Very informative, definitive will help me. Thank you Dr. for this interesting video.

Very educational. Thank you also for your enlightenment

Thank you Dr Barlis. Just found your channel and I think it is the best so far on heart matters. I just very recently had a ct angiogram that showed 70pct blockage (my cardiologist used the term calcification) in my LAD, followed by an angiogram a week later which confirmed this same blockage to be under 50pct, thus, no stent needed. But my doc immediately put me on Plavix 75mg and Lipitor 40mg daily. He said lower dosage of Lipitor will not help in my case. He said Lipitor will prevent plaque rupture besides lowering cholestrol for my case. Yes, my LDL is very high, but my HDL is high too with low/normal Triglyceride. My bp is normal usually lower than 120/80. Not diabetic, non smoker, clean eating with OMAD low carbs intermittent fasting for over 2 yrs. I am thin. The rest of my coronary arteries are completely clean ie. 0 plaque. I am thinking if I should start on the 40mg Lipitor daily, but my cardiologist would be upset if I suggest to stop it. One question - can an angiogram accurately show/differentiate the 3 types of plaque that you had explained in this video? I have to discuss with my cardiologist and I hope he is open enough to listen/understand my concerns on taking his prescribed Lipitor. I had also learned from another channel/doc (from US) that Lipitor does not work well lowering inflammation (compared to other statin) especially for women. TQVM and hope to hear from you!

Thank you so much Prof Barlis, super informative video, great teaching for us as cardiology nurses. Subscribe instantly, and will tell my patients to watch you KZread video teaching.

Many thanks doc. Very lucid presentation

Thank you so much Doctor Barlis..

Thank you for this of course and your videos too-well done. A blood test a while ago showed that I have High Cholesterol; I already have Diabetes type 2 and High Blood Pressure. When I saw my Doctor/GP a while ago she did say about going onto statins, but at the time did not give any-oddly? I am already on blood pressure medicines, Bisoprolol, Ramipril and Propranolol. When I came off them recently, I had pains and palpitations in a frightening sort of way. I have also had pains around the arm recently too. I have been investigated before for cardiac and gastric issues-nausea, pain, wind, a bit of pain when breathing but not too much I am glad to say. I also suffer alas with anxiety, depression, CFS/ME, IBS, tooth pains, gallstones, a hernia, a lung nodule (am not too sure though on that one), arthritis in the leg as well as having autism/asd alas too. I guess I will have to go back to the doctors if I can with it. I am 54 at the moment and really would like to be pain free if you know what I mean.

Thank you Prof Barlis

V good teaching about cholesterol and plaque

Very well done video Thanks !!!

Thank you Dr. Barlis.

@HeartMatters

2 жыл бұрын

thank you Andres for supporting the channel and your positive feedback.

Dear Dr Peter Really interesting. As a family doc I try to educate in these issues to my at risk cv event patients. Even at the level of explainable thin cap and how to prevent atherosclerotic plaque rupture. Your explanation is brilliant , cause transmitts your enthusiasm for heart health care. One question : Is there any relation among the type of plaque and the type of procedure o stent to be taken into account when you are working on PCI? Thanks and my congratulations Josep Serra Spain Family doctor

You are the best Thanks

@patrickokeeffe6998

2 жыл бұрын

That's for sure.

Well that was very good, and I thank you for the time you've taken to explain the details so well for many people who may never become patients. As an engineer I spend a lot of time looking at cause and effect, and this video makes me ask the question "is the plaque the problem, or is it the injury/inflammation that brought on the need to effect repairs that should be addressed"? If instead of giving my car a regular service, I instead wait until it needs say a weld of a cracked piston that then leads to excessive wear eventually needing a full engine rebuild (ie. a bypass) do I spend all my time trying to find a way to make the welds better, or do I simply service it more often? If there's any motor mechanics out there I apologise for the artistic license in this example that has a technical errors, but I was really trying to just use some visualisation tools that clarify things for a larger group. Anyhow, so do we plague ourselves with statins that stuff our CoQ10 pathways or determine what causes the inflammation and or damage that sets up this cascade in the first place? I'm especially interested in this because I have had a lifelong diet low in salt and saturated fats and never drunk or smoked and never really been stressed and have had 3 interventions into my cardiovascular system, the last of which was a CABG4. Interesting the bit on types of plaque, one of my arteries was so severely blocked that it couldn't be stented, yet it's the fatty plaque that is the problem, so I guess fat can be loose and cause a blockage and then hard as hell afterwards.

@HeartMatters

Жыл бұрын

Thank you etmax1 for your feedback and input. Indeed you make an excellent point that with more challenging blockages (e.g. made of calcium that is often very hard for us to open up if blocked, we do need to look at how engineering of devices e.g. materials, solid and fluid mechanics can help improve future devices to make procedures safer. Thanks again!

@etmax1

5 ай бұрын

@@HeartMatters Hi, I've travelled further down my journey and am now at the point where I don't tolerate any of the statins (more on this later) and Ezetimibe doesn't put a significant in my cholesterol and for the last 6 months I've been on Evolocumab. This is a statin replacement from hell, the first couple of months was mostly headaches in the first week (monthly administered) followed by the development of shoulder and neck pain and now in the 5th and 6th month strong persistent cramps across my mid back to the point where one muscle is in almost permanent spasm as well as severe cramps in both rear thigh muscles and severe instantaneous cramps in both calves and feet. The spasming back muscle is causing scoliosis since being present for 3 days and I'm using a back brace to relieve some of the tension. I now have 2 more options to try, one is a single injection which I won't entertain because if it does similar things to Evolocumab there's no way back and a lead weight behind my right ear will be the only option. The other is a chemical I can't recall the name of that apparently only metabolises in the liver preventing cholesterol production. Apparently some people express liver enzymes that indicate liver damage so I wonder how that's going to go. Back to statins, that was a shoulder and back pain exercise that was slightly less sever than Evolocumab.

Is there any way to unblock heart arteries non-surgically - ie. diet, medication (prescribed or over the counter) ?

@HeartMatters

2 жыл бұрын

This is a very good question Chrissie, the best way of reducing the build up of plaque and in stopping any plaque from getting worse is simply to control any underlying risk factors such as high blood pressure, controlling diabetes, not smoking. We will discuss some non medicine ways that may provide some general help in heart health and wellbeing in an upcoming video. Thanks for taking the time to provide your feedback!

@chrissie.0864

2 жыл бұрын

@@HeartMatters 💕

@thehairretreat7771

2 жыл бұрын

@@HeartMatters I’m

In the year 2022. Science should have lasers to melt the Plaque. Every few go to a doctor zap the plaque away.

Other than cholesterol, what else can cause blockages?

@HeartMatters

2 жыл бұрын

Thanks for your question, blockages are caused by the build up of these cholesterol and fatty plaques, including several inflammatory cells that are active. The key risks for developing these blockages include diabetes, high blood pressure, genetic factors, smoking. It is often not one single factor but multiple causes. In some cases, blockages can happen with no obvious cholesterol, a condition known as spontaneous coronary artery dissection, a small tear that occurs in the wall of the artery. Please see our video on this topic too!

@vincentmckenna1755

2 жыл бұрын

@@HeartMatters I had a low cholesterol count of 5 but still had a artery blockage ,but had a high calcium #

is there a way to dissolve cholesterol or plaque in the artery?

@HeartMatters

2 жыл бұрын

There is no magical way to achieve this, there is much research still going on about whether personalised /targeted treatments may assist with this. Until then, we rely on addressing the cardiac risk factors we can. Controlling these risks including blood sugar and lipid levels have shown a benefit in reducing the chances of plaque from getting worse in the artery and also to reduce inflammation inside the artery and plaque.

@dawmanchannel2837

2 жыл бұрын

@@HeartMatters thank you for answering my question.

I thought we need cholesterol?

you keep saying the same things 4 5 times...but never mentioned eggs yes/no 🙁

@HeartMatters

Жыл бұрын

Thank you Leo, a common question, we will have a video on 'eggs' as this is so often questioned. In short, eggs offer excellent benefits.

I don't know where you come from but it's hard to understand your dialog. For example, you say HAAT instead of the heart. Haat is what you put on your head!