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Summary of Transcript:
Dr. Gymnatis, an interventional cardiologist in Orlando, Florida, presents this video. The presentation focuses on coronary artery disease in South Asians, with the highest disease incidence globally. The prevalence of the disease is around 7.5% in South Asians living in South Asia or abroad, which is almost three times higher than non-South Asians. Non-diabetic patients in India have an 11% risk of coronary artery disease, with the chance increasing to 21% in people with diabetes. Pre-diabetes is also prevalent in these patients and is a significant risk factor. South Asians have higher rates of hospitalizations and complications from the disease than Caucasians and often present with heart attacks or sudden cardiac death under the age of 55. Rural South Asians have lower rates of coronary artery disease than their urban counterparts, which is attributed to diet, exercise, lifestyle, and stress. The leading risk factor for the disease is metabolic syndrome, followed by high blood pressure, smoking, and diabetes (pre-diabetes or frank diabetes). The high insulin levels in these patients cause the disease, and this is discussed further in Dr. Gymnatis’ video on pre-diabetes and diabetes, linked in the description.
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Summary of Description:
This lecture discusses the risk factors for Coronary Artery Disease (CAD) in South Asian populations and provides recommendations for reducing the risk of severe disease. The content includes diet and fasting information and a blood test called the Kraft Test. The lecture is presented by Dr. Pradip Jamnadas, the founder and Chief Medical Officer of Cardiovascular Interventions, P.A. in Orlando, Florida. Viewers should consult their physician before starting any medical program or treatment.
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Reducing Risk Factors for Coronary Artery Disease in South Asian Populations
Coronary artery disease (CAD) is a condition that occurs when the blood vessels that supply the heart with blood and oxygen (coronary arteries) become narrowed or blocked by plaque buildup. This can lead to chest pain, heart attack, or even death. In South Asian populations, including those from India, Pakistan, Bangladesh, and Sri Lanka, CAD is a major health concern. In this video, Dr. Pradip Jamnadas discusses the risk factors for CAD in these populations and strategies for reducing the risk of severe disease.
Risk Factors for CAD in South Asian Populations
South Asians have a higher prevalence of CAD and a higher risk of dying from CAD than other populations. Studies have shown South Asians develop CAD at a younger age, have more severe diseases, and are more likely to have risk factors such as diabetes and high blood pressure. Dr. Jamnadas provides an in-depth discussion of the risk factors for CAD in South Asians, including:
– Genetics: South Asians have a higher prevalence of genetic risk factors for CAD, such as a gene variant regulating cholesterol metabolism.
– Lifestyle: Many lifestyle-related factors, such as diet, physical activity, and smoking, can contribute to the development of CAD. Dr. Jamnadas discusses the traditional South Asian diet, which is high in fat and sugar and low in fruits and vegetables, as a risk factor for CAD. Physical activity is also important, and South Asians tend to be less physically active than other populations.
– Metabolic Syndrome: Metabolic syndrome is a combination of factors, including high blood pressure, high blood sugar, high cholesterol, and excess abdominal fat, that increase the risk of CAD. South Asians have a high metabolic syndrome prevalence, contributing to their increased risk of CAD.
Reducing the Risk of Severe Disease
Fortunately, some strategies can reduce the risk of CAD in South Asian populations. Dr. Jamnadas emphasizes the importance of making lifestyle changes to reduce the risk of CAD. He provides practical advice for making dietary changes, such as increasing the consumption of fruits and vegetables and decreasing fat and sugar intake. He also recommends increasing physical activity, including activities such as yoga.
Dr. Jamnadas also discusses medical interventions that can reduce the risk of CAD, including:
– Medications: Certain medications, such as statins, can lower cholesterol levels and reduce the risk of CAD. Other drugs as blood pressure medications and diabetes medications, can help manage risk factors for CAD.
– Screening: Dr. Jamnadas recommends that South Asians undergo screening for CAD at an earlier age than other populations. This can include blood tests, such as the Kraft test, which measures insulin levels, and imaging tests, such as the coronary calcium score and C.T. angiogram.
Conclusion
As Dr. Jamnadas emphasizes in this video, CAD is a major health concern in South Asian populations, but some strategies can reduce the risk of severe disease. By making lifestyle changes, such as improving diet and increasing physical activity, and undergoing medical interventions, such as taking medications and undergoing screening tests, South Asians can reduce their risk of CAD and improve their overall health.
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Source Description
In this lecture, I discuss the risk factors of Coronary Artery Disease in South Asian populations and what can be done to reduce the risk of severe disease.
Download the slides here: https://orlandocvi.com/CAD-in-South-Asians-Slides/
The previous lectures I mentioned during the video discuss the topics of diet and fasting in more detail:
“Fasting for Survival” – https://youtu.be/RuOvn4UqznU
“The Fat Lies” – https://youtu.be/Yo-IL-LH5FQ
“The Bittersweet Truth” – https://youtu.be/6zZBiTfIp4Q
The Blood Test I mentioned:
What is a Kraft Test? – https://youtu.be/SxS2AayOHmo
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My other Videos:
Holiday food shopping playlist:
Why your Cardiac Examination is Incomplete- https://youtu.be/Rzb5r8FXpRU
Treat High Blood Pressure’s Root Cause – https://youtu.be/yaf1swrS1_c
What is a Coronary Calcium Score? – https://youtu.be/NYkW2vxyioc
What is a C.T. Angiogram (CTA) of the Heart? – https://youtu.be/uHpN1FQ-Hvo
What is Cardioversion? – https://youtu.be/yb-srtyEOuY
What is a Leadless Pacemaker? – https://youtu.be/2CYZbeYSvVE
What is Right Heart Catheterization? – https://youtu.be/2hy05-dM-lM
What is a Heart Attack? – https://youtu.be/lPzT62_b4Ko
Heart Attack Treatment – https://youtu.be/N0vFV3wOGPU
What is an Echocardiogram? – https://youtu.be/DZ3G8P0L_sM
Monitoring Heart Failure with CardioMEMS – https://youtu.be/A35IsJxs6mw
Introduction to Cardiac Catheterizations – https://youtu.be/k4UyUBGnojU
What is a Loop Recorder? – https://youtu.be/mXHAuV27bs8
External Counterpulsation (ECP) for Chest Pain and Coronary Calcium – https://youtu.be/4wd-3WyvlNQ
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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 the hospital and outpatient settings. As a consultant cardiologist with a large diversified inpatient and outpatient practice, he is noted for his passion for teaching and illuminating prevention for cardiovascular disease. He is also a clinical assistant professor of medicine at Florida State University and the 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 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.
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