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00:00How do cultural and dietary habits in the Gulf region influence cardiovascular health?
00:06Patients will come to the clinic a year after a heart attack for a follow-up,
00:10and the first sentence will start saying,
00:12I did not eat meat for the last year.
00:13This is totally wrong, totally wrong.
00:15A balanced diet is everything.
00:17Definitely, we all know that junk food is bad for your health.
00:21We have to reduce the carbs intake in our diet.
00:24Your cholesterol will not increase from eating cholesterol.
00:27The bad cholesterol will increase when you eat carbs.
00:30This is the bad food.
00:32And again, no zero carbs, no zero protein.
00:36You have to find a balanced diet.
00:38This is the key.
00:39Don't go extreme.
00:40Don't go extreme.
00:41I'm not going to name a special diet, but a balanced diet is enough,
00:45and this will make a huge difference.
00:49Today, we're joined by Dr. Shadi Habush,
00:51consultant interventional cardiologist at the Saudi German Hospital here in Dubai.
00:56With over 14 years of experience and 5,000 coronary cases under his belt,
01:01he's one of the region's leading experts in advanced cardiovascular care.
01:05We'll be talking about the numbers everyone should know,
01:08how to check your cholesterol results,
01:11why prevention matters more than treatment,
01:13and the rising importance of LP little a,
01:16the new genetic marker that's shaping the future of heart health.
01:19If you've ever wondered whether you should check your heart health,
01:22this episode is for you.
01:23Dr. Shadi, thank you so much for joining us today.
01:25So, the first question I have in mind is,
01:28what do you think are the essential heart health metrics
01:32that every adult should do and should monitor,
01:36and how often should they monitor them?
01:38As simple as the basics.
01:41I mean, measure your blood pressure, diabetes,
01:45just check your blood sugar, and your cholesterol.
01:49With a simple three questions,
01:51you will be about 80% of heart disease are actually preventable.
01:55Just know your numbers.
01:58Blood pressure, blood sugar, and cholesterol.
02:00So, how do these recommendations change with age,
02:04with lifestyle, with family history?
02:07When we say heart disease,
02:09we all think of an old guy with a heart attack,
02:14and this is actually not true.
02:15Most of the patients that we see nowadays are 34, 35, 40.
02:20Most of the patients I've seen in the last year with heart attacks are below 40.
02:24And a heart disease needs years.
02:27This means the prevention should start much earlier.
02:32And most of the diseases, the high blood pressure, for example,
02:36is a silent killer.
02:38There is no symptoms.
02:39This means you should start the prevention.
02:42You should start monitoring and checking your numbers way earlier,
02:47years and years earlier.
02:48We used to say, check your blood pressure at 30.
02:53Nowadays, we see in the clinics every day,
02:57young adults, not even 20 years old,
03:01younger than 20 years old, with high blood pressure.
03:03So, the earlier, the better.
03:05The current American recommendations for the blood pressure
03:10is to measure your blood pressure at school,
03:12school times, at least once a year.
03:16Starting from 15, 16,
03:18you should measure your blood pressure at least once.
03:22Again, the same for the blood sugar
03:23and for your cholesterol.
03:26Once you have a positive family history,
03:28means your parents with high blood pressure
03:33or cholesterol or diabetes,
03:35this means you should start even earlier.
03:39All right, speaking of cholesterol,
03:41can you explain why somebody with normal cholesterol level
03:45should still check their numbers
03:46and monitor their numbers?
03:49It's not only the number.
03:51We don't look at the number.
03:53I mean, this is a daily question in all clinics.
03:58This is my number.
03:59What shall I do?
04:00This is not how we look at it from our perspectives.
04:04The number is something,
04:07but the whole risks will play a role.
04:10Someone who has 150 LDL cholesterol,
04:13LDL cholesterol upon 150 is high.
04:16I could send the patient home without medication
04:20with an LDL cholesterol upon 150.
04:22For the same number,
04:24if you have other risks,
04:26family history of coronary artery diseases,
04:30diabetes, high blood pressure,
04:33obesity, other risk factors,
04:35150 is not acceptable.
04:38So it's not only the number.
04:40It's many factors that will lead to our disease.
04:4320% of our patients who have heart attacks
04:46have actually normal numbers.
04:48Those numbers are not normal anymore
04:51once you have a heart disease.
04:53And when we look at it,
04:57I mean, the laboratory value will be normal,
05:01normal curve,
05:02and you will just ignore it.
05:03Right.
05:04If you have other risk factors,
05:05this normal limit,
05:07this normal value is not normal anymore.
05:09It will be affected by the other.
05:11How does diabetes, hypertension,
05:14and obesity interact with each other
05:17with bad cholesterol,
05:19the one that you were talking about, LDL,
05:20in driving the cardiovascular risk?
05:23Let's say you are going to have
05:24a heart disease at the age of 80
05:26if you don't have diabetes,
05:28if you don't have high blood pressure.
05:31Those factors will fast forward
05:34your risk of atherosclerosis
05:36will make it happen faster.
05:38And if you have two risk factors,
05:40you will have the disease,
05:42let's say, 10 years younger
05:45or earlier than expected.
05:47And if you have three risk factors,
05:48bad lifestyle, smoking, and so on,
05:51when we look at cardiovascular risk factors,
05:54we always say there are
05:56modifiable risk factors
05:57and unmodifiable risk factors.
05:59Easier said,
06:00there are factors that we can affect
06:01and we can change
06:03and others that we cannot change.
06:05Now, the genes are the things
06:06that we cannot change.
06:07If you come from a family
06:09that have heart diseases,
06:12there is nothing you can do
06:13about this factor.
06:14But adding to this factor,
06:16obesity, untreated diabetes,
06:18neglected high blood pressure,
06:19then your factors to have
06:20atherosclerosis,
06:22which is the heart disease,
06:23will be faster and quicker.
06:25What can people be doing
06:26in their natural lifestyle habitats
06:29that have the strongest evidence
06:31for reducing the risk
06:32of cardiovascular illness?
06:34Lifestyle and daily habits
06:37are actually the actual medicine,
06:40the strongest medicine.
06:42Now, everyone will know
06:44that smoking is bad
06:45and you have to do sports,
06:47but no one will believe
06:48how effective,
06:50what's the impact
06:51of such small daily habits
06:53on your health
06:55other than how we see it,
06:58how we see it as doctors.
07:00Every day,
07:01we see a patient in the clinic
07:03with a heart attack.
07:04This patient had no previous diseases,
07:07no symptoms,
07:08and suddenly he is the one
07:10with a heart attack
07:10in the hospital.
07:11When you go into details
07:13of his life,
07:14he doesn't do sports,
07:16he's obese,
07:17he's under enormous stress,
07:20and he does not sleep.
07:22Such small factors
07:23will actually make a huge difference.
07:26I don't want to talk about
07:31things that we all know.
07:32I want to just to tell you
07:34about the experience
07:35that we see in the clinics.
07:37Patients in our area
07:38have heart diseases
07:4015 to 20 years
07:42younger than patients
07:44in Europe and in the States.
07:45The only difference
07:47is the lifestyle.
07:49And we have
07:49in the United Arab Emirates
07:51world-class hospitals
07:52with everything possible.
07:55I mean, medically,
07:56we are one of the top countries.
08:00The Gulf area,
08:01we have the best hospitals,
08:03the best doctors,
08:03but I think we still need
08:05world-class prevention.
08:08This is what we are missing.
08:09Right.
08:10If we compare,
08:12I have done my training
08:14in Germany.
08:15If we compare
08:16Western Germany
08:17to Eastern Germany,
08:18in Eastern Germany,
08:19we have less heart diseases
08:21and we have better
08:23heart health in general.
08:25And the only difference
08:26is the society awareness
08:27compared Eastern
08:29to Western Germany,
08:30just as an example.
08:31and simple,
08:33small things.
08:35Measuring your blood pressure
08:37regularly.
08:37Once every year.
08:39Measuring your blood sugar.
08:40Go and check
08:41your cholesterol.
08:43I will talk about it
08:44in details
08:44what is checking
08:45the cholesterol.
08:47And doing sports.
08:49You don't have
08:50to be an athlete.
08:52Yeah.
08:52As simple as
08:5490 to 120 minutes
08:56a week.
08:57This means
08:5720 minutes
08:58three to four times a week.
08:59It has to be cardio
09:00or just any exercise.
09:01Anything that is
09:02going to increase
09:03your heart rate.
09:04Yeah.
09:04Okay.
09:04It's good.
09:05If you swim,
09:06if you go,
09:06if you use the stairs,
09:07I don't mind.
09:09Walking in the mall
09:10is not a sport.
09:11It's not a sport.
09:12It's not a sport.
09:12Everyone is coming
09:13and saying,
09:14I walk for 10 minutes a day
09:15or 20 minutes a day.
09:16This is not considered
09:17a sport.
09:18Your body needs to know
09:19that you are doing sports.
09:20Sports outfit.
09:21Relax.
09:22Turn off your mobile
09:23and move.
09:24And your heart rate
09:25must go up.
09:27This is what we consider.
09:28The resistant training
09:29is what we consider sports.
09:3120 minutes,
09:33three to four times a week
09:34will make a huge difference.
09:36Smoking.
09:37Everyone knows
09:38smoking effect
09:38about vaping.
09:41This effect
09:42on cardiovascular health.
09:45Sleeping.
09:45Getting enough sleep
09:46seven hours a day
09:48is going to make
09:49a huge difference.
09:50We see patients
09:51with sleep apnea,
09:53sleep diseases.
09:55They have more risk
09:57to have diabetes,
09:58high blood pressure
09:58and after all,
10:00heart diseases.
10:03Overweight.
10:04Overweight.
10:05You have to try
10:07to stick to your ideal
10:09body weight.
10:10This makes a huge difference.
10:12Losing five kilograms
10:14from your body weight
10:16will reduce your blood pressure
10:18and reduce your sugar.
10:20everyone in the clinic
10:21is afraid
10:22of taking his medication,
10:24blood pressure medication
10:25forever.
10:26Reduce your weight,
10:27do some sports.
10:29You might also
10:30stop the medications.
10:31Okay,
10:31so there's a chance
10:32that you can stop
10:33those medications
10:33if your lifestyle habits
10:35are in order.
10:36Yes.
10:36Okay,
10:37so you may have already
10:38touched upon this
10:39but I'm going to ask you
10:40how do cultural
10:41and dietary habits
10:43in the Gulf region
10:44influence cardiovascular health?
10:46Patients will come
10:47to the clinic
10:47a year after a heart attack
10:49and for a follow-up
10:50and the first sentence
10:51he will start saying
10:52I did not eat meat
10:53for the last year
10:54and he thinks
10:55he has done a good job
10:56and this is extremely,
10:57this is totally wrong,
10:59totally wrong.
10:59A balanced diet
11:01is everything.
11:02Definitely we all know
11:03that junk food is bad,
11:04is bad for your health.
11:06What I have noticed
11:07in our region,
11:09we eat lots and lots of carbs,
11:11lots of carbs,
11:12rice and bread,
11:13whatever the rice color is,
11:16whatever the bread color is,
11:18brown,
11:19white,
11:20it's all carbs.
11:21We have to reduce
11:23the carbs intake
11:23in our diet.
11:25In my opinion,
11:26this plays a huge role.
11:29Your cholesterol
11:30will not increase
11:31from eating cholesterol.
11:33Your cholesterol,
11:35the bad cholesterol
11:36will increase
11:37and triglycerides
11:38will increase
11:39when you eat carbs.
11:40This is the bad food.
11:42And again,
11:43no zero carbs,
11:44no zero protein.
11:46You have to find
11:47the balanced diet.
11:48This is the key.
11:49Don't go extreme.
11:50Don't go extreme.
11:51I'm not going to name
11:52a special diet
11:53but a balanced diet
11:54is enough
11:55and this will make
11:55a huge difference.
11:56There is this new
11:57kind of new player
11:59in the cardiovascular space.
12:02It's called
12:02the LP little A.
12:04Can you just explain
12:04to us a little bit
12:05what it is?
12:05We see a lipid profile
12:07for patients
12:08in their clinic every day.
12:09Someone will go
12:10to the laboratory
12:11to do a lipid profile
12:12and come and ask
12:13about how is my
12:14good cholesterol,
12:15bad cholesterol
12:16and so on.
12:17Now,
12:17the only thing
12:18that's really important
12:19is for me
12:20as a cardiologist
12:21to see your risk
12:24is the bad cholesterol,
12:25the low density
12:27lipoprotein.
12:28Now,
12:29this low density
12:30lipoprotein
12:31has many components
12:33and one of them
12:33is the apolapoprotein B,
12:35the lipoprotein A
12:36and the lipoprotein A
12:37is the tail
12:39that is stick
12:41to the LDL particle
12:42and this lipoprotein A
12:46indicates your genes
12:49to develop atherosclerosis.
12:52So,
12:52if I will do
12:53the lipoprotein A,
12:54I would know
12:56that how is your body
12:59is going to react
13:00to the whole cholesterol.
13:01So,
13:03let me say it again.
13:05The lipoprotein A
13:06is a test
13:07that everyone
13:08should do
13:08once in a lifetime
13:09and with that test,
13:11I will know
13:11what is your,
13:13how is your genes
13:15affecting your
13:16artery walls,
13:18the atherosclerosis,
13:19which is the key
13:21to developing
13:22heart diseases.
13:24Your diet
13:25is going to affect
13:2510 to 15,
13:27at most,
13:2720% of your
13:30entire cholesterol.
13:31most of it
13:32is coming
13:32from your genes
13:33and the lipoprotein A
13:34is,
13:36for us,
13:38we'll tell our doctor,
13:39we'll tell your cardiologist,
13:40how bad
13:41is your body
13:42going to react
13:43with the whole cholesterol
13:44in your body.
13:45So,
13:45basically,
13:45you're saying
13:46your genetics
13:47are influenced
13:48by LP little a.
13:50Yeah.
13:50Your genes,
13:51if you have a bad genes,
13:52if you have the genes
13:53to develop atherosclerosis,
13:55you are going to have
13:57a high lipoprotein A
13:58and this is not going
13:59to be affected
13:59by your diet.
14:00Even if you are
14:01the best athlete,
14:02you don't look,
14:02you have an ideal
14:04body weight,
14:05your total cholesterol
14:06is good,
14:07your lipoprotein A
14:08might be high
14:08because you're
14:09having a bad genes.
14:10Okay,
14:10I see.
14:11So,
14:11who should be testing?
14:12Everyone should do
14:13a lipoprotein A
14:14once in a lifetime.
14:15Heart diseases,
14:16with all the development
14:17that we have,
14:18still the number one
14:20killer worldwide
14:21compared to all diseases
14:22and when we say
14:23heart diseases,
14:24we mean
14:24coronary artery diseases
14:25and everyone should do
14:27once in a lifetime
14:28the lipoprotein A test.
14:30With this test,
14:30I will know
14:31that your body
14:32is going to develop
14:34atherosclerosis
14:34maybe faster than others
14:36and with that
14:36I can prevent
14:37maybe a heart attack
14:38and a heart disease.
14:39Oh,
14:39wow.
14:39Okay,
14:40so it's very important.
14:40Yes.
14:41Okay,
14:41so how can high
14:42LP little a
14:43manage in a left side?
14:45Can it be
14:45if someone's
14:46genetically predisposed to it?
14:47There is no medicine
14:49that's going to affect
14:50the lipoprotein A directly.
14:51We need to know
14:52why the lipoprotein A
14:53is high
14:54and treating
14:55the total cholesterol
14:57or the bad cholesterol,
14:58the LDL cholesterol
15:00is going to affect
15:01your lipoprotein A.
15:02So,
15:03when we treat
15:04the lipoprotein A,
15:06we are going to
15:07lower your
15:09when we
15:10treat
15:11the LDL cholesterol,
15:13the bad cholesterol,
15:14we're going to
15:14lower your lipoprotein A
15:16and with that
15:17we're going to lower
15:17your risk
15:18for having
15:19heart diseases.
15:20So,
15:20basically,
15:21if you have
15:23a high lipoprotein A
15:24and a bad cholesterol,
15:26your doctor should
15:27start you on
15:28the right medications
15:29and with that
15:30you're going to
15:30lower your risk
15:31of having
15:31heart diseases.
15:33Okay.
15:33So,
15:33you mentioned
15:34that a lot of
15:34these patients
15:35who came in
15:35with heart attacks,
15:36you said that
15:36there was no
15:37prior symptoms.
15:38Some of them
15:38you couldn't find
15:38symptoms for their
15:40heart attacks.
15:40What early
15:41warning signs
15:42can adults
15:44kind of monitor
15:45to see
15:47that could really
15:47save lives
15:48in terms of
15:49cardiovascular health?
15:51Now,
15:51this is exactly
15:51the issue.
15:52We shouldn't
15:53wait until
15:53symptoms develop.
15:54Your heart
15:55is going to
15:55whisper.
15:56It's not going
15:57to say
15:58loudly that
15:59there is an
15:59issue.
16:00That's why
16:01exactly prevention
16:02is a key
16:02in heart diseases.
16:03We should
16:04go and test
16:05even without
16:06symptoms.
16:06If you have
16:08a heart disease
16:08in the family,
16:09you have to
16:09go earlier
16:10and generally
16:11everyone should
16:12test at least
16:13once the
16:14lipoprotein A,
16:14your basic
16:16cholesterol values,
16:18your sugar
16:19and your
16:19diabetes,
16:20even without
16:20symptoms.
16:21If we want
16:22to wait until
16:22the symptoms
16:23are there,
16:23maybe it's
16:24too late
16:25to treat
16:26the disease.
16:27And usually
16:29fatigue,
16:31general weakness,
16:33chest pain
16:34is the typical
16:34symptom when
16:35it's too late
16:35and your
16:36heart is
16:37already affected.
16:39My target,
16:40my goal,
16:41you should
16:41go there
16:42before the
16:43symptoms.
16:44Right.
16:44So if you
16:45can give
16:45one clear
16:45message to
16:46people here
16:47in the UAE,
16:48the UAE
16:48community
16:48about heart
16:49health,
16:49what would
16:50it be?
16:50Heart
16:50diseases
16:51are the
16:52most common
16:54cause of
16:55death worldwide
16:56and especially
16:57in our area.
16:58And I just
17:00mentioned that
17:00your heart
17:01whispers and
17:02send messages
17:04for you.
17:05Please listen
17:06to these
17:07messages.
17:07Start early
17:08with the
17:09prevention.
17:09Move
17:10120 minutes,
17:1290 to
17:12120 minutes
17:13a week.
17:15Check your
17:15cholesterol,
17:16check your
17:16blood pressure
17:17at least
17:17once every
17:18year.
17:19Check your
17:20blood sugar
17:21at least
17:21one time
17:23a year
17:23before the
17:24symptoms
17:25start.
17:26Small changes
17:26will make
17:27a huge
17:27difference.
17:28With my
17:29stents,
17:29for me as
17:30a cardiologist,
17:30the easiest
17:31part is to
17:32put a
17:32stent and
17:33open the
17:33artery that's
17:35blocked with
17:35a heart
17:36attack.
17:36The hard
17:37part is
17:38the prevention,
17:39is to
17:39prevent that
17:40from happening
17:42before it's
17:43too late.
17:44Be proactive
17:46about your
17:46heart health,
17:47get checkups,
17:48and try to
17:49live as much
17:51of a healthy
17:51lifestyle as
17:52you can
17:52possibly.
17:53From your
17:53experience with
17:54thousands of
17:55coronary cases,
17:56what misconceptions
17:57do patients
17:58have about
17:59this?
18:00The easiest
18:01part for the
18:02cardiologist is
18:02to put the
18:03stent.
18:03The stent is
18:04the metal that
18:05we implant in
18:05the coronary
18:06artery to
18:06open the
18:07artery.
18:08the stent is
18:10a small
18:10metal tube
18:11that we
18:12implant in
18:12the coronary
18:13artery when
18:14it's blocked.
18:15And this
18:15is actually
18:16not true.
18:16Doing the
18:17stent is
18:18like frying
18:19the road
18:20from the
18:21traffic jam.
18:22But fixing
18:23the road
18:23itself is
18:24your job
18:24as a
18:25patient.
18:26Taking the
18:26pills,
18:27the medication,
18:28is actually
18:29what is more
18:30important and
18:30what is harder.
18:32Planning a
18:33stent is going
18:34to take
18:34minutes.
18:36really it's
18:37actually the
18:38easiest part.
18:39The hardest
18:40part is to
18:41come to the
18:41hospital on
18:42the right
18:42time to
18:43do the
18:44proper tests
18:44and starting
18:45the medications
18:46that you
18:46need.
18:47The things
18:48that I hear
18:49every day in
18:50the clinic
18:50which I find
18:52really totally
18:54natural,
18:55you have high
18:56blood pressure.
18:57I don't want
18:59to start on
18:59medication because
19:00if I start
19:01I cannot stop.
19:02You started
19:03me on some
19:04medications.
19:04Are they
19:05for a
19:05lifetime or
19:06I will
19:07stop them
19:08one day?
19:09What if I
19:10start the
19:11cholesterol
19:11medication?
19:12It's for
19:12a lifetime.
19:13I don't want
19:14to start
19:14because if
19:15I start
19:15I will
19:17not stop.
19:17This is
19:18totally
19:18natural.
19:19If you
19:20stop your
19:20blood pressure
19:20medication,
19:21your blood
19:22pressure will
19:22go up back
19:23to the
19:24number that
19:24were there
19:25before starting
19:26the medication
19:26and that's
19:27it.
19:28I don't,
19:29I will
19:30not,
19:30for me there
19:31is no
19:31difference if
19:32you take
19:32the medication
19:33or not,
19:34even for
19:34your body.
19:35The difference
19:36is what's
19:37important for
19:37me is I
19:38want normal
19:39numbers for
19:40you,
19:40cholesterol
19:41numbers and
19:42high blood
19:42pressure and
19:43I mean normal
19:44blood pressure
19:44numbers for
19:45the rest of
19:46your life.
19:46If you do
19:47that with
19:47medications,
19:48then it's
19:49okay.
19:49If you do
19:49that with
19:50lifestyle changes,
19:51again it's
19:52okay.
19:52In many
19:53cases,
19:53unfortunately,
19:54lifestyle changes
19:55will be first
19:57of all very
19:57slow and
19:59second of all
20:00it will
20:00not be
20:00enough to
20:02have normal
20:04values for
20:04the rest of
20:05your life.
20:05So this is
20:06what we hear
20:06every day in
20:07the clinic.
20:08If you need
20:08a blood pressure
20:09medication,
20:09take it.
20:10Your body
20:11have a list
20:11and it will
20:12never forget
20:13every single
20:14time your
20:15blood pressure
20:16is high.
20:16Your body
20:17will never
20:18forget every
20:19single day
20:19where your
20:21blood sugar
20:22is high.
20:22This is what's
20:23important.
20:24If you take
20:24one tablet,
20:25two or three,
20:26your body
20:27will not be
20:27sad.
20:28Your body
20:28will be
20:28sad when
20:29the numbers
20:29are high.
20:30So what
20:30new treatments
20:31or technologies
20:32excite you
20:33the most
20:33now in
20:34the cardiovascular
20:34space?
20:35Now the
20:35classic
20:36medications
20:37that we
20:37use to
20:38treat the
20:39cholesterol
20:39are the
20:42statins.
20:43Now many
20:44people will
20:44have issues
20:45with the
20:45statins.
20:46They will
20:46have side
20:46effects or
20:47with the
20:47classic
20:48tablets we
20:49will not
20:50reach the
20:52values,
20:53the goal
20:53that we
20:54need.
20:54Nowadays
20:55there are
20:55simpler
20:57ways to
20:58treat it,
20:59the PCSK9
20:59inhibitors or
21:00the injections
21:03that you
21:04can take
21:04twice a
21:05year.
21:06And these
21:07injections are
21:08going to
21:09lower your
21:10cholesterol and
21:11they have
21:11almost no
21:12side effects.
21:13So if you
21:14need to
21:15lower your
21:15LDL
21:15cholesterol
21:16because your
21:17risk is
21:18high and
21:19your statins
21:20did not
21:21bring you
21:22to the goal,
21:23to the LDL
21:24cholesterol level
21:25that we need,
21:25you can use
21:26the injections
21:27and they
21:27will lower
21:29your LDL
21:30cholesterol to
21:31the value
21:33that you
21:34need.
21:35And people
21:36who struggle
21:37to take the
21:38medications
21:38every day,
21:40the injections
21:40are twice a
21:41year, you
21:42have to take
21:43them first
21:44time, the
21:44second one
21:45the loading
21:45dose is after
21:46three months
21:47and after
21:48that you're
21:48going to
21:48need them
21:49only once
21:50every six
21:51months.
21:51things that
21:53are really
21:53important
21:54nowadays are
21:55the AI in
21:56interventional
21:57cardiology.
21:58For us,
22:00accuracy,
22:01precision is
22:02extremely
22:02important and
22:04time is
22:04important and
22:06nowadays it's
22:07not like
22:08it's not
22:09news anymore.
22:12We actually
22:14use AI
22:15every day in
22:16our practice.
22:16we used to
22:17judge with
22:18our eyes
22:19the size,
22:20where to
22:21start,
22:21where to
22:23stop and
22:24nowadays with
22:25a simple
22:26click we
22:27know where
22:28to start,
22:29where to
22:29stop, how
22:30big, how
22:30small the
22:31coronary artery
22:33stent should
22:34be and
22:35this is
22:35actually
22:37extremely nice
22:38for us.
22:39It's much
22:39faster, very
22:41accurate.
22:42I'm sure it's
22:43hard to live
22:44without now
22:45the AI.
22:45It has
22:46changed the
22:46practice all
22:47over.
22:48So you
22:48had mentioned
22:49before that
22:49a lot of
22:50the patients
22:51who are
22:51coming in
22:51with the
22:52cardiovascular
22:53problems are
22:54much younger
22:54than they
22:55were before.
22:55Is there
22:56a reason for
22:57that?
22:57Why is
22:57this the
22:58case?
22:58Many are
23:00relating the
23:01young patients
23:02nowadays to
23:03the vaccines
23:04that we have
23:05and this is
23:05actually not
23:06true.
23:07I mean we
23:08have seen
23:09more
23:11myocarditis,
23:12the heart
23:13muscle
23:13inflammation
23:14after the
23:14vaccines.
23:16This is
23:17true but
23:17coronary
23:18heart
23:18diseases,
23:19young
23:19patients
23:19with heart
23:20attacks are
23:21more nowadays
23:21for other
23:22reasons.
23:22In my
23:22opinion,
23:23the first
23:24one is we
23:25know now
23:27more why
23:28do actually
23:29people will
23:30die or
23:31will have
23:32a disease.
23:32We used
23:33to say
23:34someone just
23:34died and
23:35we don't
23:35know the
23:35cause.
23:36So we
23:37understand
23:37more and
23:38we do
23:39more
23:39screening.
23:39This is
23:40one part.
23:40the second
23:41part is
23:41our
23:42lifestyle.
23:42I mean
23:43we don't
23:44eat well,
23:45we don't
23:45move,
23:46people are
23:48obese
23:49nowadays
23:49compared to
23:50before and
23:51the lifestyle.
23:52In the
23:53last
23:53studies that
23:54I read
23:56the most
23:57common
23:58risk factor,
23:58modifier
23:59risk factor
24:00in the
24:00Gulf as
24:02a reason
24:02why do we
24:03have heart
24:04attacks younger
24:05than Europe
24:06and other
24:06countries is
24:07actually because
24:09we are lazy.
24:10We don't
24:10move.
24:10Stuck to
24:10the computer.
24:11Because we
24:12are lazy.
24:12We don't
24:13move enough
24:13compared to
24:14before.
24:15That's why we
24:15have more
24:16heart diseases
24:16nowadays.
24:17Vaping and
24:18smoking,
24:20stress that
24:21we have
24:21nowadays in
24:21our new
24:23lifestyle.
24:24plays a
24:25rule and
24:25that's why
24:26we have
24:26heart
24:26disease younger
24:27in my
24:27opinion.
24:28Someone said
24:28once I
24:29heard that
24:29most heart
24:30attacks happen
24:30on a
24:31Monday.
24:31Is that
24:31true?
24:32It's not
24:32true.
24:33It's not
24:33true.
24:34A heart
24:34attack can
24:35happen anytime.
24:36A heart
24:36attack can
24:36happen for
24:39anyone.
24:40Heart
24:41attacks in
24:41women are
24:42actually more
24:43fatal than
24:44men.
24:44We used to
24:44think or
24:45we thought
24:45that a
24:47heart
24:47disease are
24:47actually men
24:48diseases.
24:48It's not
24:49true.
24:50The most
24:51common
24:52sign,
24:53the first
24:54sign for
24:55a heart
24:56attack in
24:57women are
24:57actually
24:57unfortunately
24:58is death.
24:59They don't
25:00treat the
25:00hospital more
25:01than men and
25:02that's because
25:02they don't have
25:03the actual
25:03symptoms that
25:04we have.
25:04Or the
25:04lady will
25:06say it's
25:07okay I
25:07will wait.
25:08I will
25:09wait and
25:09this is
25:11what actually
25:12happens
25:13unfortunately
25:13sadly.
25:14Is it because
25:15of the
25:15maybe neglecting
25:16to go to
25:17the doctor
25:17when she
25:18needs to
25:18go because
25:18she's taking
25:19care of
25:19the family
25:20and stuff
25:20like that.
25:22It's hard
25:23to believe
25:23but this
25:24is what
25:24happened.
25:24Great.
25:25I think we've
25:26covered a lot
25:26of things and
25:27thank you so
25:28much for
25:28joining us.
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