Dr. Aseem Malhotra
👤 PersonAppearances Over Time
Podcast Appearances
So, you know, I advised him to do breath work meditation. He also was, you know, thinking about coming towards retirement early because of his, you know, his heart issue. And he was wealthy enough to be able to do that. So he contacts me only yesterday. I had a consultation with him and I presumed when he got back in touch with me that he'd done this for a while, but ultimately needed a bypass.
So, you know, I advised him to do breath work meditation. He also was, you know, thinking about coming towards retirement early because of his, you know, his heart issue. And he was wealthy enough to be able to do that. So he contacts me only yesterday. I had a consultation with him and I presumed when he got back in touch with me that he'd done this for a while, but ultimately needed a bypass.
And he was going to come to me and say, listen, I had the bypass and I just want to check in with you and see how things are going, et cetera, et cetera, and anything else I can do. Megan, he didn't have the bypass. He now grows his own vegetables. He cooks, completely transformed his life. He swims three times a week. He walks his dog five miles a day. He's got no symptoms.
And he was going to come to me and say, listen, I had the bypass and I just want to check in with you and see how things are going, et cetera, et cetera, and anything else I can do. Megan, he didn't have the bypass. He now grows his own vegetables. He cooks, completely transformed his life. He swims three times a week. He walks his dog five miles a day. He's got no symptoms.
And he was going to come to me and say, listen, I had the bypass and I just want to check in with you and see how things are going, et cetera, et cetera, and anything else I can do. Megan, he didn't have the bypass. He now grows his own vegetables. He cooks, completely transformed his life. He swims three times a week. He walks his dog five miles a day. He's got no symptoms.
And this is nine years after being told essentially he could probably die if he didn't have a bypass operation. That is the power of lifestyle change. And by the way, sorry, the other thing to say, this was without statin. He got side effects from the statin and stopped his statin. That was the other part of the discussion. He's not taking a statin and hasn't taken a statin for nine years.
And this is nine years after being told essentially he could probably die if he didn't have a bypass operation. That is the power of lifestyle change. And by the way, sorry, the other thing to say, this was without statin. He got side effects from the statin and stopped his statin. That was the other part of the discussion. He's not taking a statin and hasn't taken a statin for nine years.
And this is nine years after being told essentially he could probably die if he didn't have a bypass operation. That is the power of lifestyle change. And by the way, sorry, the other thing to say, this was without statin. He got side effects from the statin and stopped his statin. That was the other part of the discussion. He's not taking a statin and hasn't taken a statin for nine years.
Okay, the calcium score is a really good, useful, validated test that is simple to do. A little bit of radiation through CT scan. Takes five minutes, non-invasive. And what it does is it tells you the buildup of what we call coronary calcium. Nothing to do with diet, by the way. Nothing to do with blood calcium.
Okay, the calcium score is a really good, useful, validated test that is simple to do. A little bit of radiation through CT scan. Takes five minutes, non-invasive. And what it does is it tells you the buildup of what we call coronary calcium. Nothing to do with diet, by the way. Nothing to do with blood calcium.
Okay, the calcium score is a really good, useful, validated test that is simple to do. A little bit of radiation through CT scan. Takes five minutes, non-invasive. And what it does is it tells you the buildup of what we call coronary calcium. Nothing to do with diet, by the way. Nothing to do with blood calcium.
The calcium is basically deposited where there is inflammation and where blockages tend to occur. And you can get a score, anything from zero, which is completely normal to well over a thousand, which indicates there is a lot of furring of the arteries. But what's useful about the calcium score, Megan, as well, is it actually gives you a very accurate prediction, more than cholesterol.
The calcium is basically deposited where there is inflammation and where blockages tend to occur. And you can get a score, anything from zero, which is completely normal to well over a thousand, which indicates there is a lot of furring of the arteries. But what's useful about the calcium score, Megan, as well, is it actually gives you a very accurate prediction, more than cholesterol.
The calcium is basically deposited where there is inflammation and where blockages tend to occur. And you can get a score, anything from zero, which is completely normal to well over a thousand, which indicates there is a lot of furring of the arteries. But what's useful about the calcium score, Megan, as well, is it actually gives you a very accurate prediction, more than cholesterol.
Well, cholesterol we know is essentially useless, but more than other factors, it gives you a prediction of your risk of a heart attack or stroke in the next 10 years. So I use it quite often in patients that have come, have been scared by their doctor saying, you're going to die because your cholesterol is high unless you take a statin. We do the calcium score on them, Megan.
Well, cholesterol we know is essentially useless, but more than other factors, it gives you a prediction of your risk of a heart attack or stroke in the next 10 years. So I use it quite often in patients that have come, have been scared by their doctor saying, you're going to die because your cholesterol is high unless you take a statin. We do the calcium score on them, Megan.
Well, cholesterol we know is essentially useless, but more than other factors, it gives you a prediction of your risk of a heart attack or stroke in the next 10 years. So I use it quite often in patients that have come, have been scared by their doctor saying, you're going to die because your cholesterol is high unless you take a statin. We do the calcium score on them, Megan.
And of course, a lot of cholesterol, you know, that the so-called LDL is, you know, 80% of it essentially is genetic. Okay. You're born with it. So if they come to me in their middle age, if their LDL cholesterol has been a problem for them, they're going to have significant heart disease, do the calcium score zero.
And of course, a lot of cholesterol, you know, that the so-called LDL is, you know, 80% of it essentially is genetic. Okay. You're born with it. So if they come to me in their middle age, if their LDL cholesterol has been a problem for them, they're going to have significant heart disease, do the calcium score zero.
And of course, a lot of cholesterol, you know, that the so-called LDL is, you know, 80% of it essentially is genetic. Okay. You're born with it. So if they come to me in their middle age, if their LDL cholesterol has been a problem for them, they're going to have significant heart disease, do the calcium score zero.