Treat High Blood Pressure's Root Cause by having a Complete Cardiac Examination
Treat High Blood Pressure's Root Cause by having a Complete Cardiac Examination
There is an epidemic of high blood pressure (hypertension) happening, and it’s the one thing you want to control because it can cause heart attacks, strokes, plaque build-up in the arteries (atherosclerosis), among other ailments. Treating high blood pressure’s root cause, metabolic syndrome, is key to lowering it and having a complete cardiac examination. So in this video, I will explain why the workup of high blood pressure in most patients is incomplete.
Videos and lectures on how to reverse diabetes and insulin resistance through diet and intermittent fasting: How Hidden Prediabetic Patients are found with Kraft Tests and 5 Major Causes of Insulin Resistance - • How Hidden Prediabetic Patients are f… “Fasting for Survival” - • Fasting For Survival Lecture by Dr Pr… “The Fat Lies” - • “The Fat Lies” Dr. Jamnadas, MD - Gal… “The Bittersweet Truth” - • “The Bittersweet Truth” Dr. Jamnadas,…
My other videos: What is a Coronary Calcium Score? - • What is a Coronary Calcium Score? What is a CT Angiogram (CTA) of the Heart? - • What is a CT Angiogram (CTA) of the H… What is Cardioversion? - • What is Cardioversion and how does it… What is a Leadless Pacemaker? - • What is a Leadless Pacemaker? What is Right Heart Catheterization? - • What is Right Heart Catheterization? What is a Heart Attack? - • Heart Attacks: What they are and How … Heart Attack Treatment - • Heart Attack Treatment and My Patient… What is an Echocardiogram? - • What is an Echocardiogram? Monitoring Heart Failure with CardioMEMS - • Avoiding Hospitalization and Monitori… Introduction to Cardiac Catheterizations - • What is a Cardiac Catheterization (Co… What is a Loop Recorder? - • What is a Loop Recorder? - Remotely M… External Counterpulsation (ECP) for Chest Pain and Coronary Calcium - • Why External Counterpulsation (ECP or… Why your Cardiac Examination is Incomplete - • 2 Things a Cardiac Examination Needs …
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.
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.
Content
8.508 -> Hi again, it's Dr. Jamnadas from
cardiovascular interventions.
11.578 -> And today we are going to
cover a very important topic,
13.947 -> which is high blood pressure.
15.315 -> And it's important because there's an
epidemic of high blood pressure going on.
16.449 -> And it's important because there's an
epidemic of high blood pressure going on.
19.119 -> And there's a lot of misunderstanding
about what high blood pressure is.
21.855 -> And yet,
22.756 -> if there's one thing that you want to
really control its high blood pressure,
25.692 -> because it can cause heart
attacks, atherosclerosis, strokes,
29.929 -> blindness, proof of acid
disease, kidney failure.
33.166 -> So high blood pressure is very important
and it's totally misunderstood.
36.469 -> So as a cardiologist, I see
patients with high blood pressure,
39.806 -> but they really have end organ damage.
41.274 -> So today I want to tell you what the
incomplete workup of high blood pressure
44.711 -> is. Traditionally. When patients come
to see us for high blood pressure,
48.348 -> we say that all 95% of them are
primary essential hypertension.
52.986 -> Well, over the years, I've
realized there's nothing.
55.355 -> Essential about high blood pressure.
57.49 -> You don't have to have it. And the 5%.
60.226 -> Have a secondary cause such as kidney
failure or some sort of a tumor in the
64.631 -> body. But majority.
66.366 -> Of them don't seem to have a cause for it.
69.069 -> And therefore,
70.07 -> the next thing is we take out the
prescription pad and we give you blood
73.306 -> pressure medications, and that's right.
75.175 -> We do want to get the blood pressure
down and you do want to get on a
77.744 -> medications now early, before you
start developing end organ damage,
82.248 -> but the incomplete examination,
84.217 -> I want you to think about the things
that I'm going to tell you next over the
88.154 -> years, I've realized that many,
90.924 -> many patients actually can
reverse their high blood pressure.
93.76 -> Unlike what I was taught
in medical school,
96.83 -> that essential hypertension
is just essential.
99.432 -> So the number one thing
I've realized is that
103.603 -> metabolic syndrome causes
high blood pressure.
107.574 -> If you reverse metabolic syndrome.
110.243 -> High blood pressure goes away.
112.045 -> What is metabolic syndrome?
113.613 -> Metabolic syndrome is a
cluster of high blood pressure.
117.383 -> You have a low HDL, a high triglyceride.
121.588 -> You're overweight. Your
body mass index is over 25.
123.022 -> You're overweight. Your
body mass index is over 25.
125.525 -> And particularly most of the
mass is around the belly.
128.428 -> And if you look around a lot.
129.963 -> Of people with this
condition. Look right now,
133.266 -> more than 50% of our population is weight, frankly, obese.
137.971 -> it is a symptom
of metabolic disease. Now,
141.741 -> not all obese patients or
overweight patients have metabolic.
145.578 -> Syndrome. We know that. 80%.
148.648 -> Of the patients who are overweight
have metabolic syndrome.
152.485 -> But being overweight is only a symptom.
155.722 -> Of metabolic syndrome because they are
20% of the patients who actually have
159.826 -> metabolic syndrome, but they're
actually not overweight.
162.795 -> And we call them tofus thin on the
outside, but fat on the inside,
166.766 -> they have a metabolic condition in their
body that is actually causing them to
171.638 -> have high blood pressure, liquid
abnormalities, fatty liver,
176.242 -> high insulin levels. So
this metabolic condition,
180.68 -> this underlying metabolic
syndrome can cause obesity.
185.185 -> Cause when you have high insulin
levels, you're going to get obesity.
187.921 -> So how, how is high blood.
190.523 -> Pressure happening in patients
with metabolic syndrome?
193.66 -> Whether they will be so not right what's
happening is that it's the insulin
198.198 -> insulin really paralyzes the
arteries and the arterials.
202.368 -> So they don't appropriately basal dilate.
205.471 -> So when you have high insulin levels
due to a condition called insulin
208.975 -> resistance, which is part of metabolic
syndrome and the problem with,
212.845 -> with your metabolism, you
get high blood pressure.
216.182 -> And over the last 10 years.
218.451 -> That I've been actually treating metabolic
syndrome aggressively in my office
222.155 -> here. And we've reversed
metabolic syndrome through a diet,
225.458 -> exercise and weight loss and
changing to non-processed
230.163 -> non refined foods, nothing artificial.
233.166 -> I'm finding that the metabolic
condition gets better.
236.803 -> Blood pressure gets better and the
weight automatically comes down.
241.04 -> Now when the weight comes down, it's
not because of caloric restriction.
245.011 -> It's because the metabolic
syndrome and the high.
248.314 -> Insulin levels and all the other
hormonal imbalances are getting better.
252.685 -> And when your insulin load comes
down, your weight comes down.
255.822 -> So it's losing weight is not all about
260.326 -> calories. The calorie
theory is totally debunked.
264.897 -> It's not the calories in calories.
266.733 -> Out and you know, eat
less and exercise more.
270.069 -> That that's all out of the window.
272.272 -> And we know that that's been
debunked for years, but yet most.
275.708 -> People unfortunately
still go by that paradigm,
280.213 -> which is a totally wrong
paradigm it's the hormonal
284.183 -> imbalances that are causing metabolic
syndrome and causing your high blood
288.087 -> pressure.
289.188 -> So if you have high blood
pressure, you can't just stop.
292.025 -> At saying, okay, I'm going
to take these pills now. No,
294.46 -> you need to make sure you
don't have metabolic syndrome.
297.397 -> You need to make sure you
don't have sleep apnea,
299.532 -> which goes along with
of course being obese,
301.367 -> but sometimes non obese patients
can also have sleep apnea.
304.604 -> You want to make sure of course there's
no kidney problems and any congenital
307.44 -> problems that you may
have. And other causes,
309.976 -> there are some very rare
causes of hypertension too.
312.211 -> But a complete workup includes.
314.414 -> Your metabolic work up.
317.05 -> So unless you know, your insulin levels,
321.12 -> they should really know your
inflammatory markers in your body.
323.556 -> Your triglyceride and your HDL
and the ratio of triglyceride to
327.76 -> HDL. Unless you know these
in your, in your blood tests,
331.998 -> you're not going to know what's
driving your high blood pressure.
336.436 -> So.
337.57 -> I've taken hundreds of patients
of antihypertensive therapy
342.175 -> by addressing metabolic syndrome. How
do we address it? How do we treat it?
346.512 -> It's through diet, mostly it's
through diet and lifestyle changes.
350.483 -> So it's eating non-processed foods,
non refined products, no artificial,
355.254 -> nothing that's processed
and eating whole foods only.
360.493 -> And then the second part of it is I do
intermittent fasting and time restricted
364.53 -> feeding in the office because
that restores insulin sensitivity.
367.6 -> And there's some videos which are
369.302 -> Already linked to this one on how to.
372.338 -> Reverse diabetes and insulin resistance
through diet and intermittent fasting.
376.476 -> So you can look at those,
377.777 -> but that is one of the most powerful
things you can do to restore insulin
382.348 -> sensitivity. When insulin
sensitivity comes back again,
384.784 -> your insulin levels come
down as insulin levels down,
388.388 -> your blood pressure gets
better as well. So yeah,
391.19 -> I hope that you found this very helpful
because hypertension is not the end of
394.193 -> the road.
394.627 -> It means you now have the real work
of finding out why you have high blood
399.132 -> pressure and how you can
reverse it. So if you like this,
401.567 -> please hit the like button and sign up
for this channel because I'm going to
405.138 -> come up with some more videos that are
going to be helpful for you in your
408.808 -> everyday life everyday, work
up and stay healthy, take care.