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.


Dietary Cholesterol and Heart Attack Risk

Dear readers,

It is heart month, and dietary cholesterol generates many opinions. In a large analysis in the VA system, the more dietary cholesterol, the higher the risk of heart attacks. Plant foods have no cholesterol. What we eat and how we cook what we eat determine the burden of advanced glycation end-products. A new report relates this process to mortality.

In addition to what we eat, what it is wrapped in matters as microplastics enter our food and then our bodies. CoEnzyme Q10 is my #1 go to supplement, and a new study shows it improves the cardiometabolic profile in diabetic patients. Niacin is present in the diet and is an option as a supplement. A study demonstrates that higher dietary niacin is associated with lower CVD mortality. A reminder to male cardiologists: women prefer female cardiologists, yet we comprise 83% of the profession. We have to do better. A short trial of ketone esters in diabetic patients improves measures of cardiac function. Finally, a recently approved medicine reduces CVD outcomes in diabetic and kidney patients. It is a promising but expensive option.

Be well,
Joel Kahn, MD, FACC


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    • We found that dietary cholesterol intake was linearly associated with greater risk of MI. These findings contribute to the growing literature highlighting the impact dietary cholesterol has on cardiovascular health. Reductions in cholesterol intake, which can be achieved by decreasing the intake of meat and eggs, may reduce the risk of incident MI.

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    • According to the U.S. Physician Workforce Data Dashboard, only about 17% of cardiologists are women, ranking as one of the lowest specialties among female physicians, yet heart disease remains the number one killer of women, accounting for one in five female deaths. El Camino Health is innovating a solution to address the unique symptoms and risk factors of heart disease in women.

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    • Sotagliflozin, a drug recently approved by the Food and Drug Administration to treat type 2 diabetes and kidney disease with additional cardiovascular risk factors, can significantly reduce heart attack and stroke among these patients, according to results from an international clinical trial led by a Mount Sinai researcher.

      Sotagliflozin is a sodium-glucose cotransporter (SGLT) inhibitor. It blocks the function of two proteins, known as SGLT1 and SGLT2, which move glucose and sodium across cell membranes and help control blood sugar levels. Other SGLT2 inhibitors do not as significantly block SGLT1.