I'll call the doctor when I feel bad!

Max just had his heart scan. He sat down with the x-ray technologist at the work console while she pointed out the white areas in his coronary arteries that represented plaque.

"It looks like you're going to have a fairly high score," the technologist commented. "The final report will be available after one of our cardiologists reviews your images."

Max shrugged. "Well, I don't feel anything. I'm always running around with work, with my kids, stuff like that. That's better than any stress test. I guess I'll worry about it if it starts to bother me."


You'd be surprised how common this view remains: If it's not bothering you, then just forget about it. It's easy to do, since you have no symptoms, nothing to impair your physical activities. But what are the potential consequences of ignoring your heart scan? Here's a few:

--Prevention and plaque reversal efforts are most effective the earlier you start. From a heart scan score viewpoint, the lower your starting score, the easier it is to gain control over it. More people will succeed in reducing their score when the starting score is lower.

--The role of prevention of heart disease instantly crystallizes when you know your score. Your LDL cholesterol of 142 mg/dl or HDL of 41 mg/dl no longer seem like just numbers of borderline signficance. Instead, they become useful tools to gain control over plaque. They cast your numbers in a new and clear light.

--Knowing your heart scan score today gives you a basis for comparison in future. Your score of, say 250, today, can be 220 in one year. Without your preventive efforts, it will be 30% higher: 325. That's a big difference!

--Sudden death or heart attack--can occur in up to 35-40% of people with hidden heart disease--without warning.

Don't even bother getting a heart scan if you're going to ignore it. I've said it before and I'll say it again: A heart scan is the most important health test you can get--but only if you do something about it.
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"Heart Healthy" and other lies

"Heart Healthy" and other lies

"Bankers believe liquidation has run its course and advise purchases."

New York Times headline, Oct 30, 1929, at the start of the Great Depression.






"I did not have sexual relations with that woman, Ms Lewinsky."

Former President Bill Clinton at a Washington Press Conference, 1998.






"The third quarter is going to be great."

Enron CEO, Ken Lay, just before the company reported a $638 million third-quarter loss, triggering the company's collapse.




Should we add the following to the list?


Heart Healthy Bisquick





















Heart Healthy snacks according to the National Heart, Lung, and Blood Institute:

Animal crackers, devil's food cookies, fig and other fruit bars, ginger snaps, graham crackers, vanilla or lemon wafers

Angel food cake or other lowfat cakes

Low fat frozen yogurt, ice milk, fruit ices, sorbet, sherbet

Pudding (make it with fat free or 1% milk), gelatin desserts

Popcorn without butter or oil; pretzels, baked tortilla chips






67% digestible carbohydrates/sugars from corn syrup, sugar, raisins, and honey. Oh, yes . . . and it contains plant sterols.





"Heartzels are a healthy snack alternative for anyone wanting to control fat intake and add fiber to their diet," said Tracy LaRosiliere, a Frito-Lay vice president of marketing. "What better time for Frito-Lay to launch its first heart-healthy snack than during American Heart Month and just in time for Valentine's Day."

The relationship with the American Heart Association and the launch of Rold Gold Heartzels Pretzels is the latest move by Frito-Lay to continue its commitment to offering a wide variety of low-fat and better-for-you snacks nationally, which like the company's assortment of regular chips can be enjoyed as part of a healthy diet and lifestyle.

Comments (7) -

  • Cindy Moore

    1/24/2008 3:02:00 AM |

    Sad....but not surprising.

    I'm on a diet web site that offers recipes. Many are labeled "healthy" or "heart healthy" because they contain less oil, no egg yolks, etc....but they are still using white flour, sugar (sometimes raw! lol)....and offer little more than carbohydrates with a tiny bit of protein and/or fat(often less than 10% total!). But they're "healthy" because they have little or no fat!

    And oh man the commercials about "healthy" whole grains!

  • Red Sphynx

    1/24/2008 4:30:00 PM |

    "Heartzels are a healthy snack alternative for anyone wanting to control fat intake and add fiber to their diet,".  

    Right.  Fiber knocks down total cholesterol.  What effect does it have on dense / fluffy / oxidized subtypes?

  • Anonymous

    1/24/2008 7:36:00 PM |

    Oh man, that would be a dream if Bisquick, with a little maple syrup poured on top, was heart healthy.  If true I'd have the healthiest cardiovascular system in America.

  • Anonymous

    1/25/2008 4:32:00 AM |

    Hi Dr Davis,
    Thought to pass on a cute story  for a chuckle.  Talking about how science can evolve and how all low fat foods were once considered heart healthy but today we are learning that is not the case - this morning my mother received a call from a friend saying that her doctor suggested she begin taking fish oil.  Knowing that my mom is following a heart healthy program, the friend called to ask which fish oil capsules to buy and if there is anything else worth taking.  Mom gave her suggestions of what to purchase and thought that was the end of the conversation.  A few hours later the friend called back to say her husband, an intelligent man as he is a retired University professor but also very much a grizzled guy, said she should not take that "crap" as probably in 5 years from now it will be found to cause prostate cancer.  The friend called to say she bought the suggested items, she was willing to take the risk.

  • wccaguy

    1/26/2008 1:54:00 PM |

    In George Orwell's, 1984,

    "The three slogans of the Party, on display everywhere, are

        * WAR IS PEACE
        * FREEDOM IS SLAVERY
        * IGNORANCE IS STRENGTH"

    Could "Heart Healthy" be added to the list?

    In keeping with times, evidently, the recently appointed Attorney General of the United States hangs a portrait of George Orwell in his office.  Honest.

    http://www.reuters.com/article/politicsNews/
    idUSN2536540620080125

    (paste two lines of link together)

  • Anonymous

    1/27/2008 12:09:00 AM |

    Great article in the New York Times:  http://www.nytimes.com/2008/01/27/opinion/27taubes.html?_r=1&ex=1359090000&en=83d7fc4ab59036ac&ei=5088&partner=rssnyt&emc=rss&oref=slogin

    Shows that the word is getting out.

  • Dr. Davis

    1/27/2008 2:15:00 AM |

    As always, Gary Taubes cuts to the bone and makes clear, concise, no nonsense, and persuasive arguments.

    From this heated discussion, I predict that the number of small LDL particles as measured by NMR will emerge as the explanation behind the lukewarm value of Friedewald (calculated) LDL cholesterol.

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