Dhru Purohit

Your heart is working so hard in this closed loop that you talked about.

And now it doesn't have the healthy level of stiffness that we want inside of the arteries.

And so it has to work over time.

And then you throw in

plaque blockages damage that gets there and there's impediments that are there so now all of a sudden we understand why blood pressure is something so important that cardiologists cardiac surgeons like yourself look at and is it fair to say that it can be one of the earliest signs that somebody's heading in the wrong direction when the blood pressure is not looking good

early sign but if it is in fact there it is a red flag it's a red flag 100 i know there was a recent study that came out i think it was out of china where they followed almost like 10 000 people over a period of time uh we'll look at it afterwards or maybe we might clip this out but there's been an argument about what is the optimal blood pressure right so now we're getting out of giving it to somebody but just since we're on this topic and we might come back to blood pressure later on

what is a good blood pressure that we want people to be shooting for?

I think there was some debate about, should it be, you know, one 30 top line number?

Should it be one 20?

What are your thoughts on that?

Okay, one more thing when it comes to giving people heart disease, what would they be paying attention to or not paying attention to rather, or how would you design their life when it came to just top line blood work?

Everything from how often they got it and looked at their levels and their lipids, and maybe just a little bit of a preview, we're gonna come back to this, of what those numbers might look like over a period of time.

So if you wanted to give somebody heart disease, you already talked about blood pressure, why it's important,

What would you do when it came to blood work, specifically these aspects of metabolic health and the lipids that are commonly connected to heart disease?

And a heart attack is probably two to three X higher knowing that you have the LP little a. But the good news is, and this is some of the stuff we're going to get into after we talk about your story, a lot of the opposite of what you just shared are things that even if you have the LP little a, which I do, right?

So I have a higher genetic risk that's there.

A lot of these other lifestyle factors can combat that when we do the opposite of what you're saying.

We've teased about your story.

And I want our audience to understand that you've spent 25 years plus performing open heart surgeries, literally holding people's lives in your hands.

But it wasn't until you found yourself on the verge of your own heart attack.