FORD BREWER MD MPH PrevMedHeartRisk.com
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This video covers the most common and important process for pulling LDL out of the artery wall. HDL. There is a brief review of other methods: autophagy and inflammation. Autophagy comes from the roots auto, meaning self, and phage, meaning to eat. Autophagy is really more important on the cellular level. It is a major contributor to health. If you're obese, you're not giving your body much chance to using autophagy.
Inflammation is another way the body attempts to get ldl out of the artery wall. Unfortunately, it is the most common cause of heart attack, stroke and dementia. Immune cells release enzymes which digest and liquify the fats. This liquified, or inflamed plaque, if it gets back into the bloodstream, causes clots. These clots are the cause of heart attack and stroke. Microscopic, constantly repetitive clots are not noticed - until the process continues for decades. This is the cause of dementia and heart failure.
HDL is the major healthy way of removing plaque from artery walls. As a practicing prevention doc, I see this all the time. You can see it easily, though. Go to the FRAMINGHAM or NHANES studies. They show clear data indicating this. For example, if your LDL is all the way up at 220, you can still have less heart attack and stroke risk than someone at an LDL of 100. How? if you HDL is 65 instead of 25. So, again, HDL is very cardio-protective. We'll talk in other videos about how to encourage HDL.
About Dr. Brewer - Dr. Brewer started as an Emergency Doctor. After seeing too many patients coming in dead from early heart attacks, he went to Johns Hopkins to learn Preventive Medicine. He went on to run the post-graduate training program (residency) in Preventive Medicine at Hopkins. From there, he made a career of practicing and managing preventive medicine and primary care clinics. His later role in this area was Chief Medical Officer for Premise, which has over 500 primary care/ prevention clinics. He was also the Chief Medical Officer for MDLIVE, the second largest telemedicine company. More recently, he founded PrevMed, a heart attack, stroke, and diabetes prevention clinic.
At PrevMed, we focus on heart attack, stroke, disability, cancer and Alzheimer's prevention. We find a lot of undiagnosed Type 2 diabetes. Treating unrecognized risk factors like diabetes allows reduction of risk. We provide state-of-the-art genetic testing, imaging, labs and telemedicine options. We serve patients who have already experienced an event as well as those have not developed a diagnosis or event. Our team of senior clinicians includes internationally recognized leaders in the research and treatment of cardiovascular disease, preventive medicine and wellness. We also provide preventive medicine by telemedicine technology to over 30 states. Contact Dr. Brewer at email@example.com or visit http://prevmedheartrisk.com.