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Prevention With Joel Kahn, MD

Cardiology

Dr. Kahn is a summa cum laude graduate of the University of Michigan School of Medicine. He practices cardiology in Detroit, is a clinical professor of medicine at Wayne State University School of Medicine, and specializes in vegan nutrition and heart disease reversal.

Silent Atherosclerosis Predicts Mortality: Test Not Guess

Dear readers,

The big headline this week, which translated from a science report to media headlines, was a study from NYC of asymptomatic adults. The participants underwent a baseline quantitative carotid ultrasound and a calcium CT scan and were followed for cardiac events and death. Some of the patients had a second carotid ultrasound. Both the presence of silent atherosclerosis and the progression of disease predicted mortality. I have long advocated screening for silent atherosclerosis, and it is gratifying to see both the science supporting it and more clinicians adding this to their care.

In addition, flavonoids are a type of polyphenol plant nutrient and reports link them to healthier livers and longer lives. Drink your tea and eat your berries. To say sitting is the new smoking is no longer novel, but it leads to back pain. I use standing desks in the office and at home. Sleep gets two articles, one reporting that weight loss with tirzepatide (Zepbound) reverses sleep apnea, and a second one reporting “forever chemicals” shortening sleep, perhaps through disrupted cortisol pathways. Falls are to be avoided as they are related to an earlier onset of dementia (chicken or egg?). Finally, we began with efforts to identify early heart disease and we ended with data that women, in particular, are not being diagnosed with heart disease with enough time to intervene. Please, #testnotguess when it comes to the #1 killer of men and women.

Be well,

Joel Kahn, MD, FACC

Articles
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    Plant polyphenols: The secret to living longer and healthy aging? - 16 day(s) ago

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      Plant polyphenols show promise in slowing aging, boosting brain health, and preventing age-related diseases through their powerful antioxidant and anti-inflammatory properties, offering a natural approach to healthier aging and reduced pharmaceutical dependence.

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    Reducing sedentary time found effective in preventing worsening back pain - 15 day(s) ago

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      A new study from the University of Turku in Finland showed that reducing daily sitting prevented back pain from worsening over six months. The result strengthens the current understanding of the link between activity and back pain as well as the mechanisms related to back pain.

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    Falls may increase dementia risk in older adults - 14 day(s) ago

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      • Older adults who have experienced a traumatic injury as a result of falling are 21 percent more likely to later receive a diagnosis of Alzheimer’s disease or another related dementia.
      • A new study examined data from more than 2 million older adults who had sustained a traumatic injury; more than 10 percent of them later received a diagnosis of some form of dementia.
      • Experts say pinpointing the direct association with falls and dementia is difficult, but suggest that older adults who have been hospitalized as a result of a fall should undergo cognitive testing.
       

      Older adults who have experienced a traumatic injury as a result of falling are more than 20 percent likely to later receive a diagnosis of Alzheimer’s disease or another related dementia, according to a new study published in JAMA Network OpenTrusted Source.