.
154.49 -> By controlling these risk factors we can further
reduce the risk of progression of the disease.
159.69 -> Dr. Bagheri talks about statins and other
cholesterol fighting drugs.
165.44 -> The new cholesterol management guidelines
which was established by American Heart Association
171.09 -> and American College of Cardiology was recently
revised.
175.53 -> This new guidelines is based under review
of all the scientific data in regards to cholesterol
182.23 -> and the statin drugs and other cholesterol
drugs and the consensus after reviewing all
187.47 -> of this data, reviewing the indications of
the drug therapy, the side effects of drug
193.93 -> therapy that basically many people won't qualify
for using a statin but there are four groups
202.76 -> that would qualify and they're known as the
Net Benefit Group.
207.64 -> These four groups include any person who has
an LDL level more than 190 milligram per deciliter.
218.379 -> Anyone with established cardiovascular disease
like coronary artery disease history of a
224.17 -> stroke, peripheral arterial disease they would
also benefit.
230.91 -> Any diabetic patient who's LDL level is between
89 up to 190 or above would benefit.
239.29 -> Like any other drugs, these are chemical agents
and in the long term they could have side
243.62 -> effects.
244.62 -> I think if there is one thing that I would
recommend is having a healthy diet, eliminating
251.31 -> or reducing, effectively reducing red meat
and any fried food and I always tell my patients
259.359 -> the more colorful you can keep your plate,
the better for you, add fruits and vegetables
265.37 -> and you'll see a lot of benefits.
Source: https://www.youtube.com/watch?v=OpPN-C3wuXY